Trauma/FAST Exam Videos
These videos focus on Focused Assessment with Sonography for Trauma (FAST), an emergency POCUS exam. In these examples, POCUS is quickly used to to check for internal bleeding and fluid around the heart, lungs, or abdomen after an injury.
Extended Focused Assessment with Sonography in Trauma (EFAST) - Revised 2021
The Extended Focused Assessment with Sonography in Trauma, also known as the EFAST, is an ultrasound examination used to evaluate hypotensive and critical patients. Although this exam is typically used for trauma patients, this exam can also provide essential information in any critical patient.
E FAST - Pitfalls
Over the years I've seen some very common mistakes made when someone is interpreting the e-FAST exam. In this video those pitfalls are reviewed. After watching this you should be able to identify these pitfalls, avoid common mistakes, and recognize these subtleties on the e-FAST.
Ejected Driver from Rollover at Highway Speeds - EFAST
An intoxicated female driver was ejected from the car during a rollover accident at highway speeds and was brought to the ER by ambulance. Blood pressure 83/45. How do you use ultrasound to assist in her care?
E-FAST - What are the Binary Questions?
E-FAST (Focused Assessment with Sonography in Trauma) in a useful tool in the emergency department especially when used in the right clinical situations. This lecture discusses suggested algorithms for using the e-FAST in clinical care.
This video explains the technique used to identify a lung point, which represents a pneumothorax, when performing thoracic/lung ultrasound.
Lung Ultrasound: How to Diagnose a Pneumothorax
Misdiagnosis of Pneumothorax
In this case we will review a misdiagnosis of a pneumothorax by clinical ultrasound and will talk about the pitfalls that can lead to this misdiagnosis and how to avoid them.
EFAST - Progression Free Fluid in the Right Upper Quadrant (RUQ)
Often I hear people teach incorrectly that the hepatorenal space is where free fluid first develops in hemoperitoneum but this is incorrect. Free fluid will first accumulate at the inferior tip of the liver before filling that space. This video is a demonstration of that progression.
The e-FAST exam is a widely used point of care ultrasound. In this video we will briefly discuss several discussion points on the e-FAST exam.
POCUS E FAST Clinical Pearls
Positive EFAST Exam with Hemopericardium
An adult patient was involved in a high speed motor vehicle collision (MVC) and arrives to the emergency room via EMS. This video demonstrates the positive findings of an E-FAST exam for both hemoperitoneum and hemopericardium.
Fall from Ladder with Lung Point and Pneumothorax
A young adult patient fell off a ladder from a height of 8-10 feet. They presented with left chest wall pain and left upper quadrant abdominal pain. Vital signs showed borderline low blood pressure, mild tachycardia, and mild tachypnea. The patient reported shortness of breath and difficulty respiration.
Positive E-FAST after MVC - Can You Identify All of the Findings?
In this Extended Focused Assessment with Sonography in Trauma (E-FAST) there are many positive findings. Can you identify them?
Positive E-FAST Exam
The Extended Focused Assessment with Sonography in Trauma (E-FAST) exam is a critical bedside diagnostic tool used to assess patients who have experienced a traumatic injury. It plays a key role in identifying the cause of clinical instability, such as hypotension or tachycardia, helping to guide timely and effective intervention.