This is a bit of a rant about a few things that I am interested in lately.
I was watching the FOAMed feed on Twitter the other day when I saw a paper mentioned by Dr Jonathan Henry ( @EmergencyEcho ). Thanks for the post pub, peer review. Here was the tweet that caught my eye:
Here is the paper:
Detection of pneumothoraces in patients with multiple blunt trauma: use and limitations of eFAST published in the EMJ this week, lead author is Dr Sauter. The study is a retrospective, cross-sectional analysis of trauma patients with pneumothorax who underwent both an eFAST exam and a CT. It was done in a Bernese ED in Switzerland.
The highlight statistic here was “59%”, a really low sensitivity for eFAST detection of pneumothorax. This caught my eye as it is one of the lowest sensitivities I have ever seen for the US detection of traumatic pneumothorax. Now, we must note that this is a small, retrospective, single-centre data set. There area lot of potential problems with this sort of study. However, I would like to dive a little deeper into the paper – there are some things we can learn from this data. So onto the podcast to hear what I really think about these numbers.
Let me know what you think below.
See you in Berlin, Brisbane or Broome soon