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Home Journal of Contemporary Surgical Science Volume 1, 2026 Volume 1, Issue 1
Open Access
2026 Mar;1(1):9-12

The Impact of Point of Care Ultrasound on the Triage and Management of Blunt Chest Trauma Patients

Xiangcheng Zhang
Xiangcheng Zhang
Department of Critical Care Medicine, Huai'an First People's Hospital, Huai'an, China
,
Yonggang Peng
Yonggang Peng
The University of Florida, Gainesville, USA
,
Jingjing Yuan
Jingjing Yuan
yjingjing_99@163.com
Department of Anesthesiology, Perioperative Medicine, and Pain Management, The First Affiliated Hospital of Zhengzhou University, Henan, China
Address correspondence to
Jingjing Yuan, Department of Anesthesiology, Perioperative Medicine, and Pain Management, The First Affiliated Hospital of Zhengzhou University, Henan, China. Email:yjingjing_99@163.com
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Open Access
The Impact of Point of Care Ultrasound on the Triage and Management of Blunt Chest Trauma Patients
Xiangcheng Zhang
Xiangcheng Zhang
Department of Critical Care Medicine, Huai'an First People's Hospital, Huai'an, China
,
Yonggang Peng
Yonggang Peng
The University of Florida, Gainesville, USA
,
Jingjing Yuan
Jingjing Yuan
yjingjing_99@163.com
Department of Anesthesiology, Perioperative Medicine, and Pain Management, The First Affiliated Hospital of Zhengzhou University, Henan, China
Address correspondence to
Jingjing Yuan, Department of Anesthesiology, Perioperative Medicine, and Pain Management, The First Affiliated Hospital of Zhengzhou University, Henan, China. Email:yjingjing_99@163.com
2026 Mar;1(1):9-12
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Abstract

Objective: To assess the clinical impact of point of care ultrasound (POCUS) on the triage speed, diagnostic accuracy, and patient outcomes in blunt chest trauma (BCT). Methods: A retrospective observational study was conducted on 328 BCT patients admitted to our level 1 trauma center between January 2020 and December 2022. Patients were divided into the POCUS group (n=168) and the conventional assessment group (n=160) based on whether POCUS was performed during initial triage. The primary outcomes included time to definitive diagnosis, rate of unnecessary computed tomography (CT) scans, and 30 day mortality. Secondary outcomes covered length of hospital stay, ICU admission rate, and incidence of missed injuries. Results: The POCUS group had a significantly shorter time to definitive diagnosis (22.5 ± 8.6 min vs. 58.3 ± 14.2 min, P<0.001) and a lower rate of unnecessary chest CT scans (12.5% vs. 38.8%, P<0.001) compared with the conventional group. The 30 day mortality rate was 5.4% in the POCUS group and 10.6% in the conventional group (P<0.05). The incidence of missed injuries was 2.4% in the POCUS group, which was significantly lower than 8.8% in the conventional group (P<0.01). No statistically significant difference was observed in ICU admission rate between the two groups (P>0.05). Conclusion: The application of POCUS during initial triage of BCT patients can shorten diagnostic time, reduce unnecessary radiation exposure from CT scans, decrease missed injury rates, and improve short term survival outcomes.
Keywords: Point of care ultrasound; Blunt chest trauma; Trauma triage; Diagnostic accuracy; Patient outcomes
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