TY - CHAP M1 - Book, Section TI - Chapter 24. Ultrasound in Acute Trauma A1 - Panebianco, Nova A2 - Carmody, Kristin A. A2 - Moore, Christopher L. A2 - Feller-Kopman, David PY - 2011 T2 - Handbook of Critical Care and Emergency Ultrasound AB - Traumatic injuries are among the most common presenting complaint to the emergency department (ED). Oftentimes, these patients will arrive unstable and the clinician must quickly and accurately identify the source of injury. Prior to widespread ultrasound and CT scan availability, diagnostic peritoneal lavage (DPL) was used to identify intraperitoneal hemorrhage. The advantages of DPL were that it could be performed rapidly at the bedside obviating the need for transporting the unstable patient out of the department. DPL is now rarely (if ever) performed as it is invasive, insensitive, and nonspecific with consequent risk for iatrogenic injury. Computed tomography (CT) has the advantage of identifying the location and extent of intraabdominal injury, and can evaluate the retroperitoneum. However, it requires the patient to be transported from the resuscitation area and this is not always possible in an unstable situation. It also exposes the patient to ionizing radiation, is expensive, and is not rapidly repeatable. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=56302251 ER -