LUNGS VIEW

Cara periksa
• Arahkan indicator ke arah kepala
pasien
• Tempatkan transducer pada garis
midclavicula di ruang ICS-2 paru-paru
kanan & kiri (mencari pneumothorax)
• Tekan transducer diruang antara 2
tulang rusuk

eFAST Scan of the Right & Left Lung

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-step-by-
step-guide/
 Pleura parietal menutupi
permukaan thorax dan pleura
visceral menutupi paru-paru
Adanya pergerakan terhadap
satu sama lain menghasilkan
sliding pada ultrasound

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
 Batwing Sign Illustration Batwing Sign on Ultrasound

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
 Lung sliding adalah temuan normal dimana pleura
visceral dan parietal slide back and forth satu
sama lain saat pasien bernapas. Gambarannya
seperti “ants marching on a line”

Lung Sliding
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
 Pneumothorax
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
 Pleural effusion and atelectasis. Scan through the liver shows free fluid in the thorax that
surrounds the more echogenic lung (arrows).
Richards J, McGahan J. Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologists Can Learn. Radiology. 2017;283(1):30-48.
 Rib fracture. The anterior and posterior Rib fracture. The linear-array transducer placed longitudinally to
echogenic lines (arrows) correspond with the the patient’s rib at the point of tenderness demonstrates an
two anterior rib margins and gap (arrowhead) overlapping rib ends at the site of the rib fracture.
from a displaced rib fracture.
Richards J, McGahan J. Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologists Can Learn. Radiology. 2017;283(1):30-48.
 PELVIC VIEW
Cara periksa
• Pasien dalam posisi supine
• Scanned pasien menggunakan
transducer dibagian pelvic
• Gunakan bladder sebagai sonographic
view, kantong Douglas atau ruang
rectovesical untuk melihat cairan
Perhatikan :
bebas 1. Jenis kelamin pasien
2. Ideal nya pasien diperiksa dalam
kondisi “bladder penuh”
Bickle, I., Botz, B. Focused Assessment with Sonography for Trauma (FAST) scan. Reference article, Radiopaedia.org. (accessed on 21 Feb 2022) https://doi.org/10.53347/rID-26339
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
 Pelvic Ultrasound – Longitudinal View
• Tempatkan tranduser dengan
indicator mengarah ke kepala
pasien di midline pasien, tepat
diatas simfisis pubis

• Gerakan transducer sehingga

mengarah ke bawah ke rongga
panggul
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 1. Pada laki-laki, identifikasi bladder,
prostat/vesikula seminalis, dan
retrovesocal pouch (tempat free fluid
akumulasi di pelvis laki-laki) pada
longitudinal view
2. Pada perempuan, identifikasi bladder,
uterus, dan retrouterine pouch (Pouch
Douglas – tempat free fluid akumulasi di
pelvis perempuan)

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Male eFAST exam Pelvic View – Longitudinal Male eFAST exam Pelvic View –
Longitudinal (Illustration)
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Female eFAST exam Pelvic View – Longitudinal Female eFAST exam Pelvic View –
Longitudinal (Illustration)
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
Pada semua pasien (pria atau
wanita), amati batas lateral
bladder untuk
mengidentifikasi free fluid
dengan cara tilting/fanning
tranducer ke kiri dan kanan.

Tilting the transducer in the longitudinal view

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Pelvic Ultrasound – Transverse View
• Pusatkan bladder kemudian
putar tranducer 90o berlawanan
arah jarum jam. Indikator ke
arah sisi kanan pasien

• Miringkan transduser sehingga

memindai ke dalam rongga
panggul
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
Pada transverse view, identifikasi bladder, uterus (perempuan), prostat (laki-laki), dan rectum

Female eFAST exam Pelvic View – Transverse Male eFAST exam Pelvic View – Transverse

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Tilt/fan transduser untuk
mengecek semua pelvis dari
superior ke inferior

Transverse view of the eFAST Pelvic View

White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Male – Abdominal Free Fluid in Pelvis (Rectovesical Pouch)
White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available from: https://www.pocus101.com/efast-ultrasound-exam-made-
easy-step-by-step-guide/
 Blunt trauma patient with POSITIVE FAST scan. The uterus Blunt trauma patient with POSITIVE FAST scan. Free fluid
can been seen floating in free fluid. can be seen posterior to the dome of bladder.

Bowra J. Trauma Atlas [Internet]. The Pocus Atlas. 2017 [cited 22 February 2022]. Available from: https://www.thepocusatlas.com/ea-trauma
 DAFTAR PUSTAKA
• Bickle, I., Botz, B. Focused Assessment with Sonography for Trauma
(FAST) scan. Reference article, Radiopaedia.org. (accessed on 21 Feb
2022) https://doi.org/10.53347/rID-26339
• White S, Dinh V. eFAST Ultrasound Exam Made Easy: Step-By-Step
Guide [Internet]. POCUS 101. [cited 22 February 2022]. Available
from: https://www.pocus101.com/efast-ultrasound-exam-made-easy-
step-by-step-guide/
• Richards J, McGahan J. Focused Assessment with Sonography in
Trauma (FAST) in 2017: What Radiologists Can Learn. Radiology.
2017;283(1):30-48.