Skip to main content
  • 354 Accesses

Abstract

Point-of-care ultrasound has been executed by emergency providers in the acute assessment of patients who are victims of trauma. Ultrasound has proven to be a viable modality in the diagnosis and management of traumatic injuries. As a result of its size, portability and lower relative cost, ultrasound has become a popular tool utilized in the austere and prehospital environment. The focus of this chapter is to guide the provider to identify traumatic life-threatening injuries with efficiency. Traumatic injuries identified in this chapter include intraperitoneal bleeding, intrathoracic bleeding, pneumothorax, pericardial effusion, pericardical tamponade, long bone fracture and open-book pelvis fracture.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Key Literature Reviewed

  1. Melniker LA, Leibner E, McKenney MG, Lopez P, Briggs WM, Mancuso CA. Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2006;48(3):227–35.

    Article  Google Scholar 

  2. O'Dochartaigh D, Douma M. Prehospital ultrasound of the abdomen and thorax changes trauma patient management: a systematic review. Injury. 2015;46(11):2093–102.

    Article  CAS  Google Scholar 

  3. Lewiss RE, Saul T, Del Rios M. Focus on: EFAST – extended focused assessment with sonography for trauma. https://www.acep.org/Clinical%2D%2D-Practice-Management/Focus-On%2D%2DEFAST%2D%2D-Extended-Focused-Assessment-With-Sonography-for-Trauma/ ACEP News website. Jan 2009. Accessed 20 Apr 2017.

  4. Bauman M, Marinaro J, Tawil I, Crandall C, Rosenbaum L, Paul I. Ultrasonographic determination of pubic symphyseal widening in trauma: the FAST-PS study. J Emerg Med. 2011;40(5):528–33.

    Article  Google Scholar 

  5. Lewiss RE, et al. Practical guide to critical ultrasound, volume 1. 18 Oct 2018, https://books.apple.com/us/book/practical-guide-to-critical-ultrasound-volume-1/id1439354416.

  6. Creditt A, et al. Clinical ultrasound: a pocket manual. Cham: Springer International Publishing; 2018.

    Google Scholar 

  7. Husain LF, Hagopian L, Wayman D, Baker WE, Carmody KA. Sonographic diagnosis of pneumothorax. J Emerg Trauma Shock. 2012;5(1):76–81. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299161/. Accessed 26 Apr 2017.

    Article  Google Scholar 

  8. Ma OJ, Mateer JR, Kirkpatrick AW. Chapter 5: Trauma. In: Ma OJ, Mateer JR, Reardon RF, Joing SA, editors. Emergency ultrasound. 3rd ed. China: McGraw-Hill Education; 2014. p. p61–92.

    Google Scholar 

  9. Ma OJ, Mateer JR, Blavais M. Chapter 16: soft tissue. In: Emergency ultrasound. 2nd ed: China: McGraw Hill; 2007.

    Google Scholar 

  10. Mallin M, Dawson M. Introduction to bedside ultrasound: volume 2. Lexington: Emergency Ultrasound Solutions; 2013. iBook. https://itun.es/us/ueELM.l

    Google Scholar 

  11. Fornage BD. Musculoskeletal sonography. New York: Churchill Livingstone; 1995.

    Google Scholar 

  12. Dewitz A. Chapter 18: Musculoskeletal, soft tissue, and miscellaneous applications. In: Ma OJ, Mateer JR, Reardon RF, Joing SA, editors. Emergency ultrasound. 3rd ed. China: McGraw-Hill Education; 2014. p. p503–68.

    Google Scholar 

  13. Mirvis SE, Shanmuganatha K. Imaging in trauma and critical care. 2nd ed. Philadelphia: Elsevier Science; 2003.

    Google Scholar 

  14. Canale ST. Campbell’s operative orthopedics. 10th ed. Philadelphia: Mosby; 2003.

    Google Scholar 

  15. Wheeless CR. Wheeless’ textbook of orthopedics. Brooklandville: Data Trace Internet Publishing; 2007.

    Google Scholar 

  16. Rasalingam R, Makan M, Perez JE. The Washington manual of echocardiography. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013.

    Google Scholar 

  17. Lichtenstein D, Mezière G, Biderman P, Gepner A. The “lung point”: an ultrasound sign specific to pneumothorax. Intensive Care Med. 2014;26(10):1434–40.

    Article  Google Scholar 

  18. Griffith JF, Rainer TH, Ching ASC, et al. Sonography compared with radiography in revealing acute rib fracture. AJR. 1999;173:1603–9.

    Article  CAS  Google Scholar 

  19. El Sayed MJ, Zaghrini E. Prehospital emergency ultrasound: a review of current clinical applications, challenges, and future implications. Emerg Med Int. 2013;2013:1–6.

    Article  Google Scholar 

  20. Chiao L, Sharipov S, Sargsyan AE, et al. Ocular examination for trauma; clinical ultrasound aboard the International Space Station. J Trauma. 2005;58(5):885–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lindsay Anne Taylor .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Taylor, L.A. (2021). Trauma. In: Nicholson, B.D., Vitto, M.J., Dhindsa, H.S. (eds) Manual of Austere and Prehospital Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-64287-7_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-64287-7_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64286-0

  • Online ISBN: 978-3-030-64287-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics