Escolar Documentos
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Erin Carnes
September 27, 2007
FAST Exam
Introduction
Ultrasound
Physics
Technique
Indications
Technique
RUQ
Subxiphoid
LUQ
Suprapubic
Indications
Blunt
thoracoabdominal trauma
Penetrating thoracoabdominal trauma
Suspected pericardial tamponade
Trauma patient with hypotension on
unknown etiology
Thoracoabdominal trauma in a pregnant
patient
Normal RUQ
Abnormal RUQ
Subxiphoid
Normal Subxiphoid
Abnormal Subxiphoid
technically
difficult to obtain
Probe placed parallel
with ribs in posterior
axillary line
Scan potential spaces
between diaphragm
and spleen and
spleen and kidney for
free fluid
Normal LUQ
Abnormal LUQ
Suprapubic
Entire pelvis should be
Normal Suprapubic
Abnormal Suprapubic
Limitations
Retroperitoneal
bleeding
Inadequate volume of fluid
Not enough time elapsed since trauma to
demonstrate bleeding
Solid organ trauma with encapsulated bleeding
Image quality dependent on quality of US
machine and probe, body habitus of patient,
physical injuries
Scan and interpretation are operator dependent
Questions?