POCUS-CRAFT: a novel integrated ultrasound trauma protocol

Figures & Tables

Letter	Explanation	Ultrasound findings	T (Trauma Integration)	Clinical conclusion
C	Cranium	MCA PI >1.2 ONSD >5 mm	Unconsciousness High GCS High BP	Possible elevated ICP
R	Respiratory	Abolished pleural sliding, PLAPS point, barcode sign	Dyspnea Low BP High respiratory rate Tachycardia Low SpO₂	Pneumothorax
R	Respiratory	Presence of pleural free fluid		Pleural bleeding or effusion
A	Abdomen	Free peritoneal and/or pelvic fluid	Low BP Tachycardia Low SpO₂ High NRS	Peritoneal or pelvic bleeding/effusion
F	Cardiac Function	Pericardial effusion Diastolic collapse of right atrium and right ventricle	Dyspnea Low BP Tachycardia Low SpO₂ High NRS	Cardiac tamponade
		Small LV Hyperdynamic LV function		Hypovolemia
		Depressed LV systolic function		Cardiac contusion Myocardial infarction

Letter	Explanation	Ultrasound modality	Ultrasound views	Parameters
C	Cranium	Transcranial Doppler Transorbital ultrasound	MCA Optic nerve	Flow spectrum in MCA ONSD
R	Respiratory	Lung ultrasound	Upper anterior PLAPS points	Pneumothorax evidence Pleural fluid
A	Abdomen	Abdominal ultrasound	RUQ LUQ Pelvic	Free peritoneal and/or pelvic fluid
F	Cardiac Function	Echocardiography	PLAX PSAX SC4CH	Pericardial tamponade Hyper/hypodynamic LV function
T	Trauma Integration	Clinical integration with physical examination	N/A	HR, BP, RR, SaO₂, temperature, GCS, NRS scales