Difference between revisions of "AFAST"

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AFAST
  
== '''AFAST''' '''A'''bdominal '''F'''ocused '''As'''sessment in '''T'''rauma/Triage ==
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Abdominal Focused Assessment in Trauma/Triage
 
 
  
 
Developed as a technique for quick assessment in emergent patients.  Only novice ultrasound skills are necessary to begin utilizing this tool.  
 
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
== Procedure ==
 
 
 
  
 
Right lateral recumbency
 
Right lateral recumbency
  
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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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.   
 
 
DH view - Diaphragmatic/Hepatic View
 
 
 
SR view - Spleno-Renal view
 
 
 
CC view - Cysto-colic view
 
 
 
HR view - Hepato-Renal view
 
 
 
== '''DH view''' (Diaphragmatic/Hepatic view) ==
 
  
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Positions are as follows:
  
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'''DH view''' (Diaphragmatic/Hepatic view)
 
Probe is placed with ultrasound marker ventral on left side of screen.  
 
Probe is placed with ultrasound marker ventral on left side of screen.  
 
 
  
 
Organs to be identified:  
 
Organs to be identified:  
  
'''Caudal lung margin''' - can evaluate for pulmonary edema, nodules, pneumonia, PTE
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'''Caudal lung margin''' - can evaluate for pulmonary edema,  
 
 
'''Diaphragm''' - evaluate for hernia
 
 
 
'''Liver''' - evaluate for general liver size, echogenicity, obvious masses
 
 
 
'''Gall bladder''' - evaluate for mucoceole, wall edema consistent with anaphylaxis
 
 
 
'''Peritoneal cavity''' - evaluate for free fluid
 
 
 
'''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
 
 
 
'''Hepatic veins''' - distended consistent with volume overload or R sided CHF
 
 
 
'''Thoracic cavity''' - evaluate for pleural effusion
 
 
 
'''Pericardial sac''' - evaluate for pericardial effusion
 
 
 
'''Heart apex +/- chambers''' - general idea of size and filling
 
 
 
  
[[Category:Ultrasound]]
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'''Diaphragm'''
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'''Liver'''
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'''Gall bladder'''
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'''Peritoneal cavity'''
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'''Caudal vena cava'''
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'''Hepatic veins'''
 +
'''Thoracic cavity'''
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'''Pericardial sac'''
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'''Heart apex +/- chambers'''

Revision as of 09:05, 29 June 2016

AFAST

Abdominal Focused Assessment in Trauma/Triage

Developed as a technique for quick assessment in emergent patients. Only novice ultrasound skills are necessary to begin utilizing this tool.

Procedure

Right lateral recumbency

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.

Positions are as follows:

DH view (Diaphragmatic/Hepatic view) Probe is placed with ultrasound marker ventral on left side of screen.

Organs to be identified:

Caudal lung margin - can evaluate for pulmonary edema,

Diaphragm Liver Gall bladder Peritoneal cavity Caudal vena cava Hepatic veins Thoracic cavity Pericardial sac Heart apex +/- chambers