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Clinical examination is inaccurate in the setting of blunt abdominal trauma and physiological evaluation has limited sensitivity to detect hypovolaemia. Early imaging is crucial to the identification of traumatic injuries. Extended focused assessment with sonography for trauma (eFAST) is a non-invasive point-of-care testwhich can guide clinical decision making. Clinicians should be mindful of the strengths and limitations of eFASTand interpret results in the context of the mechanism of injury and the evolving clinical situation. Guidance from The National Institute for Health and Care Excellence should be followedand immediate computed tomography or operative intervention considered where appropriate.
发布时间
2020-12-18
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BJA education.
57-62页
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