Ultrasound in trauma: FAST protocol

TRAUMA UNVEILED: An In-Depth Review of Initial Treatment of Polytraumatized Patient

“…For the most part, CT scans and other forms of imaging are necessary in cases that call for comprehensive evaluation. However, standardization and consistency in POCUS and EFAST between different settings can be inconsistent but can only be resolved using standardized protocols and guidelines [33].…”

“…Within trauma assessment, POCUS identifies the presence of free intraperitoneal, pericardial, and pleural fluid that are critical indicators of possible internal bleeding or organ damage crucial for assessing how best to deal with a traumatic situation. Furthermore, chest radiography may be in detecting a pneumothorax, which is a life-threatening condition in trauma situations; however, POCUS performance concerning this aspect of patient care achieves better success, showing off increased sensitivity compared to the former that makes diagnosis available right away for immediate intervention [33]. POCUS comes in handy in assessing Blunt Abdominal Trauma by affirming the presence of free abdominal fluid, solid organ injuries (liver, spleen, and kidneys), as well as intraabdominal hemorrhage.…”

“…POCUS comes in handy in assessing Blunt Abdominal Trauma by affirming the presence of free abdominal fluid, solid organ injuries (liver, spleen, and kidneys), as well as intraabdominal hemorrhage. Being an essential step in the diagnosis of major pelvic fractures, it is helpful as a marker for the presence of fluid around the pelvis, i.e., possible internal bleeding, which may influence further imaging or interventions [33].…”

“…Such views help establish the presence of free intraperitoneal fluid and pneumothorax. Extended Focused Assessment with Sonography for Trauma (EFAST), by integrating standard FAST perspectives and a lung scan, affords detection of free fluid and pneumothorax over both abdominal and thoracic cavities [33]. Ultrasound is the imaging modality of choice in trauma care for its speed, portability, and lack of ionizing radiation.…”

Urgent ultrasonographic diagnostics in acute traumatic abdominal conditions: Urgent ultrasound in abdominal trauma

“…P ri zbrinjavanju traumatizovanih pacijenata važan je organizovan postupak evaluacije stanja pacijenta, a u cilju brzog i tačnog postavljanja dijagnoze, najčešće pomoću protokola i multidisciplinarnog pristupa 1 . Važnu ulogu u morfološkoj dijagnostici akutne abdominalne traume zauzima ultrasonografski pregled, inicijalno po Focused Abdominal Sonography for Trauma (FAST) protokolu koji podrazumeva kratak pregled u cilju detekcije krvi u peritonealnim recesusima, a u slučaju hemodinamske stabilnosti, sledi kontrolni FAST ultrazvučni pregled abdomena ili pregled kompjuterizovanom tomografijom (CT) koji predstavlja zlatni standard u dijagnostici akutne abdominalne traume 2 .…”