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Related Experiment Video

Updated: Jun 6, 2026

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
07:18

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition

Published on: September 22, 2023

[Update FAST].

Joseph J Osterwalder1

  • 1Zentrale Notfallaufnahme, Kantonsspital St. Gallen. joseph.osterwalder@kssg.ch

Praxis
|December 16, 2010
PubMed
Summary
This summary is machine-generated.

Focused Assessment with Sonography for Trauma (FAST) is a key diagnostic tool in trauma care. Its evolution to eFAST and FAST-plus expands applications, but its future role may be challenged by computed tomography (CT) scans.

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Last Updated: Jun 6, 2026

Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition
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Published on: February 5, 2014

Area of Science:

  • Emergency Medicine
  • Diagnostic Imaging
  • Trauma Surgery

Background:

  • The Focused Assessment with Sonography for Trauma (FAST) examination is a standard diagnostic procedure in traumatology.
  • Historically, ultrasound societies in German-speaking countries did not recognize FAST, limiting its inclusion in educational programs.
  • FAST involves sonographic detection of free fluid in intraperitoneal, pleural, and pericardial spaces in trauma patients.

Purpose of the Study:

  • To discuss the evolution and expanding applications of the FAST examination in trauma diagnostics.
  • To explore the development from FAST to extended FAST (eFAST) and FAST-plus.
  • To consider the potential impact of computed tomography (CT) on the future of FAST in trauma care.

Main Methods:

  • Review of the historical development and current applications of FAST, eFAST, and FAST-plus.
  • Discussion of the diagnostic capabilities of ultrasound in trauma settings.
  • Analysis of the potential role of computed tomography (CT) as FACTT (Focused Assessment with Computed Tomography in Trauma).

Main Results:

  • The extension to eFAST in 2004 significantly advanced the procedure by including pneumothorax diagnosis.
  • FAST-plus is increasingly recognized for broader applications, including airway management and organ injury diagnostics.
  • The future diagnostic standard in trauma care remains uncertain, with a potential shift towards CT-based assessments.

Conclusions:

  • FAST and its extensions (eFAST, FAST-plus) have become integral to trauma diagnostics.
  • The expanding utility of FAST highlights the importance of ultrasound in emergency medicine.
  • The ultimate diagnostic gold standard in trauma care will be determined by the evolving role of CT imaging.