2021年10月19日 · The FAST exam, per ATLS protocol, is performed immediately after the primary survey of the ATLS protocol. Ultrasound is the ideal initial imaging modality because it can be performed simultaneously with evaluation and resuscitation, providing vital information without the time delay caused by radiographs or computed tomography (CT).

2023年7月24日 · The Focused Assessment with Sonography in Trauma (FAST) is an ultrasound protocol developed to assess for hemoperitoneum and hemopericardium. Numerous studies have demonstrated sensitivities between 85% to 96% and specificities exceeding 98% [8] .

Focused assessment with sonography for trauma (FAST) is a part of resuscitation of trauma patients recommended by international panel consensus and incorporated into the advanced trauma life support (ATLS) course. 1,2 The purpose of FAST is to identify free fluid, which necessarily means blood in acute trauma patients, in three potential body sp...

FAST/e-FAST protocol has the main goal of detecting hemopericardium, hemoperitoneum, and/or hemopneumothorax. In the context of trauma, fluids in pericardial, peritoneum, or pleural spaces are assumed to be blood until proven otherwise.

2024年10月13日 · Focused Assessment with Sonography for Trauma (FAST) scan is a point-of-care ultrasound (POCUS) examination performed at the time of presentation of a trauma patient. It is invariably performed by a clinician, who should be formally trained, and is considered as an 'extension' of the trauma clinical assessment process, to aid rapid decision making.

Focused assessment with sonography for trauma (commonly abbreviated as FAST) is a rapid bedside ultrasound examination performed by surgeons, emergency...

2010年4月22日 · Outcomes for trauma patients are improved with a systematic, multispecialty, and interdisciplinary approach to pre-hospital, hospital, and rehabilitative care. Treat the greatest threat to life first. Definitive diagnosis is not immediately important. Time matters (“golden hour” emphasizes urgency). Do no further harm.

2020年11月3日 · ATLS approach: Identification of life threatening injuries (primary survey) Resuscitation; Head to Toe assessment (secondary survey) Definitive Therapy (+/- transfer) Documentation of injuries post investigations (Tertiary survey) Further appropriate care; if unable to resolve a problem don’t not leave issue until resolved.

FAST is useful in patients with blunt or penetrating traumatic injury; Enables trauma bay decision: Stable patient with traumatic mechanism of injury + negative FAST → observation; Stable patient with traumatic mechanism of injury + positive FAST → CT; Unstable patient with traumatic mechanism of injury + negative FAST → repeat FAST or CT

Objectives: Determine if: (1) surgical interns could learn essential ultrasound principles of the focused assessment for the sonographic examination of the trauma patient (FAST) during Advanced Trauma Life Support (ATLS), and (2) swine are adequate models for learning the FAST. Design: Lecture, videotape, pre/posttests, and practical examination.