FAST exam: Difference between revisions
(liver tip in morrison's pouch) |
(troubleshoot splenorenal) |
||
| Line 13: | Line 13: | ||
**Place probe in post ax line | **Place probe in post ax line | ||
**Pitfall: Look superior to spleen for fluid, not just splenorenal | **Pitfall: Look superior to spleen for fluid, not just splenorenal | ||
**Troubleshooting: Slide probe as posteriorly as possible, have patient hold breath if able to | |||
*Bladder | *Bladder | ||
**Pitfall: turn down gain to view posterior bladder (posterior acoustic enhancement) | **Pitfall: turn down gain to view posterior bladder (posterior acoustic enhancement) | ||
Revision as of 18:52, 18 September 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 (must visualize liver tip), assess pleural space
- Splenorenal
- Place probe in post ax line
- Pitfall: Look superior to spleen for fluid, not just splenorenal
- Troubleshooting: Slide probe as posteriorly as possible, have patient hold breath if able to
- Bladder
- Pitfall: turn down gain to view posterior bladder (posterior acoustic enhancement)
See Also
Source
Sonoguide UTZ textbook