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Van der Vlies, C.H., Saltzherr, T.P., Wilde, J.C.H., van Delden, O.M., de Haan, R.J. and Goslings, J.C. (2010) The Failure Rate of Nonoperative Management in Children with Splenic or Liver Injury with Contrast Blush on Computed Tomography: A Systematic Review. Journal of Pediatric Surgery, 45, 1044-1049. http://dx.doi.org/10.1016/j.jpedsurg.2010.01.002

has been cited by the following article:

• TITLE: Focused Assessment with Sonography in Trauma (FAST) Scans Are Not Sufficiently Sensitive to Rule out Significant Injury in Pediatric Trauma Patients

  AUTHORS: Clare Skerritt, Saira Haque, Erica Makin

  KEYWORDS: Blunt Trauma, Ultrasound, FAST

  JOURNAL NAME: Open Journal of Pediatrics, Vol.4 No.3, September 19, 2014

  ABSTRACT: Aim: To assess the sensitivity and specificity of FAST scans in pediatric trauma in a dedicated pediatric trauma centre. Method: A 3-year (2008-2011) analysis of prospectively collected datalooking at the results of FAST scans compared to Computed Tomography (CT) or laparotomy findings. Results: There were 482 pediatric trauma calls of which 166 patients had suspected intra-abdominal injury. 163 patients underwent CT scans of which 89 (55%) had FAST scans prior to CT. 3 patients had FAST scans without CT; 1 patient went straight to theatre (positive FAST) and 2 patients died in the department before any further imaging. The sensitivity of FAST scans to detect abdominal injury is 23% and the specificity is 97%. The injuries missed on FAST scan were: liver lacerations (n = 3), splenic lacerations (n = 5), 1 combined liver and kidney injury and 1 combined splenic injury and small bowel perforation. Conclusions: FAST scans in trauma have a low sensitivity in pediatric patients with the possibility of missing significant intra-abdominal injury. They do not obviate the need for CT scan when clinical suspicion is high.