Evidence map›Paper›PMID 40429451›Full record

ReviewJournal of clinical medicine2025

Extended Focused Assessment with Sonography for Trauma in the Emergency Department: A Comprehensive Review.

Federico M Bella, Alessandra Bonfichi, Ciro Esposito, Christian Zanza, Abdelouahab Bellou, Domenico Sfondrini, Antonio Voza, Andrea Piccioni, Antonio Di Sabatino, Gabriele Savioli

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Positive eFAST-Not so FAST.Journal of the American College of Emergency Physicians open · 2026
    Article
  6. Observational
  7. Review
  8. Article
  9. Article
  10. A clinical decision instrument to safely reduce abdominopelvic CT use in minor blunt trauma patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Federico M BellaDepartment of Internal Medicina, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.
Alessandra BonfichiDepartment of Internal Medicina, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.
Ciro EspositoUnit of Nephrology and Dialysis, ICS Maugeri, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-7906-1097
Christian ZanzaGeriatric Medicine Residency Program, University of Rome "Tor Vergata", 00133 Rome, Italy.ORCID 0000-0001-5764-6118
Abdelouahab BellouInstitute of Sciences in Emergency Medicine, Department of Emergency Medicine, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, China.ORCID 0000-0003-3457-5585
Domenico SfondriniMaxillofacial Unit, Emergency Department, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.
Antonio VozaDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, 20072 Milan, Italy.ORCID 0000-0001-7309-6929
Andrea PiccioniDepartment of Emergency Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy.ORCID 0000-0001-5703-8737
Antonio Di SabatinoDepartment of Internal Medicina, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-0302-8645
Gabriele SavioliEmergency Medicine and Surgery, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-8679-5435

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Extended Focused Assessment with Sonography for Trauma (eFAST) plays a crucial role in the emergency department (ED) by providing rapid and non-invasive diagnostic information in trauma patients. It is a diagnostic-free fluid detection technique that uses sonography to assess trauma in different anatomical windows of the chest and abdomen and has been accepted in multiple studies as the initial diagnostic tool for torso injuries in blunt abdominal trauma. By promptly identifying potentially life-threatening injuries, such as haemoperitoneum, haemothorax, and cardiac tamponade, eFAST facilitates timely intervention and improves patient outcomes in the ED. The eFAST exam is reliable, with high sensitivity and specificity, even when performed by non-radiological personnel, saving time and resources in the chaotic emergency environment. This review aims to assess the diagnostic reliability and limitations of eFAST in different trauma conditions and to outline its goals in trauma critical care and in "ABCDE" resuscitation.

Indexed as

ABCDEblunt abdominal traumacardiac tamponadecritical careechocardiographyeFASTemergency departmentemergency medicineFASTintra-abdominal fluidintraperitonealmanagementpleural effusionpneumothoraxresuscitationsonographytraumaultrasound

Identifiers

PMID40429451
PMCPMC12112529

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.