Ultrasound is widely used in the US and continental Europe in the immediate
assessment of patients after blunt abdominal trauma. There are also now ot
her recognised "primary" indications for ultrasound in emergency medicine.
In this paper current evidence supporting the implementation and use of eme
rgency ultrasound in these primary conditions and possible other indication
s are assessed. The issues surrounding introduction of the technology into
the practice of emergency medicine in this country are considered. It is ac
cepted that further debate is necessary but the establishment of a robust e
vidence base in the UK will help to clarify the place of ultrasound.