Sage Journals: Discover world-class research

Abstract

Trauma point-of-care ultrasound in the form of the Focused Assessment with Sonography for Trauma (FAST) exam and its evolution into extended FAST have significantly enhanced the diagnostic power of evaluation and resuscitation of the trauma patient; however, these modalities still have limitations in evaluating mediastinal and cardiac pathology. This report demonstrates a case of point-of-care transesophageal echocardiography in the diagnosis of blunt thoracic aortic injury in an unstable patient involved in a motor vehicle collision.

Keywords

Blunt thoracic aortic injury transesophageal echocardiography point-of-care ultrasound

Get full access to this article

View all access options for this article.

References

Rozycki

Shackford

. Ultrasound, what every trauma surgeon should know. J Trauma 1996; 40: 1–4.

Kirkpatrick

Sirois

Laupland

. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST). J Trauma 2004; 57: 288–295.

American College of Surgeons. Advanced trauma life support student course manual, 9th ed. Chicago: ACS, 2012.

Arntfield

Pace

Hewak

. Focused transesophageal echocardiography by emergency physicians is feasible and clinically influential; observational results from a novel ultrasound program. J Emerg Med 2015; 50: 286–294.

Vieillard-Baron

Mayo

Vignon

. International consensus statement on training standards for advanced critical care echocardiography. Intens Care Med 2014; 40: 654–666.

Clancy

Gary Maxwell

Covington

. A statewide analysis of level I and II trauma centers for patients with major injuries. J Trauma 2001; 51: 346–351.

Shiga

Wajima

Apfel

. Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis. Arch Intern Med 2006; 166: 1350–1356.

Arntfield

Millington

. Point of care cardiac ultrasound applications in the emergency department and intensive care unit – a review. Curr Cardiol Rev 2012; 8: 98–108.

Jamieson

Janusz

Gudas

. Traumatic rupture of the thoracic aorta: third decade of experience. Am J Surg 2002; 183: 571–575.

10.

Lee

Matsumura

Mitchell

. Endovascular repair of traumatic thoracic aortic injury: clinical practice guidelines of the society for vascular surgery. J Vasc Surg 2011; 53: 187–192.

11.

Biffl

Fox

Moore

. The role of REBOA in the control of exsanguinating torso hemorrhage. J Trauma Acute Care Surg 2015; 78: 1054–1058.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

Bedside identification of blunt thoracic aortic injury with point-of-care transesophageal echocardiography

Abstract

Keywords

Get full access to this article

References

Supplementary Material