E fast

E FAST PPT

1. E-fast Tess Jose intern

2. Definition Extended Focused Assessment With Sonography In Trauma

3. The FAST protocol was utilised from the mid to late 90s.  The addition of the detection of a pneumothorax was included in the eFAST protocol in 2004.

4. Where to scan?? RUQ LUQ Subxiphoid / subcostal Suprapubic – longitudinal Suprapubic – transverse Right 3rd to 4th intercoastal space, mid clavicular line, longitudinal Left 3rd to 4th intercostal space, anterior axillary line, longitudinal

5. B Lines • vertical lines running from the transducer that may extend to the edge of the screen • normal lung there is A-lines are perfectly spaced, and the B-lines are very small

6. With pneumothorax (a) there is absent sliding lung; (b) A lines may be present, more numerous than normal, and not evenly spaced; (c) B-lines are no longer present

7. Role of FAST in blunt abdominal injuries Diagnostic modalities Physical exam DPL difficult to perform CT Scan cannot do in pregnant FAST Lack sensitivity

8. Reference • Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologist can learn. Radiology: April 2017: 283; (1); 30 - 48