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Source:

Nursing2015

February 2004, Volume 34 Number 2 , p 21 - 21

Authors

  • AMY S. CLONTZ RN, C, MSN
  • FREDERICK J. TASOTA RN, MSN

Abstract

Outline

  • FAST facts

  • Pros and cons of FAST

  • How Mr. Cox fares

  • SELECTED REFERENCES

    JAY COX, 27, arrives in the ED after sustaining blunt trauma to his chest and abdomen in a motorcycle collision. He's minimally responsive and hypotensive (BP, 88/54 mm Hg), and he moans when you examine his firm abdomen. To assess the extent of his injuries, the ED physician orders focused assessment with sonography for trauma (FAST). Let's examine what FAST can reveal about Mr. Cox's condition.

    FAST facts

    A noninvasive 3-minute diagnostic test, FAST helps the clinician evaluate abdominal and chest injuries in a trauma patient with hypotension or altered consciousness. The test, which assesses free fluid in the pericardial, perihepatic, perisplenic, and pelvic regions, is used in most Level I trauma centers to identify intraperitoneal hemorrhage and pericardial tamponade.

    To perform FAST, ...

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