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| | + | AFAST |
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| − | == '''AFAST''' '''A'''bdominal '''F'''ocused '''As'''sessment in '''T'''rauma/Triage ==
| + | Abdominal Focused Assessment in Trauma/Triage |
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| − | Developed as a technique for quick assessment in emergent patients. Only novice ultrasound skills are necessary to begin utilizing this tool.
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| − | == Procedure ==
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| − | Right lateral recumbency
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| − | Place probe in 4 areas and assess if free abdominal fluid is present or not. For each position, give a score of 1 or 0. Additional findings besides fluids will be described below.
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| − | DH view - Diaphragmatic/Hepatic View
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| − | SR view - Spleno-Renal view
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| − | CC view - Cysto-colic view
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| − | HR view - Hepato-Renal view
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| − | == '''DH view''' (Diaphragmatic/Hepatic view) ==
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| − | Probe is placed with ultrasound marker ventral on left side of screen.
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| − | Organs to be identified:
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| − | '''Caudal lung margin''' - can evaluate for pulmonary edema, nodules, pneumonia, PTE
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| − | '''Diaphragm''' - evaluate for hernia
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| − | '''Liver''' - evaluate for general liver size, echogenicity, obvious masses
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| − | '''Gall bladder''' - evaluate for mucoceole, wall edema consistent with anaphylaxis
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| − | '''Peritoneal cavity''' - evaluate for free fluid
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| − | '''Caudal vena cava''' - evaluate size as it crosses the diaphragm. Collapsed - hypovolemia. Distended - R sided CHF vs volume overload. Expand and contract by 50% diameter is normal
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| − | '''Hepatic veins''' - distended consistent with volume overload or R sided CHF
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| − | '''Thoracic cavity''' - evaluate for pleural effusion
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| − | '''Pericardial sac''' - evaluate for pericardial effusion
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| − | '''Heart apex +/- chambers''' - general idea of size and filling
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| − | [[Category:Ultrasound]]
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