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Emergency Thoracic Ultrasound (Excluding Echocardiography)

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Chest Sonography
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Abstract

Due to the fact that some life-threatening conditions can be identified and treated immediately by an appropriate intervention, chest trauma and serious, non-traumatic dyspnea are a special challenge for thoracic ultrasound. The sonographic assessment follows the standard ABC-emergency approach. Obstruction of the airway and impairment of breathing have priority over shock. Frequent and relevant causes of dyspnea can be clearly recognized by sonography. However, the method is not 100 % sensitive as well as 100 % specific. Due to their position in the chest only few pathologies cannot be visualized by thoracic ultrasound. Furthermore, ultrasonography is gaining increasing importance because a number of important contraindications for CT are frequently encountered.

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References

  • ACEP (2009) Emergency ultrasound guidelines. Ann Emerg Med 53:550–570

    Article  Google Scholar 

  • Breitkreutz R, Walcher F, Seeger FH (2007) Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-confirmed algorithm. Crit Care Med 35(Suppl):150–161

    Article  Google Scholar 

  • Brink M, Kool DR, Dekker HM et al (2009) Predictors of abnormal chest CT after blunt trauma: a critical appraisal of the literature. Clin Radiol 64:272–283

    Article  CAS  PubMed  Google Scholar 

  • Goerg C (2007) Transcutaneous contrast-enhanced sonography of pleural-based pulmonary lesions. Eur J Radiol 64:213–221

    Article  Google Scholar 

  • Heller WB (1995) Ultrasound in emergency medicine. WB Saunders, Philadelphia

    Google Scholar 

  • Hoffmann R, Pohlemann T, Wippermann B et al (1989) Management of sonography in blunt abdominal trauma. Unfallchirurg 92:471–476

    CAS  PubMed  Google Scholar 

  • Hoffmann R, Nierlich M, Muggia-Sullam M et al (1992) Blunt abdominal trauma in cases of multiple evaluated by ultrasonography: a prospective analysis of 291 patients. J Trauma 32:452–458

    Article  CAS  PubMed  Google Scholar 

  • Mathis G (2006) Notfallsonographie am thorax – a pictorial essay. Praxis 95:638–643

    Article  CAS  PubMed  Google Scholar 

  • Ndiaye A, Chambost M, Chiron M (2009) The fatal injuries of car drivers. Forensic Sci Int 184:21–27

    Article  CAS  PubMed  Google Scholar 

  • Niemann T, Egelhof T, Bongratz G (2009) Transthoracic sonography for the detection of pulmonary embolism – a meta analysis. Ultraschall Med 30:150–156

    Article  CAS  PubMed  Google Scholar 

  • Osterwalder J (2011) 3-Länder-übergreifendes Ausbildungskonzept und Curriculum Notfallsonographie. Ultraschall Med 32

    Google Scholar 

  • Parlamento S, Copetti R, Di Bartolomeo S (2009) Evaluation of lung ultrasound for the diagnosis of pneumonia in ED. Am J Emerg Med 27:379–384

    Article  PubMed  Google Scholar 

  • Röthlin MA, Näf R, Amgwerde M et al (1993) Ultrasound in blunt abdominal and thoracic trauma. J Trauma 34:488–495

    Article  PubMed  Google Scholar 

  • Seitz K, Mauch M, Vasillakis D (2006) Zentrale patientenaufnahme und ultraschall. Ultraschall Med 27:309–314

    Article  CAS  PubMed  Google Scholar 

  • Tayal VS, Beatty MA, Marx JA (2004) FAST (focused assessment with sonography in trauma) accurate for cardiac and intraperitoneal injury in penetrating anterior chest trauma. J Ultrasound Med 23:467–472

    Article  PubMed  Google Scholar 

  • Walcher F, Weinrich M, Conrad G et al (2006) Prehospital ultrasound imaging improves management of abdominal trauma. Br J Surg 93:238–242

    Article  CAS  PubMed  Google Scholar 

  • Walcher F, Kirschning T, Brenner F et al (2009) Training in emergency sonography for trauma. Concept of a 1-day course program. Anaesthesist 58:375–378

    Article  CAS  PubMed  Google Scholar 

  • World interactive network focused on critical ultrasound (2008) www.winfocus.org

  • Wüstner A, Gehmacher O, Hämmerle S, Schenkenbach C, Häfele H, Mathis G (2005) Ultraschalldiagnostik beim stumpfen thoraxtrauma. Ultraschall Med 26:285–290

    Article  PubMed  Google Scholar 

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Correspondence to Joseph Osterwalder .

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Osterwalder, J., Mathis, G. (2017). Emergency Thoracic Ultrasound (Excluding Echocardiography). In: Mathis, G. (eds) Chest Sonography. Springer, Cham. https://doi.org/10.1007/978-3-319-44072-9_12

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  • DOI: https://doi.org/10.1007/978-3-319-44072-9_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44071-2

  • Online ISBN: 978-3-319-44072-9

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