Background: SONOGRAPHY imaging in emergent situations is of easy-access WITH an ever-increasing demand. The aim of the current study was to determine the justification of SONOGRAPHY in emergent patients at a tertiary provincial referent medical center in a one-year period. Methods: In a retrospective descriptive cross-sectional study, 400 emergent patients underwent SONOGRAPHY imaging during the year 2017 were selected using systematic random sampling method. The data of age, gender, anatomic area, SONOGRAPHY number, FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA ((FAST)) SONOGRAPHY, and diagnosis were extracted from patient profiles, and were entered in a researcher-made checklist. Data analysis was perFORmed using descriptive statistics and chi-square test. Findings: Men patients represented 60. 0% of the requested SONOGRAPHY cases, and 40. 0% of the exams were perFORmed in the patient at the age range of 20 to 40 years old. 73. 0% of patients underwent (FAST) SONOGRAPHY, required subsequent diagnostic SONOGRAPHY investigation, while (FAST) SONOGRAPHY led only to a diagnosis in 50. 0% of the patients. 63. 5% of the patients underwent more than one repeated SONOGRAPHY investigations. Conclusion: Diagnostic efficiency of (FAST) SONOGRAPHY was found to be underpowered in the current study. This caused wasting the resources, as well inflicting diagnostic retard in the emergent and urgent setting. The training of (FAST) SONOGRAPHY needs to be reviewed and revised, regarding its rationality and appropriate implementation.

Background and Objective: The use of FOCUSED ASSESSMENT WITH SONOGRAPHY in TRAUMA ((FAST)) in blunt abdominal TRAUMA has various advantages and disadvantages. Considering the importance of timely diagnosis of blunt abdominal TRAUMAs, the question is whether it is possible to manage these patients only by perFORming (FAST) in the emergency room? ThereFORe, this study was conducted WITH the aim of comparing the diagnostic accuracy of (FAST) WITH CT-Scan in patients WITH blunt abdominal TRAUMA. Methods: This cross-sectional study was conducted on 400 patients WITH blunt abdominal TRAUMA referred to the emergency department of affiliated teaching hospitals of Kerman University of Medical Sciences in 2020. Data were obtained by examining the medical records of the patients. The results of (FAST) were compared WITH the results of abdominal and pelvic CT scan (as a gold standard), diagnostic peritoneal lavage (DPL) and laparotomy results (as a gold standard in case of unclear CT-Scan results) and the sensitivity, specificity, the positive and negative predictive value and its accuracy were determined. Findings: The mean age of the participants was 36.27±10.44 years. 72.5% of them were men. The most common organ involved was the liver (73%). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of (FAST) were equal to 75.1 (73.4-79.6), 91.7 (89.4-94.7), 94.1 (92.7-96.3), 77.2 (75.7-79.6) and 83.7 (80.3-85.5), respectively. Also, the odds ratio of (FAST) in detecting free fluid was 1335.3, injury to intra-abdominal organs was 7.53 and it was 28.9 FOR all cases. Conclusion: The results of the study showed that (FAST) SONOGRAPHY in the emergency room is a suitable method FOR diagnosing free intra-abdominal fluid following blunt TRAUMA, but it cannot properly diagnose the location of the injury.

Background and purpose: TRAUMA is the fourth leading cause of death in some developing countries and the second cause of death among young people in Iran. FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA ((FAST)) as part of the preliminary examination is invaluable in emergency care. The aim of this study was to evaluate the accuracy of (FAST) in determining free abdominal fluid in TRAUMAtic patients admitted in an emergency department.Materials and methods: A cross-sectional study was carried out in 150 TRAUMA patients in emergency department (Imam Teaching Hospital, Sari, Iran). (FAST) reports FOR presence of free fluid in the abdomen by emergency residents were compared WITH those of abdominal and pelvic CT scan (oral and intravenous contrast). Sensitivity, specificity, positive predictive value and negative predictive value were evaluated.Results: The mean age of patients was 37.02±14.46. There were 26 (84%) males and 24 (16%) females. In (FAST) and CT scan of the abdomen WITH oral and IV contrast 13 (8.7%) and 10 patients (6.7%) were reported WITH free fluid in the abdomen.|Conclusion: Ultrasound is a reliable tool FOR assessing TRAUMA patients that can be perFORmed WITH reasonable accuracy. Emergency physicians are constantly available upon admission, thereFORe, ultrasound plays an important role in decisions made FOR TRAUMA patients in emergency departments.