Focused Assessment with Sonography for Trauma (FAST): results from an international consensus conference.

  title={Focused Assessment with Sonography for Trauma (FAST): results from an international consensus conference.},
  author={Thomas M. Scalea and A. Rodr{\'i}guez and William C. Chiu and Frederick D. Brenneman and William F. Fallon and K Kato and Mark G Mckenney and Michael Nerlich and Mims Gage Ochsner and Hiroshi Yoshii},
  journal={The Journal of trauma},
  volume={46 3},
OBJECTIVE To assemble an international panel of experts to develop consensus recommendations on selected important issues on the use of ultrasonography (US) in trauma care. SETTING R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore, Md. The conference was held on December 4, 1997. PARTICIPANTS A committee of two co-directors and eight faculty members, in the disciplines of surgery and emergency medicine, representing four nations. Each faculty member had… 
Manual of Emergency and Critical Care Ultrasound: Focused assessment with sonography in trauma (FAST)
The objective of the FAST exam is to detect free intraperitoneal and pericardial fluid in the setting of trauma and the cardiac windows are especially critical in penetrating trauma and are reviewed in this section and in Chapter 3.
Focused assessment with sonography for trauma in children after blunt abdominal trauma: A multi-institutional analysis
FAST has a low sensitivity for IAI, misses IAI-I and rarely impacts management in pediatric BAT, and Centers that performed FAST at a higher frequency did not have improved accuracy.
Focused assessment with sonography in trauma as a triage tool.
Senior general surgery residents can be trained to perform focused assessment with sonography for trauma patients accurately
The value of FAST performed by well-qualified senior general surgery residents in cases of suspected blunt abdominal trauma, which presents an important diagnostic problem in emergency departments, is clarified.
Focused Assessment Sonography for Trauma (FAST) Training: A Systematic Review
Standardization of Fast training is important to improving the clinical impact of FAST, and it is recommended that FAST courses be at least 2 days (16 h) long.
Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals.
OBJECTIVES To review the nonradiologist use of ultrasound (US) in the setting of emergency and critical care, the development, clinical applications, and standardization of veterinary abdominal and
Focused Assessment with Sonography in Trauma (FAST): Experience of a Tertiary Hospital in Southeast Asia
In patients with an initial normal physical examination and negative FAST, emergent CTAP may be avoided, and any false negative ultrasound studies were associated with significant morbidity.
Focused assessment with sonography in trauma (FAST): should its role be reconsidered?
  • Jane Smith
  • Medicine
    Postgraduate Medical Journal
  • 2010
FAST is a limited triage tool, whose actual value in the diagnostic and treatment pathway of patients with BAT remains questionable, and more data are needed to justify its use in the light of these recent developments.


Abdominal ultrasonography in trauma.
  • G. Rozycki
  • Medicine
    The Surgical clinics of North America
  • 1995
Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients.
It is concluded that surgeons can rapidly and accurately perform and interpret ultrasound examinations; and ultrasound is a rapid, sensitive, specific diagnostic modality for detecting intraabdominal fluid and pericardial effusion.
Ultrasound evaluation of blunt abdominal trauma: program implementation, initial experience, and learning curve.
This experience with the de novo implementation of a trauma US program suggests that the training and credentialing requirements in this study are sufficient to provide surgeon ultrasonographers with acceptable competence in US diagnosis of blunt abdominal trauma.
A prospective study of emergent abdominal sonography after blunt trauma.
Emergent abdominal sonography is an accurate, rapid test for the presence of intraperitoneal fluid in adult blunt trauma victims and in these patients may prove valuable as a screening test for abdominal injury.
Sonography in blunt abdominal trauma: a preliminary progress report.
Emergency sonography on admission can serve as a valuable adjunct to the physical diagnosis of clinically significant hemoperitoneum and is noninvasive, portable, and accurate in determining the need for further diagnostic/surgical intervention.
Emergent abdominal sonography as a screening test in a new diagnostic algorithm for blunt trauma.
The routine use of EAS as a screening test in a diagnostic algorithm for the evaluation of blunt abdominal trauma is supported, and the need for laparotomy in patients with a negative EAS is rare.
1,000 consecutive ultrasounds for blunt abdominal trauma.
Emergency ultrasound may be used as the initial diagnostic modality for suspected blunt abdominal trauma, evaluated in the initial assessment of BAT in 1000 patients.
Ultrasound training during ATLS: an early start for surgical interns.
Surgical interns can learn essential ultrasound principles of the FAST during ATLS and swine are feasible models for learning the Fasts, according to this study.
Can ultrasound replace diagnostic peritoneal lavage in the assessment of blunt trauma?
US is reliable in the detection of free intraperitoneal fluid and may be used in place of DPL or CT in the evaluation of patients with suspected blunt abdominal trauma.
A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment.
Ultrasound diagnostic imaging, having been used in Germany in the trauma setting for more than 15 years, has unique qualities that give it distinct advantages over other tests (DPL, CT), and is