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タイトルAdvanced Ultrasonic Diagnosis of Extremity Trauma: The Faster Exam
本文(外部サイト)http://hdl.handle.net/2060/20100036314
著者(英)Marshburn, T.; Kirkpatrick, A. W.; Logan, J.; Henry, S. E.; Dulchavsky, S. A.; Moed, B. R.; Hamilton, D. R.; Diebel, L. N.; Williams, D. R.
著者所属(英)NASA Johnson Space Center
発行日2002-05-01
言語eng
内容記述Ultrasound is of prO)len accuracy in abdominal and thoracic trauma and may be useful to diagnose extremity injury in situations where radiography is not available such as military and space applications. We prospectively evaluated the utility of extremity , ultrasound performed by trained, non-physician personnel in patients with extremity trauma, to simulate remote aerospace or military applications . Methods: Patients with extremity trauma were identified by history, physical examination, and radiographic studies. Ultrasound examination was performed bilaterally by nonphysician personnel with a portable ultrasound device using a 10-5 MHz linear probe, Images were video-recorded for later analysis against radiography by Fisher's exact test. The average time of examination was 4 minutes. Ultrasound accurately diagnosed extremity, injury in 94% of patients with no false positive exams; accuracy was greater in mid-shaft locations and least in the metacarpa/metatarsals. Soft tissue/tendon injury was readily visualized . Extremity ultrasound can be performed quickly and accurately by nonphysician personnel with excellent accuracy. Blinded verification of the utility of ultrasound in patients with extremity injury should be done to determine if Extremity and Respiratory evaluation should be added to the FAST examination (the FASTER exam) and verify the technique in remote locations such as military and aerospace applications.
NASA分類Aerospace Medicine
レポートNOJSC-CN-7442
権利Copyright, Distribution as joint owner in the copyright


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