Abstract
The focused assessment for trauma (FAST) is commonly used to rapidly detect abdominal hemorrhage causing hypotension in trauma patients. Many centers are now performing the extended FAST (eFAST) which includes evaluating the chest for hemothorax and pneumothorax. In hypotensive trauma patients, fluid is assumed to be blood from traumatic hemorrhage and is an indication for intervention depending on the clinical scenario.
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Abbreviations
- FAST:
-
Focused assessment with sonography in trauma
- IVC:
-
Inferior vena cava
- LUQ:
-
Left upper quadrant
- PSL:
-
Parasternal long axis view
- RUQ:
-
Right upper quadrant
- SX:
-
Subxiphoid
- TTE:
-
Transthoracic echocardiography
Suggested Reading
Lichtenstein DA, et al. Ultrasound diagnosis of occult pneumothorax. Critical Care Medicine. 2005;33(6):1231–8.
Ma OJ, Mateer J, Blaivas M, editors. Critical care in emergency ultrasound. New York: McGraw-Hill Professional; 2007. p. 191–223.
Weingart S, Duque D, Nelson B. The RUSH exam—rapid ultrasound for shock and hypotension; 2009.
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1 Electronic Supplementary Material
This video shows an example of a positive FAST in the LUQÂ with free fluid above the spleen (MP4 5882 kb)
This video shows an example of a positive FAST in the suprapubic view (MP4 6066 kb)
This video shows an example of a positive FAST in the subxiphoid view (MP4 3059 kb)
189640_1_En_19_MOESM4_ESM.mp4
Lung (eFAST) (AVI 298132 kb)
Video 4
Lung (eFAST) (AVI 298132 kb)
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Flanagan, K., Murthi, S.B. (2021). The Focused Sonogram for Trauma (FAST). In: Salerno, A., Haase, D.J., Murthi, S.B. (eds) Atlas of Critical Care Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-74687-2_19
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DOI: https://doi.org/10.1007/978-3-030-74687-2_19
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