FAST focused assessment with sonography for trauma

there is the introduction part of the torso trauma,
check out my next ppts for further more about torso trauma.
contents are in following order...
introduction
mechanism of injury
junctional zones of torso
tension pneumothorax
cardiac temponade
massive hemothorax
etc.
check out all slides

1. DEPARTMENT OF SURGERY FAST FOCUSED ASSESSMENT WITH SONOGRAPHY FOR TRAUMA DEVRAJ NARETI ROLL NO.-30 BATCH-2018

2. Indication’s Goal of Fast Location Procedure Abnormal USG pictures Causes of - false negative. - false positive

3. FAST Focused Assessment with ( Abdominal ) Sonography for Trauma

4. Acute blunt or penetrating torso trauma ( stable or unstable patients ) Trauma in pregnancy Paediatric trauma Subacute torso trauma ( unexplained hypotension )

5. To identify fluid in a location where it does not normally belong and detect visceral injury. Free fluid usually appears anechoic Accumulation in area of injury Overflow into dependent areas ( pouch y Douglas, Morrisons pouch ) and into thoracic cavity

6. Pericardial Sac / Xiphoid Process Peri hepatic Region Peri splenic Region Pelvis Right Thoracic View Left Thoracic View

7. Patient in supine position 3.5-5.0 MHz Convex transducer put the probe in following sequence and try to find any fluid or blood collection in following regions - Xiphoid transverse view - Pericardial view look for fluids around the heart Right upper quadrant longitudinal view - Perihepatic view , Morison pouch view Left upper quadrant longitudinal view - In Per i splenic region Supra pubic longitudinal & transverse view - In Suprapubic regions , Pouch of Douglas Right & Left thoracic view Put the probe one by one both side of intercostal space in mid clavicular line, look for pneumothorax Costophrenic angle for Hemothorax

8. FAST –VE NO HEMOPERITONIUM CHECK VITALS FAST +VE HEMOPERITONIUM E.FAST / FAST STABLE ABDOMINAL TRAUMA UNSTABLE CECT EMERGENCY LAPROTOMY

9. Free fluids appears as anechoic fluids The FAST evaluate both pericardial collections as well as hemoperitoneum and pelvic hematoma Pneumothorax - BARCODE / STRATOSPHERE Sign

10. Mesentric injury Bowel injury Retro peritoneal Injury Diaphragm injury Obesity Subcutaneous emphysema

11. Epicaridal Fat Pads, Pericarial cyst P re exiting ascites, pleural and pericardial effusions due to medical conditions Seminal vesicles mistaken for pelvic free fluid in the young male patient

12. Thank you