{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:11:18Z","timestamp":1793322678250,"version":"4.5.0"},"reference-count":4,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:p>Blunt trauma patients are often evaluated with extended focused assessment with sonography for trauma (eFAST). eFAST is a noninvasive, rapid, ultrasound-guided assessment for hemoperitoneum, pericardial effusion, and hemopneumothorax. Specificity and sensitivity are as high as 95% and 74%, respectively. Research suggests obesity confers increased morbidity and mortality and is an independent risk factor for trauma death. A previous study demonstrated that a BMI change from 36 to 40 changed the odds ratio for inaccurate eFAST from 1.85 to 3.12. Our current prospective data collection is 202 consecutive blunt trauma patients from 5\/13\/22 to 8\/18\/22 receiving an eFAST and a CT\/OR for comparison. Odds ratio of inaccurate eFAST increased by 5.65% for each increase of 1\u00a0kg\/m3 of BMI (95% Cl 0.1%-10.8%). This research also investigated surgical resident eFAST accuracy to improve patient outcomes through the implementation of individualized training in normal and obese models.<\/jats:p>","DOI":"10.1177\/00031348231157851","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T13:45:09Z","timestamp":1676641509000},"page":"3238-3240","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Effect of BMI on eFAST Accuracy in Trauma by Residents in the Emergency Room"],"prefix":"10.1177","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8476-1365","authenticated-orcid":false,"given":"Landon R.","family":"Armstrong","sequence":"first","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5252-3968","authenticated-orcid":false,"given":"Noah R.","family":"Rutherford","sequence":"additional","affiliation":[{"name":"Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Heidel","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Tennessee Medical Center, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lou M.","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Surgical Critical Care, Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Butts","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Louisiana State University Health Sciences Center, New Orleans, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"bibr1-00031348231157851","doi-asserted-by":"publisher","DOI":"10.1017\/cem.2019.381"},{"key":"bibr2-00031348231157851","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2015.01.021"},{"key":"bibr3-00031348231157851","doi-asserted-by":"publisher","DOI":"10.1007\/s13679-017-0264-9"},{"key":"bibr4-00031348231157851","doi-asserted-by":"publisher","DOI":"10.1177\/000313481908500849"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231157851","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231157851","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231157851","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:38Z","timestamp":1777379798000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231157851"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,17]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/00031348231157851"],"URL":"https:\/\/doi.org\/10.1177\/00031348231157851","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,17]]}}}