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FAST Ultrasound Guide for Trauma

FAST (Focused Assessment with Sonography in Trauma) is a rapid bedside ultrasound examination performed in the emergency department to identify intra-abdominal or pericardial fluid resulting from hemorrhage. The exam takes 2-10 minutes and uses a portable ultrasound machine with a curvilinear probe to examine four areas: the perihepatic area, perisplenic area, pelvis, and pericardium. A positive FAST exam finding fluid in any of these areas can indicate the need for emergency intervention or transfer to a trauma center.

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182 views13 pages

FAST Ultrasound Guide for Trauma

FAST (Focused Assessment with Sonography in Trauma) is a rapid bedside ultrasound examination performed in the emergency department to identify intra-abdominal or pericardial fluid resulting from hemorrhage. The exam takes 2-10 minutes and uses a portable ultrasound machine with a curvilinear probe to examine four areas: the perihepatic area, perisplenic area, pelvis, and pericardium. A positive FAST exam finding fluid in any of these areas can indicate the need for emergency intervention or transfer to a trauma center.

Uploaded by

rina paramita
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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FAST

= Focused Assessment with Sonography in Trauma

: Andreas
By
Introduction
• Is rapid, bedside, non invasive , ultrasound examination performed to
identify intra-peritoneal haemorrhage or pericardial tamponade
• Emergency department by radiologist
• Portable ultrasound machine
• Curvilinear probe, 2.5 or 3.5MHz
• 2-10 minutes
• Look for free fluid in:
1. Perihepatic area
2. Perisplenic area
3. Pelvic area
4. Pericardial area
Clinical Scenarios
• Hemodinamically unstable

• Need an emergent bedside procedure

• Require transfer to a trauma center

• Intoxicated patients

• Penetrating trauma with multiple wounds

• Injured patients but no indication for CT


Location of probe placement for the
trauma examination

• 4 view
• capable to detect about 100-250ml free fluid
Emergency ultrasound, UK
1. Perihepatic Area (Coronal View)

Probe: mid-axillary line at about the


8th to 11th intercostal space with the
marker-dot pointed cephalad

Emergency ultrasound, UK
1. Perihepatic Area (Intercostal oblique View)

Probe: rotate the probe counter-


clockwise, so the marker-dot pointed to
posterior axilla
2. Perisplenic Area (Coronal View)

Probe: posterior axillary line at


about the 6th to 9th intercostal space
with the marker-dot pointed cephalad

Emergency ultrasound, UK
2. Perisplenic Area (Intercostal oblique View)

Probe: rotate the probe clockwise, so


the marker-dot pointed to posterior
axilla

Normal perisplenic view


3. Pelvic Area (Longitudinal View)

Probe: midline just cephalad to the


pubic bone with the marker-dot
pointed cephalad
3. Pelvic Area (Transverse View)

Probe: rotate 90 degrees with the


marker-dot pointed to the patient’s
right side
4. Pericardial Area (Subxiphoid Four-Chamber
View)
Probe: subxiphoid region with the
marker-dot pointed to the patient’s
right side or right shoulder

Emergency ultrasound, UK
4. Pericardial Area (Parasternal Long-Axis
View)
Probe: just to the left of the
sternum at about 4th or 5th intercostal
space with the marker-dot toward the
4 o’clock position
THANK YOU
SUGGESTION PLEASE

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