Evaluación enfocada con ecografía en traumatismo toracoabdominal

Abstract

Introduction: The FAST protocol (Focused Assessment with Sonography for trauma), is called as a focused assessment protocol with ultrasound for trauma, the same is recommended by the international panel of advanced trauma life support (ATLS) in the resuscitation of patients with open and/or closed chest or abdominal trauma, patient stability is not a limitation of this protocol, being able to be applied to both stable and hemodynamically unstable patient, applicable to thoracoabdominal trauma. Objective: To identify the ultrasonographic criteria in the evaluation focused with ultrasound in thoracoabdominal trauma, through the analysis of scientific articles of evidence-based medicine, for the timely care of daily medical practice. Methodology: Descriptive study, based on a systematic bibliographic review, the analysis of scientific articles from various evidence-based medicine journals with high impact on health (Pubmed, Scopus, Cochrane, Springer, etc); from the last 5 years in progress, and literature on surgery and trauma, with the processing of scientific information in Mendeley. Conclusion: Since the efficacy of the FAST protocol is operator-dependent, it is important that all health personnel in the prehospital and hospital setting, directly related to the emergency service, know and adequately identify the sonographic patterns or criteria in the focused evaluation with ultrasound for thoracoabdominal trauma, in order to obtain a better sensitivity and specificity of the radiological study and make appropriate and early decisions to reduce patient morbidity and mortality.