Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information
Esposito TJ, Ingraham A, Luchette FA, Sears BW, Santaniello JM, Davis KA, Poulakidas SJ, Gamelli RL. Reasons to Omit Digital Rectal Exam in Trauma Patients: No Fingers, No Rectum, No Useful Additional Information. Journal Of Trauma And Acute Care Surgery 2005, 59: 1314-1319. PMID: 16394903, DOI: 10.1097/01.ta.0000198375.83830.62.Peer-Reviewed Original ResearchConceptsDigital rectal examinationSpinal cord injuryGlasgow Coma Scale scoreIndex injuryDRE findingsTrauma patientsGastrointestinal bleedingUrethral disruptionInjury casesPredictive valueSecondary surveyRoutine digital rectal examinationLevel I trauma centerI trauma centerDigital rectal examNegative predictive valuePositive predictive valueAdvanced Trauma Life Support (ATLS) courseInitial evaluation processLife support courseProspective studyRectal examRectal examinationTrauma centerCord injury