Extended focused assessment with sonography for trauma (eFAST) uses ultrasound to detect blood or air in the potential spaces of the abdomen and chest in trauma patients. The potential spaces in the abdomen that eFAST evaluates are the hepatorenal pouch, splenorenal pouch, and pelvic space. In the chest, eFAST examines the pericardial space and pleural space. A normal eFAST shows no fluid or air in any of these potential spaces, while a positive eFAST reveals the presence of blood or air, indicating internal bleeding or injury requiring further evaluation and treatment.

1. Evaluate

2. Evaluate

3. Evaluate

4. Evaluate

5. EXTENDED FOCUSED ABDOMINAL
ASSESMENT IN TRAUMA
PATIENTS
e.F.A.S.T
Dr. Kosar Kamal Ahmed
H.D diagnostic radiology

6. What is FAST ? What is eFAST ?
 fast is an ultrasound examination of a traumatised
patient for detection of free fluid ( blood ) in the
potential spaces in the abdomen and thorax
 E FAST is extended examination of fast to detect air
in the pleural cavity in addition to FAST
 What are the potential spaces in the abdomen and
thorax ?

7. Where are the potential spaces ?

8. Where are the potential spaces ?

9. Where are the potential spaces ?

10. Where are the potential spaces ?
In abdomen
Hepato - renal pouch
Spleeno -renal pouch
Pelvic space ( Douglas pouch in females )
In chest
Pericardial space
Pleural space

11. Sonographic technique

12. Sonographic technique

13. Sonographic technique

14. Normal findings
negative fast
xiphisternum

15. Normal findings
negative fast
RUQ

16. Normal findings
negative fast
LUQ

17. Normal findings
negative fast
pelvis

18. Positive FAST (xiphisternum )

19. Positive FAST
(xiphisternum)

20. Positive FAST
RUQ

21. Positive FAST
RUQ

22. Positive FAST
LUQ

23. Positive FAST
LUQ

24. Positive FAST
pelvis

25. Positive FAST
pelvis

26. Positive FAST
pelvis

27. summary

28. Thank you