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Portable Ultrasonography in Mass Casualty Incidents: The CAVEAT Examination
World Journal of Orthopedics
  • Stanislaw P. Stawicki
  • James M. Howard
  • John P. Pryor
  • David P. Bahner
  • Melissa L. Whitmill, Wright State University
  • Anthony J. Dean
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Ultrasonography used by practicing clinicians has been shown to be of utility in the evaluation of time-sensitive and critical illnesses in a range of environments, including pre-hospital triage, emergency department, and critical care settings. The increasing availability of light-weight, robust, user-friendly, and low-cost portable ultrasound equipment is particularly suited for use in the physically and temporally challenging environment of a multiple casualty incident (MCI). Currently established ultrasound applications used to identify potentially lethal thoracic or abdominal conditions offer a base upon which rapid, focused protocols using hand-carried emergency ultrasonography could be developed. Following a detailed review of the current use of portable ultrasonography in military and civilian MCI settings, we propose a protocol for sonographic evaluation of the chest, abdomen, vena cava, and extremities for acute triage. The protocol is two-tiered, based on the urgency and technical difficulty of the sonographic examination. In addition to utilization of well-established bedside abdominal and thoracic sonography applications, this protocol incorporates extremity assessment for long-bone fractures. Studies of the proposed protocol will need to be conducted to determine its utility in simulated and actual MCI settings.


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Citation Information
Stanislaw P. Stawicki, James M. Howard, John P. Pryor, David P. Bahner, et al.. "Portable Ultrasonography in Mass Casualty Incidents: The CAVEAT Examination" World Journal of Orthopedics Vol. 1 Iss. 1 (2010) p. 10 - 19 ISSN: 2218-5836
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