focused assessment with sonography for trauma
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presentations covers : -introduction. -indications. -contraindications. -techniques. -radiological imaging. -trend of using FAST.
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focused assessment with sonography for trauma
- 1. FAST Focused Assessment with Sonography for Trauma AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 2. Focused exam using ultrasound to diagnose hemorrhage in a trauma setting ! ! Ideally takes < 3 min AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 3. Indications! ! BAT(blunt abdominal trauma )! Stable penetrating trauma! Assessment of the degree of intraperitoneal free fluid AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 4. Contraindications! When emergency treatments such as intravenous (IV) fluids or transfusion of blood are indicated, performance of a FAST examination should not delay the initiation of these treatments.! ! Although ongoing resuscitation and a patient in extremis are not contraindications, the FAST examination can be difficult to perform in such situations AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 5. 4 primary views( for free fluid in corresponding areas) RUQ (Perihepatic & hepato-renal space) LUQ (Perisplenic) Subxiphoid (Pericardium) Suprapubic (Pelvis) AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 6. 4 primary views ( for free fluid in corresponding areas) AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 7. PERIHEPATIC SCANNING Radiology Department -AFHSR By-Abdullah Laftal
- 8. • The hepatorenal space (pouch of Rutherford-Morison) is the most dependent part of the upper peritoneal cavity and small amounts of intra-peritoneal fluid may collect in this region first.! ! • Blood shows as a hypoechoic black stripe between the capsule liver and the fatty fascia of the kidney. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 9. The probe is placed in the right mid- to posterior axillary line at the level of the 11th and 12th ribs. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 10. Normal AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 15. PERISPLENIC SCANNING Radiology Department -AFHSR By-Abdullah Laftal
- 16. The left upper quadrant examination visualises the spleen and perisplenic areas. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 17. The transducer is placed on the left posterior axillary line region between the 10th and 11th ribs. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 20. Blood in the splenodiaphragmatic recess. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 24. PELVIC SCANNING Radiology Department -AFHSR By-Abdullah Laftal
- 25. The pelvic examination visualises the cul-de-sac: the Pouch of Douglas in females and the rectovesical pouch in the male. It is the most dependent portion of the lower abdomen and pelvis, hence where fluid will collect.! ! AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 26. The transducer is placed midline just superior to the symphysis pubis. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 32. PERICARDIAL SCANNING Radiology Department -AFHSR By-Abdullah Laftal
- 33. The pericardial examination screens for fluid between the fibrous pericardium and the heart, and hence possible cardiac tamponade.! ! AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 34. The transducer is placed just to the left of the xiphisternum and angled upwards under the costal margin. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 39. RTA IN SAUDI ARABIA 1430 AH there was 484805 Road Traffic accidents. 5%(25033) of RTA were ( Sever with Deaths and injuries )! a total of 34605 were injured and transported to health facility for further management . Source : Ministry of interior AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 40. Percentage of patients in which a head CT, abdominal CT, and FAST were performed by year. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. Alexander Y. Sheng, et al. Emerg Med Int. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 41. Percentage of patients in whom the result of the abdominal CT was negative by year. Alexander Y. Sheng, et al. Emerg Med Int. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 42. Percentage of patients who received only one imaging modality of the abdomen in the ED by year. Alexander Y. Sheng, et al. Emerg Med Int. AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com
- 44. THANK YOU! AFHSR-Radiology Department! Hconnect.co, alaftal@gmail.com