@anking-maintainers it seems there is some discrepency in the notes about what the first line imaging for hemodynamically stable patients with blunt abdominal trauma is. On card 1495282015018, it says you can start splenic trauma (which is blunt abdominal trauma until proven otherwise by imaging) diagnosis with CT, but the way this card is currently worded (as well as the attached table), it implies there is no circumstance in which you would get a CT scan before a FAST (I assume because FAST can be done relatively quickly?).
Does anyone know if this is specified somewhere?
UW QID 4930 tagged here has an explanation and algorithm showing, regardless of hemodynamic stability and as long as signs of peritonitis are absent, you always start with FAST in patients w/ blunt abdominal trauma.
nid:1495282015018 that you mention states:
What is the first test used to evaluate splenic injury in a hemodynamically stable patient?
{{c1::CT scan w/ IV contrast}}
While FAST exam is generally reserved for unstable patients
There aren’t any QIDs tagged but the tags seem to imply it originally was based on UW… wonder if it was based off old info in UW and needs to be fixed instead.
Quick review of other UW QIDs I’ve got access to: QID 2327 gives a patient w/ BAT that already had a (+) FAST, answer is splenic lac, and explanation states CT is done after FAST. QID 16188 covers BAT w/ duodenal hematoma, next best step being CT of the abdomen, but this is after a (-) FAST in the question stem.