2. Focused exam using ultrasound to diagnose hemorrhage in a
trauma setting
!
!
Ideally takes < 3 min
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3. Indications!
!
BAT(blunt abdominal trauma )!
Stable penetrating trauma!
Assessment of the degree of intraperitoneal free fluid
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4. Contraindications!
When emergency treatments such as intravenous (IV) fluids or transfusion
of blood are indicated, performance of a FAST examination should not delay
the initiation of these treatments.!
!
Although ongoing resuscitation and a patient in extremis are not
contraindications, the FAST examination can be difficult to perform in such
situations
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8. • The hepatorenal space (pouch of Rutherford-Morison)
is the most dependent part of the upper peritoneal cavity
and small amounts of intra-peritoneal fluid may collect in
this region first.!
!
• Blood shows as a hypoechoic black stripe between the
capsule liver and the fatty fascia of the kidney.
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9. The probe is placed in the right mid- to
posterior axillary line at the level of the
11th and 12th ribs.
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16. The left upper quadrant examination visualises the spleen and perisplenic
areas.
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17. The transducer is placed on the left posterior
axillary line region between the 10th and 11th
ribs.
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25. The pelvic examination visualises the cul-de-sac: the Pouch of Douglas in females and
the rectovesical pouch in the male. It is the most dependent portion of the lower
abdomen and pelvis, hence where fluid will collect.!
!
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26. The transducer is placed midline just
superior to the symphysis pubis.
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33. The pericardial examination screens for fluid between the fibrous pericardium and the
heart, and hence possible cardiac tamponade.!
!
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34. The transducer is placed just to the left of the
xiphisternum and angled upwards under the
costal margin.
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39. RTA
IN
SAUDI
ARABIA
1430 AH there was 484805 Road Traffic accidents. 5%(25033) of RTA were
( Sever with Deaths and injuries )!
a total of 34605 were injured and transported to health facility for further
management .
Source
:
Ministry
of
interior
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40. Percentage of patients in
which a head CT, abdominal
CT, and FAST were performed
by year.
The injury severity score: a method for
describing patients with multiple injuries
and evaluating emergency care.
Alexander Y. Sheng, et al. Emerg Med Int.
AFHSR-Radiology Department!
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41. Percentage of patients in
whom the result of the
abdominal CT was negative
by year.
Alexander Y. Sheng, et al. Emerg Med Int.
AFHSR-Radiology Department!
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42. Percentage of patients who
received only one imaging
modality of the abdomen in the
ED by year.
Alexander Y. Sheng, et al. Emerg Med Int.
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