Ultrasound in trauma has been gaining ground in the medical literature, especially in emergency services since the 1980s. In Europe, this diagnostic method has also been used in the prehospital phase for the evaluation of the traumatized patient. Several comparative studies of ultrasound, tomography and peritoneal lavage have been performed to evaluate the diagnostic usefulness of each method. Ultrasound in trauma is performed in the resuscitation room by trained personnel, allowing a timely diagnosis of potentially fatal hemorrhage and early indication of surgical treatment. Initially, the examination was directed to the abdominal region and in 1996 the term FAST (Focused Abdominal Sonogram for Trauma) was adopted.
Later, in the same year, the method was included in the Advanced Trauma Life Support (ATLS) training programs of the American College of Surgeons and the definition of FAST was expanded to what we currently know as patient-focused ultrasound evaluation with trauma (Focused Assessment with Sonography for the Trauma patient). Although the data are initial, studies have shown that the ultrasound can be useful and even essential for the evaluation of patients in the extra-hospital area. Especially in situations of multiple victims, catastrophes, military medicine and trauma, among others, ultrasound allows a quick assessment of patients, without delaying the time in the scene, helping to screen the cases.
Many medical training courses have already been held to teach the main foundations for the interpretation of ultrasound findings in trauma and emergencies in an emergency service. In Brazil the ultrasound in emergencies and trauma is already used in several emergency services, most of the time with the examination being performed by the radiologist, with specific training. Few services in the country have a radiologist on call 24 hours a day, and even fewer have an ultrasound device available in the emergency room. The ultrasound in emergencies and trauma must be performed by a doctor with the appropriate qualification. It is known to be a dependent operator method, with high sensitivity and specificity in trained hands, usually by medical radiologists, but the examination can be performed by another specialist provided that he is properly trained.
The USET course organized by SBAIT in partnership with the Pan American Trauma Society aims to train andenable the professionals who daily attend trauma victims and emergency medical situations, providing complete information for the use of ultrasound in emergencies and trauma. It is a theoretical and practical course, with a workload of 10 hours, with the following objectives:
- Determine the level of knowledge in ultrasound in trauma and emergency, in addition to other diagnostic methods that can be used in the emergency room.
- Provide the necessary tools to perform a fast and appropriate ultrasound technique in a traumatized patient.
- Organize the structural work plan and coordination to use the emergency ultrasound in the emergency room, knowing its advantages and limitations.
- Teach the mainpoints to perform the interpretation of the ultrasound findings in trauma and emergencies in an emergency service, with emphasis on the experience gained by the group of instructors who are broadly trained in the subject.
- Present the international models proposed for this type of procedure and adapt them within the context of local resources and the legislation of the different regions where this program is provided.
As a learning material, each student receives the book "Ultrasound in Emergencies and Trauma". Publishers: Puyana JC, Rubiano A M, Ulloa JH, Perdomo MA. Bogotá, Colombia: Distribuna Editorial, 2008. 192 pages.
The discount for members of SBAIT will only be acceptedby sending the ANNUITY 2017receipt payment to:
The course must have a minimum of 18 students enrolled. In case of not reaching this number, SBAIT reserves the right to cancel the course at least 3 days in advance and to reimburse the registration fee.
08:00 a.m. – 08:30 a.m. - Reception (Delivery of the Pre-test)
08:30 a.m. – 08:45 a.m. - Introduction
08:45 a.m. – 09:30 a.m. - Basics and Transducers
09:30 a.m. – 10:00 a.m. - FAST
10:00 a.m. – 10:30 a.m. - Vascular Ultrasound
10:30 a.m. - 11:00 a.m. - INTERVAL
11:00 a.m. - 11:30 a.m. - Other Uses of Ultrasound
11:30 a.m. - 1:00 p.m. - Basic Practical Stations
- Technical Aspects of Ultrasound
- Vascular Ultrasound
1:00 p.m. – 2:00 p.m. LUNCH
2:00 p.m. - 2:30 p.m. - Lung Ultrasound
2:30 p.m. - 3:00 p.m. - Hemodynamic evaluation
3:00 p.m. - 5:00 p.m. - Advanced Practical Stations
- Hemodynamic evaluation
- Central Access
5:00 p.m. - 5:30 p.m. - Case Discussions
5:30 p.m. – 6:00 p.m. - Post-test and closing