EFAST exam - Revision history

Masoodrm: /* Pearls and Pitfalls */

2021-06-14T19:12:40Z

Pearls and Pitfalls

← Older revision		Revision as of 19:12, 14 June 2021
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	==Pearls and Pitfalls==		==Pearls and Pitfalls==
			*Start scan in the RUQ view for any blunt trauma, in the subxiphoid view for any penetrating trauma
	*Scans must scan through the inferior poles of the kidneys as this can contain small quantities of fluid		*Scans must scan through the inferior poles of the kidneys as this can contain small quantities of fluid
	*Serial exam may be needed		*Serial exam may be needed

2019-12-11T05:27:37Z

Cardiac

← Older revision		Revision as of 05:27, 11 December 2019
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	#Location		#Location
	#*Subxiphoid		#*Subxiphoid
	#*Parasternal long if abdomen distended or subxiphoid view difficult to obtain		#*Parasternal long, if abdomen distended or subxiphoid view difficult to obtain
	#Landmarks		#Landmarks
	#*Visualize the heart and pericardium using the liver as an acoustic window		#*Visualize the heart and pericardium using the liver as an acoustic window

2019-11-22T01:07:38Z

Cardiac

← Older revision		Revision as of 01:07, 22 November 2019
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	#Location		#Location
	#*Subxiphoid		#*Subxiphoid
			#*Parasternal long if abdomen distended or subxiphoid view difficult to obtain
	#Landmarks		#Landmarks
	#*Visualize the heart and pericardium using the liver as an acoustic window		#*Visualize the heart and pericardium using the liver as an acoustic window

2019-05-13T21:31:53Z

Pearls and Pitfalls

← Older revision		Revision as of 21:31, 13 May 2019
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	==Pearls and Pitfalls==		==Pearls and Pitfalls==
	*Morison’s pouch
	*Scans must scan through the inferior poles of the kidneys as this can contain small quantities of fluid		*Scans must scan through the inferior poles of the kidneys as this can contain small quantities of fluid
	*Serial exam may be needed		*Serial exam may be needed
	*Negative exam does not rule out ~~intraabdominal~~ injuries		*Negative exam does not rule out intra-abdominal injuries
	*Retroperitoneal hemorrhage no easily identified		*Retroperitoneal hemorrhage not easily identified
	*Those with delayed presentation may have clotted and not completely anechoic fluid collections		*Those with delayed presentation may have clotted and not completely anechoic fluid collections

2019-05-13T21:31:26Z

Findings

← Older revision		Revision as of 21:31, 13 May 2019
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	**Anechoic area above the diaphragm between the diaphragm and lung		**Anechoic area above the diaphragm between the diaphragm and lung
	**Absent lung sliding - lack of lung rockets seen under the pleural line		**Absent lung sliding - lack of lung rockets seen under the pleural line
			*Negative FAST should be repeated if patient's condition evolves
			**Improved detection of free fluid can be achieved through placing the patient in the Trendelenburg position for several minutes

	==Images==		==Images==

2019-05-13T21:30:06Z

LUQ

← Older revision		Revision as of 21:30, 13 May 2019
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	#*Identify the space between the spleen and diaphragm and the splenorenal interface		#*Identify the space between the spleen and diaphragm and the splenorenal interface
	#Scan through anterior to posterior of the splenodiaphragmatic space and superior and inferior pole of the kidney		#Scan through anterior to posterior of the splenodiaphragmatic space and superior and inferior pole of the kidney
	**Diaphragm should be visualised through the 9 o'clock position		#*Diaphragm should be visualised through the 9 o'clock position

	===Pulmonary===		===Pulmonary===
	#Location		#Location

2019-05-13T21:29:54Z

Pelvic

← Older revision		Revision as of 21:29, 13 May 2019
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	#*Identify the bladder		#*Identify the bladder
	#Scan medial to lateral to identify fluid posterior and superior to the bladder		#Scan medial to lateral to identify fluid posterior and superior to the bladder
	**This view will be limited after Foley insertion to drain bladder		#*This view will be limited after Foley insertion to drain bladder

	===LUQ===		===LUQ===
	#Location		#Location

2019-05-13T21:29:41Z

RUQ

← Older revision		Revision as of 21:29, 13 May 2019
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	#*Visualize the hepatorenal interface		#*Visualize the hepatorenal interface
	#Scan anterior to posterior identifying Morison’s pouch and the superior and inferior pole of the kidney		#Scan anterior to posterior identifying Morison’s pouch and the superior and inferior pole of the kidney
	**Liver tip is a common location for missed free fluid		#*Liver tip is a common location for missed free fluid

	===Pelvic===		===Pelvic===
	#Location		#Location

2019-05-13T21:29:26Z

Cardiac

← Older revision		Revision as of 21:29, 13 May 2019
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	#*Visualize the heart and pericardium using the liver as an acoustic window		#*Visualize the heart and pericardium using the liver as an acoustic window
	#Scan anterior to posterior through the heart		#Scan anterior to posterior through the heart
	**Note that an anterior fat pad can give the impression of pericardial effusion but should not be seen on posterior views		#*Note that an anterior fat pad can give the impression of pericardial effusion but should not be seen on posterior views

	===RUQ===		===RUQ===
	#Location		#Location

2019-05-13T21:29:10Z

Technique

← Older revision		Revision as of 21:29, 13 May 2019
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	#Location		#Location
	#*Sequence traditionally varies based on mechanism		#*Sequence traditionally varies based on mechanism
	**Blunt trauma starts with RUQ view		#*Blunt trauma starts with RUQ view
	***Most sensitive view for peritoneal free fluid		#**Most sensitive view for peritoneal free fluid
	**Penetrating trauma starts with cardiac view		#*Penetrating trauma starts with cardiac view
	***Rule out pericardial effusion and (impending) tamponade		#**Rule out pericardial effusion and (impending) tamponade
	#*Include cardiac, RUQ, pelvic, LUQ views, and pulmonary views		#*Include cardiac, RUQ, pelvic, LUQ views, and pulmonary views
	===Cardiac===		===Cardiac===