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with the diagnostic accuracy of other imaging modalities to 7. Turkcuer I, Atilla R, Topacoglu H, et al. Do we really need plain
evaluate for FBs. Lastly, comparison of the effects of POCUS and soft-tissue radiographies to detect radiolucent foreign bodies
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and SF medics could be studied. 8. Manthey DE, Storrow AB, Milbourn JM, Wagner BJ. Ultra-
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SF medics with minimal ultrasound training are capable of ac- 9. Ginsburg MJ, Ellis GL, Flom LL. Detection of soft-tissue foreign
curately identifying wooden FBs with POCUS. Larger FBs are bodies by plain radiography, xerography, computed tomography,
and ultrasonography. Ann Emerg Med. 1990;19(6):701–703.
identifiable with good sensitivity and specificity. The size and doi:10.1016/s0196-0644(05)82483-7
orientation of the FB, as well as its proximity to fibrous tissues, 10. Graham DD. Ultrasound in the emergency department: detec-
are important factors in accurate identification. Our study sup- tion of wooden foreign bodies in the soft tissues. J Emerg Med.
ports that ultrasound is an easily obtainable and valuable skill 2002;22(1):75–79. doi:10.1016/s0736-4679(01)00440-1
for SF medics to aid in the detection of superficial, soft tissue 11. Hile DC, Morgan AR, Laselle BT, Bothwell JD. Is point-of-care
ultrasound accurate and useful in the hands of military medical
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in austere environments, emphasizing the value of POCUS as a 987. doi:10.7205/milmed-d-12-00020
critical tool in the arsenal of SF medics. 12. Driskell DL, Gillum JB, Monti JD, Cronin A. Ultrasound evalua-
tion of soft-tissue foreign bodies by US Army medics. J Med Ul-
trasound. 2018;26(3):147–152. doi:10.4103/JMU.JMU_12_18
Acknowledgments 13. Fleming ME, Heiner JD, Summers S, April MD, Chin EJ. Diag-
The authors would like to acknowledge Michael Fredericks nostic accuracy of emergency bedside ultrasonography to detect
(Statistician, Madigan Army Medical Center) for his assistance cutaneous wooden foreign bodies: Does size matter? J Spec Oper
with statistical analysis with this study. Med. 2017;17(4):72–75. doi:10.55460/85XR-NO49
14. Jacobson JA, Powell A, Craig JG, Bouffard JA, van Holsbeeck MT.
Wooden foreign bodies in soft tissue: detection at US. Radiology.
Author Contributions 1998;206(1):45–48. doi:10.1148/radiology.206.1.9423650
JH conceived the study and worked with VB on study design. 15. Bonatz E, Robbin ML, Weingold MA. Ultrasound for the diagno-
JH and VB performed the study and collected the data. KO sis of retained splinters in the soft tissue of the hand. Am J Orthop
and TM performed data analysis, interpretation, and drafted (Belle Mead NJ). 1998;27(6):455–459.
the manuscript. Final approval of the version of the manu- 16. Rooks VJ, Shiels WE, Murakami JW. Soft tissue foreign bodies: A
script to be published was given by KO, TM, and VB. training manual for sonographic diagnosis and guided removal. J
Clin Ultrasound. 2020;48(6):330–336. doi:10.1002/jcu.22856
17. Soudack M, Nachtigal A, Gaitini D. Clinically unsuspected for-
Disclaimer eign bodies: the importance of sonography. J Ultrasound Med.
The view(s) expressed herein are those of the author(s) and 2003;22(12):1381–1385. doi:10.7863/jum.2003.22.12.1381
do not reflect the official policy or position of Madigan Army 18. Mohammadi A, Ghasemi-Rad M, Khodabakhsh M. Non-opaque
Medical Center, the US Army Medical Department, United soft tissue foreign body: sonographic findings. BMC Med Imag-
ing. 2011;11:9. doi:10.1186/1471-2342-11-9
States Army Special Operations Command, the US Army Of- 19. Leung A, Patton A, Navoy J, Cummings RJ. Intraoperative so-
fice of the Surgeon General, the Department of the Army, De- nography-guided removal of radiolucent foreign bodies. J Pediatr
partment of Defense, or the US Government. Orthop. 1998;18(2):259–261.
20. Nienaber A, Harvey M, Cave G. Accuracy of bedside ultra-
sound for the detection of soft tissue foreign bodies by emer-
Disclosures gency doctors. Emerg Med Australas. 2010;22(1):30–34. doi:10.
The authors have nothing to disclose. 1111/j.1742-6723.2009.01255.x
21. Orlinsky M, Knittel P, Feit T, Chan L, Mandavia D. The compara-
Funding tive accuracy of radiolucent foreign body detection using ultraso-
No funding was received for this work. nography. Am J Emerg Med. 2000;18(4):401–403. doi:10.1053/
ajem.2000.7315
22. Hampton KK, Vasios WN, Loos PE. SOLCUS: update on point-
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