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Intermediate Technical IVT

FAST

Also written as: FAST — Focused Assessment with Sonography in Trauma

Focused Assessment with Sonography in Trauma - bedside ultrasound examination for internal bleeding.

Full Definition

FAST is a rapid bedside ultrasound examination performed in trauma patients to detect free fluid (typically blood) in the abdomen and pericardium. The examination includes four standard views: right upper quadrant, left upper quadrant, pelvis, and subxiphoid cardiac window. Extended FAST (eFAST) includes bilateral thoracic views to assess for pneumothorax. This non-invasive diagnostic tool helps guide urgent surgical decision-making in unstable trauma patients. A positive FAST in an unstable patient often indicates the need for immediate surgical intervention.

Usage

Usage note: Always capitalize as acronym; distinguish from eFAST (extended FAST) in documentation.

In Context

  • "The FAST examination revealed free fluid in Morrison's pouch, prompting immediate surgical exploration." — Emergency department note
  • "Serial FAST examinations showed no increase in intra-abdominal fluid during the observation period." — Trauma flowsheet

Also known as

trauma ultrasound bedside ultrasound

Don't confuse with

CT scan eFAST

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