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acep.org
Sonoguide // FAST
Trauma patients often have injuries that are not apparent on the initial physical exam. These injuries can be even more difficult to detect in patients with distracting injuries or altered mental status.
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Focused assessment with sonography for trauma FAST Ultrasound
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FAST Ultrasound Scan Normal Vs Abnormal Images | Focused Assessment With Sonography For Trauma USG **Cases Intro - 0:00 Pericardial Effusion - 0:07 Abdomino-Pelvic Fluid - 2:12 Pneumothorax - 7:31 Pericardial Effusion: Anechoic fluid within pericardial space Small: maximal depth of fluid collection less than 1 cm Moderate: maximal depth of fluid = 1–2 cm Large: maximal depth of fluid greater than 2 cm Abdomino-Pelvic Fluid: Anechoic free fluid in Morrison’s pouch Anechoic free fluid in paracolic
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🚑 FAST exam in trauma? Check for free fluid fast when you see: ✅ Blunt abdominal trauma ✅ Hypotension ✅ Seatbelt sign or abdominal bruising ✅ Positive RUQ, LUQ, pelvis, or pericardial windows Management: 🚫 Don’t delay for CT if unstable 🧪 FAST = Focused Assessment with Sonography for Trauma 🛑 Positive FAST unstable = OR, not scanner 🖤 Blood pools in dependent areas — Morrison’s pouch, pelvis, pericardium #drhavocandbrody #medstudent #usmle #surgery #trauma #traumasurgery #medicalschool #fas
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