FAST exam
Revision as of 14:24, 31 December 2014 by Neil.m.young (talk | contribs) (correct spelling of morison's)
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
- Morison'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)
- Cardiac
- Assess for pericardial effusion
- see Ultrasound:cardiac
- E-FAST
- Add on pulmonary views to evluate for pneumothorax
- Ultrasound: Lungs
See Also
Source
Sonoguide UTZ textbook