A 19-year-old male has been brought to your ED as a Level 1 Trauma. The trauma team have completed the primary survey. He is complaining of right sided chest pain. He is receiving appropriate resuscitation. His latest obs are: HR 115 BP 95/60 RR 28 SaO2 94% 15L
View attached: Attachment 1
You are a consultant in the ED. You have been called in to assist with performing an extended FAST scan. With you will be a registrar who is keen to learn how to do a FAST scan.
You are to perform an eFAST and explain to the registrar.
You have been in a high-speed car rollover. You have pain in the pelvis, generalised abdomen and right chest. You are compliant with the ultrasound examination, but excessive pressure of the probe is painful, especially on the right chest.
Requires an actor willing to be ultrasounded and an ultrasound machine.
Pathological images can be provided for interpretation.
1. eFAST proficiency
- include indications for FAST scan
- sensitivity of scan (likely to have >500mL when positive)
- suggest serial FASTs
2. Interpretation of views
3. Application of FAST findings in unstable patient