Arsi university Emergency focused abdominal ultrasound.pptx

1. Focused Assessment with
Sonography in Trauma
by Dr Robel

2. What is the FAST?
Limited ultrasound examination for
detection of free fluid in the torso in
trauma patients
*Is there free fluid? where is it?

3. 4 Views:
 Subxiphoid (liver)
 RUQ (liver)
 LUQ (spleen)
 Pelvic (bladder)
 *Acoustic windows
◦ Dense (water > air)
◦ Flexible (liver > bone)

4. What is the FAST?
Limited ultrasound examination for
detection of free fluid in the torso in
trauma patients

5. The FAST exam is used to answer two simple
questions:
• Is fluid present in the pericardial sac?
• AND: Is free fluid present in the peritoneal cavity?
The extended FAST, or EFAST is used to answer two
additional questions:
• Is fluid present in the pleural cavity?
• AND: Is air present in the pleural cavity?

7. There are 4 standard views or windows that are obtained as
part of the FAST. These are
• the subxiphoid view for evaluation of a pericardial effusion.
• The RUQ view, for assessment of free fluid in Morrison’s
pouch which is a potential space between the liver and the
right kidney.
• The LUQ view, examining for free fluid around the spleen.
• The final view is a pelvic window assessing for free fluid
cephalad to the bladder.

8. Echogenicity
Hyper-echoic
Iso-echoic
Hypo-echoic
An-echoic

9. subxiphiod

10. Subxiphoid

11. Pericardial fluid

12. RUQ

13. RUQ FLUID

14. MORRISON POUCH FLUID

15. LUQ

16. LUQ FLUID

17. PELVIS

18. PELVIC COLLECTION

20. Heamothrax

21. Ultrasound & Pneumothorax

22.  Chest x-ray traditional imaging study for
pneumothorax
 Ultrasound higher sensitivity than supine chest
x-ray
 Simple, rapid technique

23. Land mark

24. Seashore Sign: No Pneumothorax

25. Barcode Sign: Pneumothorax

26. Barcode Sign: Pneumothorax