Sola, J.E., Cheung, M.C., Yang, R., Koslow, S., Lanuti, E., Seaver, C., Neville, H.L. and Schulman, C.I. (2009) Pediatric FAST and Elevated Liver Transaminases: An Effective Screening Tool in Blunt Abdominal Trauma. Journal of Surgical Research, 157, 103-107.
http://dx.doi.org/10.1016/j.jss.2009.03.058

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.