Emergency Ultrasound Section Forum
General EUS Topics
E-Fast exams in low -moderate risk trauma patients
If so is it a written policy or just an expectation.
Mark Kerschner, MD FACEP
Co-Medical Director and Section Chief
Bronson Methodist Hospital
I'll send you a pdf of a recent article posted on the list serve by Chip S that addresses this very issue. DOI 10.1186/s13049-016-0342-0
"Should we perform a FAST exam in hemodynamically stable patients presenting after blunt abdominal injury: a retrospective cohort study" Scandinavian Journal of Trauma
My perspective is that this is an inexpensive screening tool that predicts injuries, particularly for transient responders, so you're able to anticipate bad things happening. For stable patients, with low pretest probability for injuries, it offers an ability to "slow down" the code to do a proper history and exam, consider shared decision making and serial monitoring before defaulting to a pan scan. Like any test, it has the opportunity to influence pretest probability up or down.
Matt Flannigan, DO, RDMS
Spectrum Health / Emergency Care Specialists Ultrasound Fellowship
Grand Rapids, MI