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Related Experiment Videos

Focused abdominal sonography for trauma (FAST).

A Yeo1, C Y Wong, K C Soo

  • 1Department of General Surgery, Singapore General Hospital, Singapore.

Annals of the Academy of Medicine, Singapore
|February 15, 2000
PubMed
Summary
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Focused ultrasound examination (FAST) is a feasible, rapid, and non-invasive tool for initial trauma patient assessment. This study found FAST to be a valuable addition to a general surgeon's initial trauma evaluation toolkit.

Area of Science:

  • Emergency Medicine
  • Diagnostic Imaging
  • Trauma Surgery

Background:

  • The focused ultrasound examination (FAST) offers advantages over diagnostic peritoneal lavage, including speed, non-invasiveness, and repeatability.
  • Initial assessment of trauma patients is critical for timely and effective management.

Purpose of the Study:

  • To evaluate the feasibility of using the focused ultrasound examination (FAST) in the initial assessment of trauma patients.
  • To determine the diagnostic accuracy of FAST in identifying haemopericardium or haemoperitoneum.

Main Methods:

  • The FAST examination was performed on 38 multi-trauma patients over 19 months.
  • A single surgeon conducted the FAST examination during the secondary survey phase of resuscitation.
  • Results were compared against diagnostic peritoneal lavage, CT scans, operative findings, and post-mortem results.

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Main Results:

  • The mean time for the FAST examination was 2.3 +/- 1.3 minutes.
  • Overall sensitivity was 67% and specificity was 97%.
  • FAST correctly identified significant findings, and in two cases, correctly indicated no need for laparotomy despite minor fluid on CT.

Conclusions:

  • The focused ultrasound examination (FAST) is a feasible and valuable tool for the initial assessment of trauma patients.
  • FAST should be incorporated into the standard armamentarium of general surgeons for trauma evaluation.
  • The speed and non-invasive nature of FAST enhance its utility in the acute trauma setting.