{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:34:48Z","timestamp":1793327688858,"version":"4.5.0"},"reference-count":24,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2012,3,15]]},"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Technological progress has led to the introduction of hand-carried ultrasound (HCU) imagers in clinical workflow. The aim of this study is to analyse whether examination with a HCU device is a rapid and reliable alternative to contrast-enhanced multidetector CT (MDCT) scans in diagnosis of free intra-abdominal fluid and organ lacerations in major trauma patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>31 major trauma patients with an injury severity score &gt;15 and the necessity of a MDCT scan (standard of reference) were enrolled prospectively to this study, and additionally examined with a HCU, according to \u2018focused assessment with sonography for trauma\u2019 principles for the assessment of organ lacerations and free intra-abdominal fluid. The HCU device employed was of the latest generation. Statistical analysis was performed using PASW V.18.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four patients were diagnosed with free intra-abdominal fluid (prevalence 12.9%). HCU showed a sensitivity and specificity of 75% and 100%, respectively. Positive predictive value and negative predictive value were 100% and 96%, respectively. Five patients had organ lacerations (prevalence 16.1%). In these cases, the HCU was able to detect organ lacerations with a sensitivity and specificity of 80% and 100%, respectively. Therefore, a positive predictive value and negative predictive value of 100% and 96%, respectively, were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In major trauma patients, examination with HCU according to the \u2018focused assessment with sonography for trauma\u2019 principles for the diagnosis of organ lacerations and free intra-abdominal fluid is a reliable and rapid alternative to MDCT scans and can help save precious time in emergency situations, and should, additionally, be evaluated in the pre-clinical workflow.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/emermed-2012-201258","type":"journal-article","created":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T22:00:57Z","timestamp":1334872857000},"page":"e20-e20","source":"Crossref","is-referenced-by-count":25,"title":["Diagnostic value of a hand-carried ultrasound device for free intra-abdominal fluid and organ lacerations in major trauma patients"],"prefix":"10.1136","volume":"30","author":[{"given":"Stephan","family":"Schleder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena-Marie","family":"Dendl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Ernstberger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Nerlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Hoffstetter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernst-Michael","family":"Jung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Heiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Stroszczynski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas G","family":"Schreyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2012,4,19]]},"reference":[{"key":"2024052700031936000_30.3.e20.1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1148\/radiology.211.2.r99ma54399","article-title":"Bowel and mesenteric injury: evaluation with emergency abdominal US","volume":"211","author":"Richards","year":"1999","journal-title":"Radiology"},{"key":"2024052700031936000_30.3.e20.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(83)80374-6"},{"key":"2024052700031936000_30.3.e20.3","first-page":"552","volume":"64","author":"Nast-Kolb","year":"1993","journal-title":"Chirurg"},{"key":"2024052700031936000_30.3.e20.4","first-page":"969","article-title":"Abdominal trauma. 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