Replies to This Discussion

Permalink Reply by Syed Amir Gilani on March 14, 2010 at 5:24pm

i have some notes from that talk-i can write that if its new

Permalink Reply by Phil Andrus on March 14, 2010 at 10:10pm

Syed,

Do you mean the EFAST exam?

Permalink Reply by dr rizwan ali on March 17, 2010 at 4:47am

I have heard about FAST-PLUS and E-FAST EXAM--but i dont know details please both of you respected experts can talk about these two,as i tried on net an ddidnt find anything.

Permalink Reply by j.k james on March 19, 2010 at 12:37pm

Both are different-I heard about FAST -PLUS in BMUS+EUROSON meeting.I didnt notice in detail it was something FAST plus few more things added--prof Gilani may have idea?

Permalink Reply by Jason T Nomura MD, RDMS on March 24, 2010 at 9:50pm

The original E-FAST or extended fast was the usual views (cardiac, RUQ/R chest, LUQ/L chest,and pelvic) with the addition of lung sliding for occult pneumothorax on supine radiographs. Some recent people have been advocating the additional use of a subxiphoid IVC evaluation after the subxhiphoid cardiac view to evaluate fluid status.

I do not recall the term FAST PLUS. It depends on what views they were discussing. The E-FAST from Israeli vs the E-FAST and IVC or something else entirely.

Do you have a list of the items that were included in the exam?

Permalink Reply by Bret P. Nelson, MD, RDMS on March 31, 2010 at 3:12pm

To further confuse the issue, some authors use the term "PLUS" to refer to Point-of-care Limited UltraSound in general.

As others have pointed out, the FAST exam has come to include a more comprehensive evaluation for trauma than when it was originally described as 'Focused Abdominal Sonography in Trauma.' Most providers now include an assessment for hemothorax, often as well as pneumothorax, using the same FAST moniker.

Since FAST describes a problem-based algorithm for insonating the trauma patient, new windows and views have been added through the years without a name change.

Permalink Reply by Dr.Muhammad Bashir Malik on March 19, 2011 at 4:29am

Dear fellows

Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.

 

Permalink Reply by DR,Mujibur Rahman on October 1, 2011 at 3:40pm

Yes, Dr. Malik is right,FAST is used in Point-of- care US.