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FAST ULTRASOUND
| Question | Answer |
|---|---|
| What year german surgery board requries US certification | 1988 |
| FAST included in ATLS Course | 1997 |
| US training required in EM residences | 2001 |
| What is FAST | Focused Assessment with Sonography in Trauma |
| What FAST's detects | Abdominal Fluid Pericardial Fluid Hemothorax and Pneumothorax |
| Intraperitoneal bleeding due to splenic or liver injury | Blunt Trauma |
| Determining need for laparotomy | Penetrating Trauma - does not detect bowel injury |
| Equipment in FAST | Probe with 2-5 MHz |
| What to look in RUQ | Fluid in Morrison's Pouch |
| RUQ probe placement | 8-11th rib space |
| LUQ probe placement | 6-9th rib space |
| What to look in LUQ | Fluid in spleenorenal fossa |
| Subxiphoid is bette for | COPD |
| parasternal Better for | Pregnancy Obesity Abdominal Pain |
| Suprapubic | Transverse Identifies: Bladder Uterus Pouch of Douglas |
| Extended Fast | 4 view FAST exam |
| Evaluation of Extended Fast | Hemothorax and Pneumothorax |
| Hemothorax includes | Liver or spleen Kidney Diaphragm |
| Pneumothorax | Occurs 15-50% of pts with chest trauma Uses linear probe 5-10 MHz |