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Ultrasound
Quick guide
FAST exam
Michael B. Stone, MD
Legacy Emanuel Medical Center, Portland OR
Patricia Henwood, MD
Brigham and Women’s Hospital, Boston MA
The more you see, the more you know
The Focused Assessment with Sonography in Trauma (FAST) exam is a critical
component of the initial evaluation for hemoperitoneum in unstable trauma
patients. The FAST exam can be performed at the bedside, allowing the physician
to rapidly determine if free intraperitoneal fluid or a pericardial effusion is present.1,2
The FAST exam is included in the Advanced Trauma Life Support (ATLS) protocol
developed by the American College of Surgeons.
FAST exam
The basics of the FAST exam
Indications
Clinical indications for
performing the FAST
examination include
• Blunt torso trauma
• Penetrating torso
trauma3
• Concern for ruptured
Ultrasound Quick guide FAST exam Michael
FAST exam The basics of the FAST exam Indicat
FAST exam Ultrasound technique – RUQ • The tr
FAST exam Ultrasound technique – LUQ • The le
FAST exam Ultrasound technique – pelvis • Pla
FAST exam Ultrasound technique – subcostal •
FAST exam Clinical pearls • Each window of th
FAST exam Clinical pearls • Pericardial effusi
For additional resources related to POC ultrasoun