extended focused abdominal assesment in trauma patients

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Page 1: Extended focused abdominal assesment in trauma patients

Evaluate

Page 2: Extended focused abdominal assesment in trauma patients

Evaluate

Page 3: Extended focused abdominal assesment in trauma patients

Evaluate

Page 4: Extended focused abdominal assesment in trauma patients

Evaluate

Page 5: Extended focused abdominal assesment in trauma patients

EXTENDED FOCUSED ABDOMINAL ASSESMENT IN

TRAUMA PATIENTS

e.F.A.S.TDr. Kosar Kamal

Ahmed H.D diagnostic

radiology

Page 6: Extended focused abdominal assesment in trauma patients

What is FAST ? What is eFAST?

fast is an ultrasound examination of a traumatised patient for detection of free fluid ( blood ) in the potential spaces in the abdomen and thorax

E FAST is extended examination of fast to detect air in the pleural cavity in addition to FAST

What are the potential spaces in the abdomen and thorax ?

Page 7: Extended focused abdominal assesment in trauma patients

Where are the potential spaces?

Page 8: Extended focused abdominal assesment in trauma patients

Where are the potential spaces?

Page 9: Extended focused abdominal assesment in trauma patients

Where are the potential spaces?

Page 10: Extended focused abdominal assesment in trauma patients

Where are the potential spaces?

In abdomen

Hepato - renal pouch

Spleeno -renal pouch

Pelvic space ( Douglas pouch in females )

In chest

Pericardial space

Pleural space

Page 11: Extended focused abdominal assesment in trauma patients

Sonographic technique

Page 12: Extended focused abdominal assesment in trauma patients

Sonographic technique

Page 13: Extended focused abdominal assesment in trauma patients

Sonographic technique

Page 14: Extended focused abdominal assesment in trauma patients

Normal findings negative fast xiphisternum

Page 15: Extended focused abdominal assesment in trauma patients

Normal findings negative fast

RUQ

Page 16: Extended focused abdominal assesment in trauma patients

Normal findings negative fast

LUQ

Page 17: Extended focused abdominal assesment in trauma patients

Normal findings negative fast

pelvis

Page 18: Extended focused abdominal assesment in trauma patients

Positive FAST (xiphisternum )

Page 19: Extended focused abdominal assesment in trauma patients

Positive FAST (xiphisternum)

Page 20: Extended focused abdominal assesment in trauma patients

Positive FASTRUQ

Page 21: Extended focused abdominal assesment in trauma patients

Positive FASTRUQ

Page 22: Extended focused abdominal assesment in trauma patients

Positive FAST LUQ

Page 23: Extended focused abdominal assesment in trauma patients

Positive FASTLUQ

Page 24: Extended focused abdominal assesment in trauma patients

Positive FASTpelvis

Page 25: Extended focused abdominal assesment in trauma patients

Positive FASTpelvis

Page 26: Extended focused abdominal assesment in trauma patients

Positive FASTpelvis

Page 27: Extended focused abdominal assesment in trauma patients

summary

Page 28: Extended focused abdominal assesment in trauma patients

Thank you