The EFAST examination is easily achieved in most circumstances. Name 4 clinical situations which may limit the feasibility of the EFAST exam 2. There are some technical difficulties with the FAST exam. Most clinicians have little difficulty in locating Morison’s pouch but have greater difficulty in locating the spleen. What is the main cause of Read more about EFAST quiz[…]
A 56 year old man presents to the Emergency department from another hospital for trauma assessment. Earlier that morning he had fallen off a roof and injured his chest and left hand. He has had 3 chest ultrasounds performed by 3 different operators and a pneumothorax was missed. It was picked up by a CT Read more about Pneumothorax : Where do we place the probe?[…]
Images Stuart Napier, text Genevieve Carbonatto A 24 year old presents to the emergency department with right upper quadrant pain after playing rugby. He tripped, landing on his right elbow jamming into his right upper quadrant. He was immediately winded and felt right upper abdominal pain. On waking the next morning he had severe right Read more about Trauma: Right kidney laceration[…]
Images Tina Cullen, text Genevieve Carbonatto It is 10.00 pm and you get a BAT call. There has been a fight at the local pub and the ambulance are bringing in a 34 year old who has been stabbed in the chest. He is tachycardic and hypotensive, GCS 14. They will arrive in 10 minutes. Read more about Trauma – Haemopericardium[…]
Text and images Genevieve Carbonatto There is a BAT call. A young 35 year old has fallen from a 3 story building and essentially landed on his feet. He has extensive leg injuries and possible chest and abdominal injuries. BP 95/60 HR 110/min RR 25/min Saturating 96% on RA. The trauma team is called. The Read more about FAST – Focus on the RUQ – False +ve[…]
Images by Genevieve Carbonatto M mode Pneumothorax, stratosphere sign Right lung : Note absent lung sliding. If unsure in trauma change to linear probe to better visualise pleural line. Left lung: Note absent lung sliding.
Images by Genevieve Carbonatto Splenic laceration and fractured rib. Free fluid below and above the diaphragm. Note diaphragm separates the fluid which is below the diapgragm from that which is in the chest above it.
Images by Genevieve Carbonatto Free fluid in Morrison’s pouch Fluid in LUQ
Images by Genevieve Carbonatto Pedestrian vs car, ruptured spleen. Free fluid in Morrison’s pouch.
Images by Genevieve Carbonatto M mode shows stratosphere sign No lung sliding, left lung Lung sliding + occasional B lines , right lung