Zusammenfassung
Die Anwendung eines speziell definierten Untersuchungsalgorithmus zum fokussierten Assessment mit Sonographie bei Trauma (FAST) ermöglicht bei verunfallten Patienten die rasche Erkennung von einigen akut lebensbedrohenden Unfallfolgen an allen präklinischen oder klinischen akutmedizinischen Arbeitsplätzen. Durch Erweiterung der FAST-Untersuchung (extended FAST, E‑FAST) um 2 thorakale und 1 kardiale Anlotung lassen sich zusammen folgende Pathologien rasch erkennen oder ausschließen:
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freie Flüssigkeit im Abdomen als Zeichen einer Verletzung von Gefäßen oder parenchymatöser Organe,
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Hämatothorax,
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Perikarderguss- und -tamponade,
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Pneumothorax.
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Literatur
Abrams BJ, Sukumvanich P, Seibel R, Moscati R, Jehle D (1999) Ultrasound for the Detection of Intraperitoneal Fluid: The role of Trendelenburg Positioning. Am J Emerg Med 17:117–120
Aufmkolk M, Ruchholtz S, Hering M, Waydhas C, Nast-Kolb D (2003) Wertigkeit der subjektiven Einschätzung der Thoraxverletzungsschwere durch den Notarzt. Unfallchirurg 106:746–753
Branney SW, Wolfe RE, Moore EE, Albert NP, Heinig M, Mestek M, Eule J (1995) Quantitative Sensitivity of Ultrasound in Detecting Free Intraperitoneal Fluid. J Trauma 39(2):375–380
Clarke JR, Trooskin SZ, Doshi PJ, Greenwald L, Mode CJ (2002) Time to laparotomoy for intra-abdominell bleeding from trauma does affect survival for delays up to 90 minutes. J Trauma 52(3):420–425
Cokkinos D, Antypa E, stefanidis K, Tserotas P, Kostaras V, Parlamenti A, Tavernaraki K, Piperopoulos PN (2012) Contrast-enhanced ultrasound for imaging blunt abdominal trauma-indications, description of he technique and imaging review. Ultraschall Med 33(1):60–67
Hoffmann M, Ma OJ, Matteer JR, Blaivas M (2008) Emergency Ultrasound. McGraw Hill, NY (Chapter 5)
Jang T, Kryder G, Sineff S, Naunheim R, Aubin C, Kaji AH (2012) The Technical Errors of Physicians Learning to Perform Focused Assessment With Sonography in Trauma. Academic emergency Medicine 19:98–101
Kendall JL, Hoffenberg SR, Smith RS (2007) History of emergency and critical care ultrasound; the evolution of a new imaging paradigm. Crit Care Medicin 35(5):126–S130
Kirschning T, Brenner F, Stier M, Weber CF, Walcher F (2009) Pre-hospital emergenca sonography of trauma patients. Anästhesist 58(1):51–6
Knudsen L, Sandberg M (2001) Ultrasound in pre-hospital care. Acta Anaesthesiol Scand 55(4):377–378
Lichtenstein D (2010) Whole Body Ultrasonography in the Critically Ill. Springer, Heidelberg
Ma OJ, Mateer JR (1997) Trauma ultrasound examination versus chest radiography in the detection of hematothorax. Ann Emerg Med 29(3):312–5
Moylan J, Newgard CD, Ma OJ, Sabbaj A, Rogers T, Douglass R (2007) Association between a positive ED FAST examination and therapeutic laparotomy in normotensive blunt trauma patients. J Emerg Med 33(3):265–271
Nagarsheth K, Kurek S (2011) Ultrasound Detection od Pneumothorax compared with Chest X-Ray and Computed Tomography Scan. Am Surg 77(4):480–484
Natarajan B, Gupta PK, Cemaj S, Sorenden M, Hatzoudis GI, Forse RA (2010) FAST scan: is it worth doing in hemodynamically stable blunt trauma patinets? J Surgery 148(4):695–700
Nicolau C, Ripolles T (2012) Contrast-enhanced ultrasound in abdominal imaging. Abdom imaging 37(1):1–19
Schellhaas S, Breitkreutz R (2012) Grundsätze der notfallsonographie: Verfahren und klinische Integration. Praxis 101(18):1153–1160
Sisley AC, Rozycki GS, Ballard RB, Namias N, Salomone JP, Feliciano DV (1998) Rapid detection of traumatic effusion using surgeon-performed ultrasonography. J Trauma 44(2):291–296
Soldati G, Testa A, Sher S, Pignataro G, La Sala M, Silveri NG (2008) Occult Traumatic Pneumothorax: Diagnostic Accuracy of Lung Ultrasound in the emergency Department. chest 133(1):204–2011
Valentino M, Ansaloni L, Catena F, Pavlica P, Pinna AD, Barozzi L (2009) Contrast-enhanced ultrasonography in blunt abdominal trauma: considerations after 5 years of experience. Radiol Med 114(7):1080–1089
von Kuenssberg Jehle D, Stiller G, Wagner D (2003) Sensitivity in Detecting Free Intraperitoneal Fluid With the Pelvic Views of the FAST Exam. Am J Emerg Med 21:476–478
Walcher F, Kirschning T, Müller MP, Byhahn C, Stier M, Rüsseler M, Brenner F, Braun J, Marzi I, Breitkreutz R (2010) Accuracy of prehospital focused abdominal sonography for trauma after a-1day hands-on training course. Emerg Med J 27:345–349
Walcher F, Weinlich M, Conrad G, Schweigkofler U, Breitkreutz R, Kirschning T, Marzi I (2006) Prehospital ultrasound imaging improves management of abdominal trauma. British Journal of Surgery 93:238–242
Zhang M, Liu ZH, YangJX, Gan JX, Xu SW, You XD, Jiang GY (2006) Rapid Detection of Pneumothorax by Ultrasonographyin Patients with multiple Trauma. Critical Care 10R112
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Dinse-Lambracht, A., Reithmeier, E., Seibel, A., Breitkreutz, R. (2014). E-FAST. In: Michels, G., Jaspers, N. (eds) Notfallsonographie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36979-7_3
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