Focused Assessment with Sonography in Trauma (FAST)
Focused Assessment with Sonography in Trauma
DOI:
https://doi.org/10.54393/pbmj.v8i5.1252Keywords:
Focused Assessment with Sonography in Trauma, Intrathoracic Regions, Diagnostic Peritoneal Lavage, Abdominal Computed TomographyAbstract
FAST scan is a protocol of ultrasound used to evaluate patients with free intraperitoneal fluid suffering from blunt trauma to the chest and abdomen. The FAST has become the source of a great deal of attention. Objectives: To diagnose free fluid in intraperitoneal, intrathoracic, and pericardial regions in blunt abdominal traumatic patients by using ultrasound. Methods: This retrospective cross-sectional study was carried out at Aziz Bhatti Hospital in Gujarat, Pakistan, over three months from Dec 2022 to Feb 2023. A sample size was collected retrospectively with the permission of the relevant authorities. The convenient sampling technique was used. The size of the sample was chosen by looking at previous research. The scan was performed on an Ultrasound Machine (Toshiba Aplio 300) to examine the free fluid. Data were analyzed by SPSS version 26.0. Results: The rate of trauma increased in male patients is 37 (67.3%), ranging from 10-70 years of age, rather than in females, which is 18 (32.7%), ranging from 15 to 68 years out of 55. About 50.9% of studies are negative, and 49.1% of the studies are positive. Falls, Vehicle accidents, and blunt Trauma are the most common trauma consequences in patients. Conclusions: FAST is a safe, quick, and accurate technique that is helpful in the early assessment of patients with trauma. This use of FAST scan played a vital role in the less use of abdominal CT performed. It is useful in detecting the free fluid in various regions of the body.
References
Savatmongkorngul S, Wongwaisayawan S, Kaewlai R. Focused assessment with sonography for trauma: current perspectives. Open Access Emergency Medicine. 2017 Jul: 57-62. doi: 10.2147/OAEM.S120145. DOI: https://doi.org/10.2147/OAEM.S120145
Gamberini L, Scquizzato T, Tartaglione M, Chiarini V, Mazzoli CA, Allegri D et al. Diagnostic Accuracy for Hemoperitoneum, Influence on Prehospital Times and Time-to-Definitive Treatment of Prehospital FAST: A Systematic Review and Individual Participant Data Meta-Analysis. Injury. 2023 Jun; 54(6): 1421-31. doi: 10.1016/j.injury.2023.03.024. DOI: https://doi.org/10.1016/j.injury.2023.03.024
Hussain S, Mubeen I, Ullah N, Shah SS, Khan BA, Zahoor M et al. Modern Diagnostic Imaging Technique Applications and Risk Factors in the Medical Field: A Review. Biomed Research International. 2022; 2022(1): 5164970. doi: 10.1155/2022/5164970. DOI: https://doi.org/10.1155/2022/5164970
Smith J. Focused Assessment with Sonography in Trauma (FAST): Should Its Role Be Reconsidered? Postgraduate Medical Journal. 2010 May; 86(1015): 285-91. doi: 10.1136/pgmj.2008.076711. DOI: https://doi.org/10.1136/pgmj.2008.076711
Khadka DB, Sharma A, Bhatta A, Maharjan P, Sharma S. Role of Computed Tomography in Blunt Abdominal Trauma. Journal of Nepalgunj Medical College. 2021; 19(1): 55-8. doi: 10.3126/jngmc.v19i1.40232. DOI: https://doi.org/10.3126/jngmc.v19i1.40232
Erasu VP, Marathe P. Focused Assessment with Sonography in Trauma (FAST) Exam. In A Practical Guide to Point of Care Ultrasound (POCUS). Singapore: Springer Nature Singapore. 2022 Sep: 149-169. doi: 10.1007/978-981-16-7687-1_7. DOI: https://doi.org/10.1007/978-981-16-7687-1_7
Bašković M, Keretić D, Lacković M, Borić Krakar M, Pogorelić Z. The Diagnosis and Management of Pediatric Blunt Abdominal Trauma—A Comprehensive Review. Diagnostics. 2024 Oct; 14(20): 2257. doi: 10.3390/diagnostics14202257. DOI: https://doi.org/10.3390/diagnostics14202257
Lein F. Abdominal/Thoracic Focused Assessment with Sonography for Trauma-Leitlinie für Ultraschalluntersuchungen beim Kleintier in der Zentralen Notambulanz der Veterinärmedizinischen Universität Wien. 2022.
Bloom BA and Gibbons RC. Focused Assessment with Sonography for Trauma (FAST). Stat Pearls. Treasure Island (FL): Stat Pearls Publishing. 2019 Sep.
Lin KT, Lin ZY, Huang CC, Yu SY, Huang JL, Lin JH et al. Prehospital Ultrasound Scanning for Abdominal Free Fluid Detection in Trauma Patients: A Systematic Review and Meta-Analysis. BioMed Central Emergency Medicine. 2024 Jan; 24(1): 7. doi: 10.1186/s12873-023-00919-2. DOI: https://doi.org/10.1186/s12873-023-00919-2
Dietrich CF, Goudie A, Chiorean L, Cui XW, Gilja OH, Dong Y et al. Point of Care Ultrasound: A WFUMB Position Paper. Ultrasound in Medicine and Biology. 2017 Jan; 43(1): 49-58. doi: 10.1016/j.ultrasmedbio.2016.06.021. DOI: https://doi.org/10.1016/j.ultrasmedbio.2016.06.021
Savoia P, Jayanthi SK, Chammas MC. Focused Assessment with Sonography for Trauma (FAST). Journal of Medical Ultrasound. 2023 Apr; 31(2): 101-6. doi: 10.4103/jmu.jmu_12_23. DOI: https://doi.org/10.4103/jmu.jmu_12_23
Long MK, Vohra MK, Bonnette A, Parra PD, Miller SK, Ayub E et al. Focused Assessment with Sonography for Trauma in Predicting Early Surgical Intervention in Hemodynamically Unstable Children with Blunt Abdominal Trauma. Journal of the American College of Emergency Physicians Open. 2022 Feb; 3(1): e12650. doi: 10.1002/emp2.12650. DOI: https://doi.org/10.1002/emp2.12650
Richards JR and McGahan JP. Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologists Can Learn. Radiology. 2017 Apr; 283(1): 30-48. doi: 10.1148/radiol.2017160107. DOI: https://doi.org/10.1148/radiol.2017160107
Scalea TM, Rodriguez A, Chiu WC, Brenneman FD, Fallon WF, Kato K et al. Focused Assessment with Sonography for Trauma (FAST): Results from an International Consensus Conference. Journal of Trauma and Acute Care Surgery. 1999 Mar; 46(3): 466-72. doi: 10.1097/00005373-199903000-00022. DOI: https://doi.org/10.1097/00005373-199903000-00022
Stukus K, Wurtz M, Scherzer D. Trauma Injuries. In Pediatric Rotations: A Quick Guide for Medical Students. Cham: Springer International Publishing. 2024 Jul: 473-487. doi: 10.1007/978-3-031-59873-9_36. DOI: https://doi.org/10.1007/978-3-031-59873-9_36
Muljadi R, Koesbandono, Octavius GS. A Systematic Review and Meta‐Analysis of Diagnostic Test Accuracy of Chest Ultrasound in Diagnosing Pediatric Pulmonary Tuberculosis. Pediatric Pulmonology. 2024 Oct; 59(10): 2381-91. doi: 10.1002/ppul.27044. DOI: https://doi.org/10.1002/ppul.27044
Lakens D. Sample Size Justification. Collabra: Psychology. 2022 Mar; 8(1): 33267. doi: 10.1525/collabra.33267. DOI: https://doi.org/10.1525/collabra.33267
Bhoi S, Sinha TP, Ramchandani R, Kurrey L, Galwankar S. To Determine the Accuracy of Focused Assessment with Sonography for Trauma Done by Nonradiologists and Its Comparative Analysis with Radiologists in Emergency Department of a Level 1 Trauma Center of India. Journal of Emergencies, Trauma, and Shock. 2013 Jan; 6(1): 42-6. doi: 10.4103/0974-2700.106324. DOI: https://doi.org/10.4103/0974-2700.106324
Ma X, Shen E, Yuan J, Gong L, Kong W, Jin Z et al. Volumetric B-mode ultrasound and Doppler Imaging: Automatic Tracking with One Single Camera. Ultrasonic Imaging. 2024 Mar; 46(2): 90-101. doi: 10.1177/01617346231213385. DOI: https://doi.org/10.1177/01617346231213385
Rozycki GS, Ochsner MG, Jaffin JH, Champion HR. Prospective Evaluation of Surgeons’ Use of Ultrasound in the Evaluation of Trauma Patients. In 50 Landmark Papers Every Trauma Surgeon Should Know. 2019 Jul: 89-92.
Rozycki GS, Ochsner MG, Feliciano DV, Thomas B, Boulanger BR, Davis FE et al. Early Detection of Hemoperitoneum by Ultrasound Examination of the Right Upper Quadrant: A Multicenter Study. Journal of Trauma and Acute Care Surgery. 1998 Nov; 45(5) :878-83. doi: 10.1097/00005373-199811000-00006. DOI: https://doi.org/10.1097/00005373-199811000-00006
Nayak SR, Yeola MP, Nayak SR, Kamath K, Raghuwanshi PS. Role of Focused Assessment with Sonography for Trauma in the Assessment of Blunt Abdominal Trauma–A Review. Journal of Evolution of Medical and Dental Sciences. 2021 Jan; 10(1): 45-51. doi: 10.14260/jemds/2021/9. DOI: https://doi.org/10.14260/jemds/2021/9
Bouarroudj N, Cano PC, bin Mohd Fathil S, Hemamid H. POCUS in Critical Care, Anesthesia and Emergency Medicine. Springer. 2024. doi: 10.1007/978-3-031-43721-2. DOI: https://doi.org/10.1007/978-3-031-43721-2
Delbridge MS and Al-Jundi W. Pocketbook of Surgery-E-Book: Pocketbook of Surgery-E-Book. Elsevier Health Sciences. 2024 May.
Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG et al. Hand-Held Thoracic Sonography for Detecting Post-Traumatic Pneumothoraces: The Extended Focused Assessment with Sonography for Trauma (EFAST). Journal of Trauma and Acute Care Surgery. 2004 Aug; 57(2): 288-95. doi: 10.1097/01.TA.0000133565.88871.E4. DOI: https://doi.org/10.1097/01.TA.0000133565.88871.E4
Kirkpatrick AW, Hamilton DR, Nicolaou S, Sargsyan AE, Campbell MR, Feiveson A et al. Focused Assessment with Sonography for Trauma in Weightlessness: A Feasibility Study. Journal of the American College of Surgeons. 2003 Jun; 196(6): 833-44. doi: 10.1016/S1072-7515(02)01906-3. DOI: https://doi.org/10.1016/S1072-7515(02)01906-3
Achatz G, Schwabe K, Brill S, Zischek C, Schmidt R, Friemert B et al. Diagnostic Options for Blunt Abdominal Trauma. European Journal of Trauma and Emergency Surgery. 2022 Oct: 1-5.
Gerall CD, Duron VP, Stylianos S. Abdominal and Genitourinary Trauma. In Pediatric Surgery: Diagnosis and Management. Cham: Springer International Publishing. 2023 Jan: 239-259. doi: 10.1007/978-3-030-81488-5_20. DOI: https://doi.org/10.1007/978-3-030-81488-5_20
de Haan JB, Sen S, Joo SS, Singleton M, Haskins SC. FAST exam for the anesthesiologist. International Anesthesiology Clinics. 2022 Jul; 60(3): 55-64. doi: 10.1097/AIA.0000000000000363. DOI: https://doi.org/10.1097/AIA.0000000000000363
Gines PE, Wong FL, Kim W. Diagnosis, Evaluation, and Management of Ascites and Hepatorenal Syndrome. Hepatology. 2021; 74(2): 1014-48. doi: 10.1002/hep.31884. DOI: https://doi.org/10.1002/hep.31884
Harper K and Shah KH. Renal Trauma After Blunt Abdominal Injury. The Journal of Emergency Medicine. 2013 Sep; 45(3): 400-4. doi: 10.1016/j.jemermed.2013.03.043. DOI: https://doi.org/10.1016/j.jemermed.2013.03.043
Halbfass HJ, Wimmer B, Hauenstein K, Zavisic D. Ultrasonic Diagnosis of Blunt Abdominal Injuries. Fortschritte der Medizin. 1981 Nov; 99(41): 1681-5.
Simpson N, Page P, Taylor DM. Free Fluid Accumulation Following Blunt Abdominal Trauma: Potential for Expansion of the FAST Protocol. Hong Kong Journal of Emergency Medicine. 2009 Apr; 16(2): 70-5. doi: 10.1177/102490790901600202. DOI: https://doi.org/10.1177/102490790901600202
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Pakistan BioMedical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com