Evaluation of the diagnostic value of Hemorrhagic shock with RUSH protocols in multi trauma patients

Abstract

Polytrauma patients are of a higher risk of complications and death than the summation of expected mortality and morbidity of their individual injuries. The ideal goal in trauma resuscitation care is to identify and treat all injuries. With clinical and technological advanced imaging available for diagnosis and treatment of traumatic patients, point of careerapid ultrasound in shock and hypotension (RUSH) significantly affects modern trauma services and patient outcomes. This study aims to evaluate the accuracy of RUSH and patient outcomes by early detection of the causes of unstable polytrauma. Method and materials: This cross-sectional, prospective study included 150 unstable polytrauma patients admitted in Tabriz Emam Reza University Hospital. Clinical exam, RUSH and pan-computed tomography (pan-CT) were conducted. The result of CT was taken as the standard. Patients were managed according to the advanced trauma life support (ATLS) guidelines and treated of life threatening conditions if present. Patients were followed up for 28 days for a short outcome Results: According to the study, the RUSH protocol in trauma patients has a sensitivity of 88.6% and specificity of 100%, and considering the positive predictive value of 100% and negative predictive value of 78.9%, indicates the concept that using the RUSH protocol and the possibility of loss. Giving a positive finding is close to zero.