Advances in Trauma Ultrasound

Samuel Austin; Daniel Haase; Joseph Hamera

doi:10.1016/j.emc.2022.09.004

Advances in Trauma Ultrasound

Emerg Med Clin North Am. 2023 Feb;41(1):131-142. doi: 10.1016/j.emc.2022.09.004.

Authors

Samuel Austin¹, Daniel Haase², Joseph Hamera²

Affiliations

¹ Department of Surgery, Program in Trauma, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. Electronic address: samuel.austin@umm.edu.
² Department of Emergency Medicine, University of Maryland School of Medicine, The R. Adams Cowley Shock Trauma Center, Program in Trauma, University of Maryland School of Medicine, 110 S Paca St, Baltimore, MD 21201, USA.

PMID: 36424037
DOI: 10.1016/j.emc.2022.09.004

Abstract

Bedside ultrasound assessment has become a routine aspect of care in trauma resuscitation and the critical care setting. Although early research was focused on its role in blunt trauma, it has shown utility in the assessment of penetrating trauma by rapidly identifying hemopericardium and facilitating appropriate intraoperative management. In addition, ultrasound is a reliable test in identifying hemopneumothorax or diaphragmatic injuries. The Rapid Ultrasound in Shock and Hypotension and the Focused Rapid Echocardiographic Examination can diagnose etiologies of shock and guide resuscitation in the critically ill patient. Finally, the role of transesophageal echocardiography is expanding in the trauma setting as more research emerges.

Keywords: Critical care; FAST; FREE; RUSH; Resuscitation; TEE; Trauma; Ultrasound.

Publication types

Review

MeSH terms

Echocardiography
Humans
Resuscitation
Ultrasonography
Wounds, Nonpenetrating* / diagnostic imaging
Wounds, Nonpenetrating* / therapy
Wounds, Penetrating*