I’ve wanted to discuss tips and pitfalls for the FAST exam for a while now, but I needed a master to talk with. Luckily at Castlefest, I met Laleh Gharahbaghian, MD. She is the Ultrasound Director at Stanford’s Dept. of Emergency Medicine as well as being too cool for school. She is also FOAMY with what I think is the best blog on all things point-of-care ultrasound: sonospot.com.
Sonospot Posts on the FAST
I was going to write up comprehensive show notes for this episode, but thankfully Laleh published a post that encompasses EVERYTHING we we spoke about. So go read the ultimate blogpost on the FAST exam.
The Right-Upper Quadrant
- SonoTutorial: The FAST Part 1: The right upper quadrant – the right way to do it
- SonoTutorial: The FAST Part 1a: The Right Upper Quadrant: Images That Could Fool You
- SonoTutorial: The FAST Part 1b: The Right Upper Quadrant: More images that could fool you
- Optimizing RUQ images
Update: Here is the article on Trendelenburg for Optimal RUQ (Am J Emerg Med 1999;17(2):118)
The Left-Upper Quadrant
- The FAST Part 2: Left Upper Quadrant
- SonoTutorial: The FAST Part 2a: Left Upper Quadrant – Images that could fool you…
- SonoTutorial: The FAST Part 2b: Left Upper Quadrant – More images that could fool you
The Pelvic View
- Sonospot will have a post on this coming up soon
Why do we mess up the exam?
Laselle et al. published on why false-negative FASTs occurred [Ann Emerg Med 2012;60:326]. See this wonderful post from the Sonospot blog on the Laselle article and false-negative FASTs.
Head on over to the Ultrasound Podcast for more from my friend Cliff Reid