XXXX . Perform only radiographs and fast: is it safe?

@entity1 @entity99 @entity130
OBJECTIVE: to evaluate effectiveness of using chest X-ray (CXR), pelvis X-ray (RXP) and FAST (Focused Abdominal Sonography on @entity130 ) to exclude significant lesions of the body in @entity130 . METHODS: a prospective study involving 74 @entity1 whom made the three tests (CXR, RXP and FAST) during the initial evaluation between October 2013 and February 2014. The results were compared to the tomography of the same @entity1 or clinical outcome. If the @entity1 did not have alterations on the CT scans or during the observation time, the initial workup was considered safe. All @entity1 were evaluated at the Hospital Jo  o XXIII, Belo Horizonte, Brazil. RESULTS: of the 74 @entity1 studied the average age was 33 years, RTS: 6.98, ECG: 12. From 44 (59.45%) @entity1 with exams (radiographs and FAST) unchanged, three had significant injuries (two @entity130 and one @entity99 ) diagnosed by clinical monitoring. The remaining @entity1 - 30 (40.55%) - had at least one alteration in conventional tests. Of these group 27 (90%) had significant injuries and three (10%) minor injuries. The sensitivity of all three tests for screening considerable lesions was 90% and the specificity was 93%. The negative predictive value was 93% and the positive predictive value 89%. CONCLUSION: this research showed that all the three exams - chest X-ray, pelvis and FAST - are safe to lead with the @entity130 if well used and associated with clinical examination.
