Focused Abdominal Sonography In Trauma (FAST) In Patients With Blunt Trauma Abdomen In Rural Area- A Prospective Study

ABSTRACT

Background: Unrecognized blunt abdominal injuries are often causing of the preventable death. Clinical examination is frequently inaccurate and therefore, the reliable, accurate and repeatable bed-side diagnostic test should be chosen such as Sonography. This study was under-taken to assess Focused Assessment Sonography in Trauma (FAST) examination for in rural area in the patients with Blunt Abdominal Trauma.Material and Methods:This was the prospective study including all the trauma team cases in a 24 months period between March 2016 to February 2018 in emergency department of a Uttarpradesh University of Medical Sciences& hospital,Saifai. The results of the FASTscans were analyzed and when the FASTwas positive or followed by the period of the clinical observation when FASTwas negative. Descriptive statistics & sensitivity, specicity, & predictive values were calculated.Results: Total of 100 patients were included in our study and the majority of them were males and the commonest cause of injury was a Road Trafc Accident. The sensitivity & specicity of FASTwere 92.68% and 98.31%, respectively, with an accuracy of 96.0%.Conclusion:Our study found that FASTis the highly sensitive, specic, accurate initial bedside and reliable investigation in the patients with blunt abdominal trauma, which may be done rapidly even in the haemodynamically unstable patients, making it a useful tool.