ArticleAnnals of intensive care2016
Integrating eFAST in the initial management of stable trauma patients: the end of plain film radiography.
Article in Annals of intensive care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Point-of-care ultrasonography for diagnosing thoracoabdominal injuries in patients with blunt trauma.The Cochrane database of systematic reviews · 2018Pooled it
- Extended focused assessment with sonography in trauma injury pattern associations in blunt versus penetrating trauma.Proceedings (Baylor University. Medical Center) · 2026Article
- Delay in hip reductions due to the advent of rapid CT scans in the trauma setting.Archives of orthopaedic and trauma surgery · 2026Article
- A possible role of e-FAST in the hemodynamically stable polytrauma patient: results of a single trauma center preliminary restrospective study.Journal of ultrasound · 2025Article
- Practice Patterns and Management Protocols in Trauma across Indian Settings: A Nationwide Cross-sectional Survey.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Appropriateness of Initial Course of Action in the Management of Blunt Trauma Based on a Diagnostic Workup Including an Extended Ultrasonography Scan.JAMA network open · 2022Article
- Diagnostic value of chest radiography in the early management of severely injured patients with mediastinal vascular injury.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Observational
- Should we ditch the supine chest X ray in early trauma assessment?Australasian journal of ultrasound in medicine · 2019Article
- Speckle tracking quantification of lung sliding for the diagnosis of pneumothorax: a multicentric observational study.Intensive care medicine · 2019Observational
- Lessons Learned from a Study of the Integration of a Point-of-Care Ultrasound Course into the Undergraduate Medical School Curriculum.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
- Article
- eFAST for the diagnosis of a perioperative complication during percutaneous nephrolithotomy.Critical ultrasound journal · 2018Article
- Should we perform a FAST exam in haemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2017Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe initial management of a trauma patient is a critical and demanding period. The use of extended focused assessment sonography for trauma (eFAST) has become more prevalent in trauma rooms, raising questions about the real "added value" of chest X-rays (CXRs) and pelvic X-rays (PXR), particularly in haemodynamically stable trauma patients. The aim of this study was to evaluate the effectiveness of a management protocol integrating eFAST and excluding X-rays in stable trauma patients.
methodsThis was a prospective, interventional, single-centre study including all primary blunt trauma patients admitted to the trauma bay with a suspicion of severe trauma. All patients underwent physical examination and eFAST (assessing abdomen, pelvis, pericardium and pleura) before a whole-body CT scan (WBCT). Patients fulfilling all stability criteria at any time in transit from the scene of the accident to the hospital were managed in the trauma bay without chest and PXR.
resultsAmongst 430 patients, 148 fulfilled the stability criteria (stability criteria group) of which 122 (82 %) had no X-rays in the trauma bay. No diagnostic failure with an immediate clinical impact was identified in the stability criteria group (SC group). All cases of pneumothorax requiring chest drainage were identified by eFAST associated with a clinical examination before the WBCT scan in the SC group. The time spent in the trauma bay was significantly shorter for the SC group without X-rays compared to those who received any X-ray (25 [20; 35] vs. 38 [30; 60] min, respectively; p < 0.0001). An analysis of the cost and radiation exposure showed savings of 7000 Є and 100 mSv, respectively.
conclusionsNo unrecognized diagnostic with a clinical impact due to the lack of CXR and PXR during the initial management of stable trauma patients was observed. The eFAST associated with physical examination provided the information necessary to safely complete the WBCT scan. It allowed a sensible cost and radiation saving.
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