FAST exam
Also written as: FAST — Focused Assessment with Sonography in Trauma
Focused Assessment with Sonography in Trauma, an ultrasound protocol to detect free fluid in trauma patients.
Full Definition
The FAST exam is a bedside ultrasound examination performed in trauma patients to rapidly identify hemoperitoneum, hemopericardium, or hemothorax. It examines four views: right upper quadrant (hepatorenal recess), left upper quadrant (splenorenal recess), pelvis (pouch of Douglas), and subxiphoid (pericardial). Extended FAST (eFAST) includes bilateral lung fields to assess for pneumothorax.
Usage
Usage note: Always capitalize all letters. 'Exam' is typically included when referring to the procedure.
In Context
- "The FAST exam revealed free fluid in Morrison's pouch, prompting immediate surgical exploration." — Emergency department note
- "A negative FAST exam does not rule out solid organ injury in hemodynamically stable patients." — Clinical guideline