FAST exam: Difference between revisions

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*If blunt trauma start with noncardiac views first
*If blunt trauma start with noncardiac views first
*In penetrating start with cardiac views first - r/o tamponade
*In penetrating start with cardiac views first - r/o tamponade
*Serial exams extremely helpful


==Procedure==
==Procedure==

Revision as of 18:29, 30 January 2013

Indication

  • Prioritize: Do primary survery first ABC"U"D
  • If blunt trauma start with noncardiac views first
  • In penetrating start with cardiac views first - r/o tamponade
  • Serial exams extremely helpful

Procedure

  • Always point dot to pt Rt (usu at 45 degrees) or @ pt head
  • Morrison's Pouch
    • Best seen w/ probe around mid ax to ant ax line (esp w/ pt in trendelenberg)
    • Pitfall: fan completely through, assess pleural space
  • Splenorenal
    • Place probe in post ax line
    • Pitfall: Look superior to spleen for fluid, not just splenorenal
  • Bladder
    • Pitfall: turn down gain to view posterior bladder (posterior acoustic enhancement)

See Also

Ultrasound (Main)


Source

Sonoguide UTZ textbook