FAST Scan

Question 1

Long Axis URQ

Answer 1

• View the portion of the liver & R kidney
• look for free fluid around the Liver & in Morrisons pouch
• look thru the lower R thorax: supra & infra-diaphragm & superior portion of the R lobe of liver

Question 2

Long Axis LUQ

Answer 2

• view the spleen & L kidney
• look for free fluid in perispenal region
• less frequently in the splenorenal region
• look through L lower thorax: supra & infra- diaphragm & superior portion of the spleen

Question 3

Pelvis scan

Answer 3

Saggital:
- find the bladder, triangular
shaped in this view, & look at Pouch of Douglas in posterior cul-de-sac
- anterior cul-de-sac is lower curve of bladder

Transverse:
- bladder appears rectangular & look for free fluid @ base of bladder
- look at R adnexa; showing uterus & ovary if poss
- look at L adnexa; showing uterus & ovary if poss

Question 4

Lungs

Answer 4

Check IC spaces consecutively for B lines & M-mode sea shore sign = normal

No B-lines & M-mode barcode/stratosphere Sign = abnormal (pos pneumothorax)

Question 5

Heart

Answer 5

Subxiphoid:
- long axis view of the heart
- R vent is closest chamber
- 4 chambers should be visible
- look for pericardial fluid & correct mechanics

Parasternal:
- long axis view of heart again; R vent closest chamber
- can see descending Aorta at deepest sites
- look for free fluid & assess Vol/contractility