October 2021 Virtual Journal Club – Diagnosis of Traumatic Pneumothorax: A Comparison between Lung Ultrasound and Supine Chest Radiographs

Author: Noel Fernando, Stephen Ojo, Kiara Vincent, Anju Menon, Omer Mohammed, Emily Rashleigh / Editor: Rajesh Chatha, Robert Hirst / Codes: / Published: 28/10/2021

At TERN Education we are keen to help you learn how to critically evaluate the evidence base behind your practice. In order to do this, we have been producing monthly virtual journal club modules on RCEMLearning. This months edition is brought to you by the East Midlands journal club team comprised of HSTs around the region.

The Virtual Journal Club gives you the opportunity to critically consider your practice and earn a certificate which demonstrates the new curricular requirement to be engaged in critical appraisal activity. When you finish, click the link to the forum to discuss this months paper with colleagues around the country.

Interested in writing a module? We are looking to recruit regional teams to write future modules. Email us at tern.education@rcem.ac.uk.

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References

  1. Appendix 3. RCEM Point of Care Ultrasound (PoCUS) Curriculum 2021. RCEM Curriculum 2021. [Accessed 28th October 2021]
  2. Weile J, Frederiksen CA, Laursen CB, et al. Point-of-care ultrasound induced changes in management of unselected patients in the emergency department a prospective single-blinded observational trial. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2020; 28: 47. doi:10.1186/s13049-020-00740-x
  3. Galvez C, Arenas-Jimenez J, Del Campo J, et al. Diagnostic imaging pathways in the setting of acute chest wall trauma. Journal of Visualized Surgery. 2020; 6: 21. doi: 10.21037/jovs.2019.11.08
  4. NICE Major trauma assessment and initial management. [guideline NG39] [Accessed 02/09/21].
  5. Rodriguez RM, Anglin D, Langdorf MI, Baumann BM, et al. NEXUS chest: validation of a decision instrument for selective chest imaging in blunt trauma. JAMA Surg. 2013; 148(10): 940-6. doi: 10.1001/jamasurg.2013.2757.
  6. Edgecombe L, Sigmon DF, Galuska MA, et al. Thoracic Trauma. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-.
  7. Netherton S, Milenkovic V, Taylor M, Davis P. Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. CJEM. 2019;  21(6): 727-738. doi:10.1017/cem.2019.381
  8. Stengel D, Rademacher G, Ekkernkamp A, Gthoff C, Mutze S. Emergency ultrasound-based algorithms for diagnosing blunt abdominal trauma. Cochrane Database of Systematic Review. 2015; 17: CD004446. 
  9. Staub LJ, Biscaro RRMB, Kaszuowski E, Maurici R. Chest ultrasonography for the emergency diagnosis of traumatic pneumothorax and haemothorax: A systematic review and meta-analysis. Injury. 2018; 49(3): 457-466. Doi:10.1016/j.injury.2018.01.033
  10. Chan KK, Joo DA, McRae AD, Takwoingi Y, et al. Chest ultrasonography versus supine chest radiography for diagnosis of pneumothorax in trauma patients in the emergency department.  Cochrane Database of Systematic Reviews. 2020;   7(7): CD013031. doi:10.1002/14651858.CD013031.pub2
  11. Battle C, Hayward S, Eggert S, Evans P. Comparison of the use of lung ultrasound and chest radiography in the diagnosis of rib fractures: a systematic review. Emergency Medicine Journal. 2019; 36(3): 185-190. doi:10.1136/emermed-2017-207416
  12. Peters S, Nicolas V, Heyer CM. Multidetector computed tomography-spectrum of blunt chest wall and lung injuries in polytraumatized patients. Clinical Radiology. 2010; 65(4): 333-8. doi:10.1016/j.crad.2009.12.008
  13. Wang RC, Niedzwiecki MJ, Nishijima D, Rodriguez RM. An impact analysis of the NEXUS Chest CT clinical decision rule.  American Journal Emergency Medicine. 2020;  38(5): 906-910. doi:10.1016/j.ajem.2019.07.010
  14. Rodriguez RM, Langdorf MI, Nishijima D, Baumann BM, Hendley GW, Medak AJ et al. Derivation and validation of two decision instruments for selective chest CT in blunt trauma: a multicenter prospective observational study (NEXUS Chest CT). PLoS Medicine. 2015; 12(10):  e1001883. doi:10.1371/journal.pmed.1001883
  15. Bhoil R, Kumar R, Kaur J, Attri PK, Thakur R. Diagnosis of Traumatic Pneumothorax: A Comparison between Lung Ultrasound and Supine Chest Radiographs. Indian Journal of Critical Care Medicine.2021; 25(2): 176-180. doi:10.5005/jp-journals-10071-23729
  16. Tenny S, Hoffman MR. Prevalence. Stats Pearls. 2021. [Accessed on 30th September 2021].
  17. Stolz LA, Stolz U, Howe C, Farrell IJ, Adhikari S. . Ultrasound-guided peripheral venous access: a meta-analysis and systematic review.  Journal of Vascular Access. 2015; 16:4; 321-6. doi:10.5301/jva.5000346
  18. Zhao W, Peng H, Li H, Yi Y, Ma Y, He Y et al. Effects of ultrasound-guided techniques for radial arterial catheterization: A meta-analysis of randomized controlled trials.  American Journal of Emergency Medicine. 2021; 46: 1-9. doi:10.1016/j.ajem.2020.04.064
  19. Schnekenburger M, Mathew J, Fitzgerald M, Hendel S, Sekandarzad MR, Mitra B.  Regional anaesthesia for rib fractures: A pilot study of serratus anterior plane block. Emergency Medicine Australasia. 2021; 33(5): 788-793. doi:10.1111/1742-6723.13724
  20. Sahu AK, Bhoi S, Aggarwal P, Mathew R, Nayer J, et al. Endotracheal Tube Placement Confirmation by Ultrasonography: A Systematic Review and Meta-Analysis of more than 2500 Patients.  Journal of Emergency Medicine. 2020; 59(2): 254-264. doi:10.1016/j.jemermed.2020.04.040
  21. Gottlieb M, Holladay D, Peksa G. Ultrasound-assisted Lumbar Punctures: A Systematic Review and Meta-Analysis. Academic Emergency Medicine. 2019; 26(1): 85-96. doi:10.1111/acem.13558
  22. Gottlieb M, Holladay D, Peksa G. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis. Academic Emergency Medicine. 2019; 26(8): 931-939. doi:10.1111/acem.13682
  23. Tsou PY, Ma YK, Wang YH, Gillon J, Rafael J, Deanehan JK.Diagnostic accuracy of ultrasound for upper extremity fractures in children: A systematic review and meta-analysis.  American Journal Emergency Medicine. 2021; 44: 383-394. doi:10.1016/j.ajem.2020.04.071
  24. Malik H, Appelboam A, Nunns M. Ultrasound-directed reduction of distal radius fractures in adults: a systematic review. Emergency Medicine Journal. 2021; 38: 537-42. doi:10.1136/emermed-2020-210464
  25. Alexandridis G, Verschuuren EW, Rosendaal AV, Kanhai DA. Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis. Emergency Medicine Journal. 2020 Published online first: 03 December 2020. doi: 10.1136/emermed-2020-209887. Online ahead of print.
  26. Gottlieb M, Russell F. Diagnostic Accuracy of Ultrasound for Identifying Shoulder Dislocations and Reductions: A Systematic Review of the Literature. Western Journal of Emergency Medicine. 2017; 18(5): 937-942. doi:10.5811/westjem.2017.5.34432
  27. Lin PH, Bush RL, McCoy SA, Felkai D, Pasnelli TK, Nelson JC et al. A prospective study of a hand-held ultrasound device in abdominal aortic aneurysm evaluation. Am J Surg. 2003; 186:4559.  doi 10.1016/j.amjsurg.2003.07.018
  28. Lederle FA, Simel DL. The rational clinical examination. Does this patient have abdominal aortic aneurysm? JAMA. 1999; 281:7782. doi:10.1001/jama.281.1.77
  29. Gottlieb M, Peksa GD, Pandurangadu AV, Nakitende D, Takhar S, Seethala RR. Utilization of ultrasound for the evaluation of small bowel obstruction: A systematic review and meta-analysis.  American Journal of Emergency Medicine. 2018; 36(2): 234-242. doi:10.1016/j.ajem.2017.07.085
  30. Benabbas R, Hanna M, Shah J, Sinert R. Diagnostic Accuracy of History, Physical Examination, Laboratory Tests, and Point-of-care Ultrasound for Pediatric Acute Appendicitis in the Emergency Department: A Systematic Review and Meta-analysis. Academic Emergency Medicine. 2017; 24(5): 523-551. doi:10.1111/acem.13181
  31. Stein JC,  Wang R, Adler N, Boscardin J, Jacoby VL, Won G et al. Emergency physician ultrasonography for evaluating patients at risk for ectopic pregnancy: a meta-analysis. Annals Emergency Medicine. 2010; 56(6): 674-83. doi:10.1016/j.annemergmed.2010.06.563
  32. Wong C, Teitge B, Ross M, Young P, Robertson HL, Lang E et al. The Accuracy and Prognostic Value of Point-of-care Ultrasound for Nephrolithiasis in the Emergency Department: A Systematic Review and Meta-analysis. Academic Emergency Medicine. 2018; 25(6): 684-698. doi:10.1111/acem.13388
  33. Squizzato A, Maroni L, Marrazzo C, Riva N, Guasti L Diagnostic accuracy of inferior vena cava ultrasound for heart failure in patients with acute dyspnoea: a systematic review and meta-analysis. Emergency Medicine Journal. 2021; 38(3): 232-239. doi:10.1136/emermed-2019-208547
  34. Musikatavorn K, Plitawanon P, Lumlertgul S, Narajeenron K, et al. Randomized Controlled Trial of Ultrasound-guided Fluid Resuscitation of Sepsis-Induced Hypoperfusion and Septic Shock.  Western Journal of Emergency Medicine. 2021;  22(2):369-378. doi:10.5811/westjem.2020.11.48571
  35. Stickles SP, Carpenter CR, Gekle R, Kraus CK, Scoville C, Theodoro D et al. The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis. CJEM2019; 21(3): 406-417. doi:10.1017/cem.2018.498
  36. Atkinson P, Taylor L, Milne J, Diegelmann L, et al. Does Point of Care Ultrasound Improve Resuscitation Markers in Undifferentiated Hypotension? An International Randomized Controlled Trial From The Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHoC-ED) Series. Cureus. 2020; 12(8): e9899. doi:10.7759/cureus.9899
  37. Cortellaro F, Ferrari L, Molteni F, Aseni P, et al. Accuracy of point of care ultrasound to identify the source of infection in septic patients: a prospective study. Internal and Emergency Medicine. 2017;  12(3): 371-378. doi:10.1007/s11739-016-1470-2
  38. Staub LJ, Biscaro RRM, Kaszubowski E, Maurici R. Lung Ultrasound for the Emergency Diagnosis of Pneumonia, Acute Heart Failure, and Exacerbations of Chronic Obstructive Pulmonary Disease/Asthma in Adults: A Systematic Review and Meta-analysis.  Journal of Emergency Medicine. 2018;  56(1): 53-69. doi:10.1016/j.jemermed.2018.09.00
  39. Strm JJ, Haugen PS, Hansen MP, Graumann O, et al. Accuracy of lung ultrasonography in the hands of non-imaging specialists to diagnose and assess the severity of community-acquired pneumonia in adults: a systematic review. BMJ Open. 2020;  10(6): e036067. doi:10.1136/bmjopen-2019-036067
  40. Tsou P, Chen K, Wang Y, Fishe J, et al. Diagnostic Accuracy of Lung Ultrasound Performed by Novice Versus Advanced Sonographers for Pneumonia in Children: A Systematic Review and Meta-analysis. Academic Emergency Medicine. 2019; 26(9): 1074-1088. doi:10.1111/acem.1381
  41. Reynolds JC, Issa M, Nicholson T, Drennan I, Berg K, ONeil B, Welsford, M et al. Prognostication with point-of-care echocardiography during cardiac arrest: A systematic review. Resuscitation. 2020; 152: 56-68. doi:10.1016/j.resuscitation.2020.05.004
  42. Lalande E, Burwash-Brennan T, Burns K, Atkinson P, et al. Is point-of-care ultrasound a reliable predictor of outcome during atraumatic, non-shockable cardiac arrest? A systematic review and meta-analysis from the SHoC investigators. Resuscitation. 2019;  139: 159-166. doi:10.1016/j.resuscitation.2019.03.027
  43. Elfwn L, Hildebrand K, Schierbeck S, Sundqvist M, et al. Focused cardiac ultrasound after return of spontaneous circulation in cardiac-arrest patients. Resuscitation. 2019; 142: 16-22. doi:10.1016/j.resuscitation.2019.06.282

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