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BET 1: Can the nature and extent of orbital trauma be optimally assessed with ultrasound imaging in the emergency department?

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Report by: Dr Kieran Philip Nunn1, ACCS CT1(Anaesthetics) Dr Peter K Thompson2, Consultant Emergency Physician

Search checked by: Mr David Drake3, Middle Grade Emergency Medicine

Institutions: 1Royal Infirmary of Edinburgh, UK

2King's College Hospital, London and Queensland Health, Australia

3Manchester Royal Infirmary, UK

Three-part question

In (adult patients presenting to the ED with orbital trauma) can (emergency physician performed ultrasound imaging compared with CT) (identify the nature and extent of orbital trauma)?

Scenario

A 17-year-old male presents to the Emergency Department with a unilateral loss of vision and orbital swelling a day after an altercation outside a community college with weapons-carrying students. The patient is not forthcoming with details. The pupils are equal and reactive to light. You want to establish the extent of orbital/ocular damage. There is a wait for a CT scan so you wonder if using the …

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