ArticleJAMA network open2022
Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children.
Article in JAMA network open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Expanding Horizons of Pediatric POCUS: Applications in the Older Child.Indian journal of pediatrics · 2026Review
- Perioperative POCUS: Technical Considerations and Applications for the Pediatric Anesthesiologist.Journal of clinical medicine · 2026Review
- Point-of-care ultrasound in trauma: a systematic review of recent literature.Journal of ultrasonography · 2026Review
- Article
- Diagnostic accuracy of focused assessment with sonography in trauma for blunt abdominal injury: A prospective observational study.Bioinformation · 2026Article
- Blast Injuries.Advances and technical standards in neurosurgery · 2026Review
- Blunt abdominal trauma in a 6-year-old boy and need for imaging.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Reliability of Physician Estimation of Pelvic Free Fluid Volume on the Pediatric Focused Assessment With Sonography for Trauma.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2025Article
- Evaluating the effectiveness of handheld ultrasound in primary blast lung injury: a comprehensive study.Scientific reports · 2025Article
- Evaluation of Focused Assessment With Sonography for Trauma Completeness of Children in the Clinical Setting.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2024Article
- Pediatric Emergency Medicine Ultrasound Fellowship Programs.POCUS journal · 2024Article
- Establishing the international research priorities for pediatric emergency medicine point-of-care ultrasound: A modified Delphi study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Article
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Authors and funding
29 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Importance: The wide variation in the accuracy and reliability of the Focused Assessment With Sonography for Trauma (FAST) and the extended FAST (E-FAST) for children after blunt abdominal trauma reflects user expertise. FAST and E-FAST that are performed by experts tend to be more complete, better quality, and more often clinically valuable. Objective: To develop definitions of a complete, high-quality, and accurate interpretation for the FAST and E-FAST in children with injury using an expert, consensus-based modified Delphi technique. Design, Setting, and Participants: This consensus-based qualitative study was conducted between May 1 to June 30, 2021. It used a scoping review and iterative Delphi technique and involved 2 rounds of online surveys and a live webinar to achieve consensus among a 26-member panel. This panel consisted of international experts in pediatric emergency point-of-care ultrasonography. Main Outcomes and Measures: Definitions of complete, high-quality, and accurate FAST and E-FAST studies for children after injury. Results: Of the 29 invited pediatric FAST experts, 26 (15 men [58%]) agreed to participate in the panel. All 26 panelists completed the 2 rounds of surveys, and 24 (92%) participated in the live and asynchronous online discussions. Consensus was reached on FAST and E-FAST study definitions, and the panelists rated these 5 anatomic views as important and appropriate for a complete FAST: right upper-quadrant abdominal view, left upper-quadrant abdominal view, suprapubic views (transverse and sagittal), and subxiphoid cardiac view. For E-FAST, the same FAST anatomic views with the addition of the lung or pneumothorax view were deemed appropriate and important. In addition, the panelists rated a total of 32 landmarks as important for assessing completeness. Similarly, the panelists rated 14 statements on quality and 20 statements on accurate interpretation as appropriate. Conclusions and Relevance: This qualitative study generated definitions for complete FAST and E-FAST studies with high image quality and accurate interpretation in children with injury. These definitions are similar to those in adults with injury and may be used for future education, quality assurance, and research. Future research may focus on interpretation of trace volumes of abdominal free fluid and the use of serial FAST.
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