FAST Ultrasound (Trauma)

Ultrasound

Normal findings

  • • No free fluid in 4 views

Common abnormal findings

Free fluid

  • • Hypoechoic stripe in Morison's pouch
  • • Splenorenal recess
  • • Pouch of Douglas
  • • Pericardial effusion

Pneumothorax (eFAST)

  • • Absence of pleural sliding
  • • Lung point sign

Interpretation tips

  • • Operator dependent — repeat if clinical concern persists
  • • Sensitivity ~60-80% in blunt trauma

Clinical correlation

  • • Unstable + positive FAST → laparotomy
  • • Stable + positive FAST → CT for grading

Common mistakes

  • • Missing isolated retroperitoneal injury
  • • False positive from ascites

Educational support only — not a substitute for clinical judgment.

WardRound

WardRound

Clinical Decisions in Seconds