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EFAST
Understanding POCUS in trauma assessment

D
USE
FOC
?
Is there free fluid in the peritoneum
or pericardium?

The focused assessment sonography in trauma (FAST) exam is part of the advanced trauma life support
(ATLS) protocol, and should be performed after your primary survey, if indicated. If there is a concern for lung
injury, specifically pneumothorax, the “extended-FAST” or EFAST exam should be performed.

Your indications are:

Trauma Unexplained shock Low hemoglobin Ruptured ectopic

EFAST has limitations:

Screening tool
>400 mL blood
Peritoneal blood
Supine patient
Does not diagnose source

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