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2017 ; 8
(8
): 606-611
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Ultrasound diagnosis of fractures in mass casualty incidents
#MMPMID28875125
Abu-Zidan FM
World J Orthop
2017[Aug]; 8
(8
): 606-611
PMID28875125
show ga
The role of point-of-care ultrasound in mass casualty incidents (MCIs) is still
evolving. Occasionally, hospitals can be destroyed by disasters resulting in
large number of trauma patients. CAVEAT and FASTER ultrasound protocols, which
are used in MCIs, included extremity ultrasound examination as part of them. The
literature supports the use of ultrasound in diagnosing extremity fractures both
in hospitals and MCIs. The most recent systematic review which was reported by
Douma-den Hamer et al in 2016 showed that the pooled ultrasound sensitivity and
specificity for detecting distal forearm fractures was 97% and 95% respectively.
Nevertheless, majority of these studies were in children and they had very high
heterogeneity. The portability, safety, repeatability, and cost-effectiveness of
ultrasound are great advantages when treating multiply injured patients in MCIs.
Its potential in managing fractures in MCIs needs to be further defined. The
operator should master the technique, understand its limitations, and most
importantly correlate the sonographic findings with the clinical ones to be
useful. This editorial critically reviews the literature on this topic, describes
its principles and techniques, and includes the author's personal learned lessons
so that trauma surgeons will be encouraged to use ultrasound to diagnose
fractures in their own clinical practice.