FAST Scans in ECC

Question 1

In which scenarios are FAST scans good?

Answer 1

• Ocular emergencies
  ○ Information about integrity of eye
• Concern re-haemorrhage in thorax and abdomen secondary to trauma
• Emergency abdomen cases
• Pleural effusions/pleuropneumonia
  Heart failure

Question 2

Why are FAST scans so good for ECC?

Answer 2

• Can be done un-sedated
• Readily available
• Can sit in sternal recumbency
  ○ Important if they can’t breathe
• Quick results
• Can use to tap fluid, FNAs, biopsies
• Non-invasive
• Can occur at the same time as other treatments
  ○ Fluids
  ○ IV treatments
• No radiation risk

Question 3

What is a FAST scan?

Answer 3

Focused Assessment With Sonography in Trauma (FAST)
Ultrasound protocol developed to assess for haemoperitoneum and haemopericardium