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Case Report: FAST Ultrasound Interpretation in Trauma Resuscitation

Stuart Douglas, Joseph Newbigging, David Robertson

POCUS Journal · 2016

doi:10.24908/pocus.v1i3.13263 (opens in a new tab)

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Abstract

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).

Abstract licence: CC BY

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