RESUMEN
Background: computerized tomography [CT] Scan is the gold standard for imaging in blunt abdominal trauma. Focused Assessment Sonography in Trauma [FAST] is a quickly performed screening technique aimed to detect collections of free fluid
Objective: to determine the diagnostic accuracy of surgeon-performed Focused Assessment Sonography in patients with blunt abdominal Trauma by taking operative findings as gold standard in detecting hemoperitoneum
Methodology: this cross sectional study was conducted in Department of Emergency and Trauma, Sheikh Zayed Hospital, Rahim Yar Khan from 1[st] January to 30[th] June 2015. A total of 167 patients with blunt abdominal trauma within 24 hours were included in this study. Surgeon performed Focused Assessment Sonography in Trauma[FAST] was done in all patients with Ultrasound Machine for detection of hemoperitoneum. All the patients were undergone through exploratory laparotomy and compared the findings of FAST. All this information was entered on Proforma. Data was entered and analyzed using SPSS version 16
Results: the sensitivity, specificity, positive and Negative predictive value as well as accuracy of surgeon performed FAST in detecting hemoperitoneum were 83.8%, 92%, 90.5%, 86% and 88% respectively
Conclusion: FAST has a high accuracy. It can be included in the initial evaluation of adult patients with Blunt abdominal trauma [BAT] and it will assist in rapidly identifying the need for laparotomy