FAST

Question 1

What are the four areas you want to examine in the FAST examination?

Answer 1

1. Subxiphoid
2. RUQ
3. LUQ
4. Pelvis

Question 2

Identify the structures seen in this subxiphoid FAST.

Answer 2

Question 3

Identify the structures seen here in this RUQ FAST.

Answer 3

Question 4

Identify the structures seen here in this LUQ FAST.

Answer 4

Question 5

What is the major structure seen in this FAST view of the pelvis, shown here in long?

Answer 5

Shown here in transverse

Question 6

What are some of the limitations of the FAST exam?

Name five.

Answer 6

1. Retroperitoneal fluid
2. Need 200-250 ccs of fluid to show up on the FAST
3. Diaphragmatic injury
4. Cant detect a viscus perforation
5. Cant detect a bowel wall contusion
6. Cant detect pancreatic trauma
7. Cant detect renal pedicle injury

Question 7

How can positioning help us during the FAST examination?

Answer 7

Trendelenburg position may be required to visualize free fluid during perihepatic and perisplenic examination.

Consider reverse Trendelenburg position while evaluating for hemothorax or pelvic free fluid.

Question 8

Name the four views obtained with the FAST examination and structures you will see.

Answer 8