Open AccessCase Report: FAST Ultrasound Interpretation in Trauma Resuscitation
Author(s) -
Pgy Stuart Douglas,
Joseph Newbigging,
David Robertson
Publication year - 2016
Publication title -
pocus journal
Language(s) - English
Resource type - Journals
ISSN - 2369-8543
DOI - 10.24908/pocus.v1i3.13263
Subject(s) - medicine , pouch , pelvis , focused assessment with sonography for trauma , radiology , resuscitation , abdominal trauma , predictive value , ultrasound , surgery , blunt
FAST Background: Focused Assessment with Sonography for Trauma (FAST) is an integral adjunct to primary survey in trauma patients (1-4) and is incorporated into Advanced Trauma Life Support (ATLS) algorithms (4). A collection of four discrete ultrasound probe examinations (pericardial sac, hepatorenal fossa (Morison’s pouch), splenorenal fossa, and pelvis/pouch of Douglas), it has been shown to be highly sensitive for detection of as little as 100cm3 of intraabdominal fluid (4,5), with a sensitivity quoted between 60-98%, specificity of 84-98%, and negative predictive value of 97-99% (3).