FAST and eFAST exams

Welcome to the fast and ifast Siemens Healthineers ultrasound training. During this training, we will review the fast exam. Fast views. Ifast exam. Ifast views the transducers used to perform these exams and the preferred presets. What is a fast exam? A focused assessment with sonography and trauma exam is performed by the physician at the bedside as a screening test to look for blood around the heart or in the abdomen. There are four views in the abdomen. Right Upper Quadrant view the Subsite Foyd view the left Upper Quadrant view and the Super pubic view. The right upper Quadrant or Perihepatic view is imaging of the liver and kidney interface to look for fluid collections in Morrison's pouch, as well as the paracolic gutter areas. Place the transducer on the right side of the abdomen on the anterior surface and slide laterally to assess the liver kidney interface. Then slide the transducer inferiorly to visualize the inferior pole of the right kidney and assess the paracolic gutter. Subxiphoid View, also known as subcostal or pericardial view, is the imaging of the heart to assess for pericardial effusion. Cardial effusion is a disease state where fluid may build up in the visceral and paridol pericardial space. Place the transducer in the epigastric region and apply pressure as you angle superiorly. You should see the heart and will see any hypoechoic fluid surrounding the heart if present. If you are unable to scan the epigastric region, parasternal or apical four chamber views may be used. The left Upper Quadrant view or Perisplenic view is imaging of the left upper Quadrant to assess the spleen and left kidney looking for fluid in the perisplenic spaces. Place the transducer on the left side of the abdomen on the anterior surface and slide laterally to assess the spleen and left kidney interface. Special attention should be given to the echogenicity of the spleen as splenic rupture is common with trauma. The spleen is normally seen as a homogeneous organ, but with trauma may appear heterogeneous with hyper or hypoechoic areas visualized. The Super pubic view or pelvic view looks at the pelvic area for fluid collection. Place the transducer on the lower abdomen just superior to the symphysis pubis. If the bladder is full you will see the bladder as a hypoechoic fluid filled structure. Fluid may accumulate in the dependent peritoneal space posterior to the bladder sweep and a transverse plane using the bladder as an acoustic window. To see the posterior recto vesical space for free fluid. What is an E fast exam? It is simply the fast exam with two additional views added to assess the lungs. You will look at the right Upper Quadrant. The Subsite Foy View the left Upper Quadrant and super pubic views as well as the right and left thoracic views. The long view or anterior pleural view is imaging of the chest cavity to assess for pneumothorax or pleural effusion. Place the transducer on the anterior chest at the Midclavicular line between the clavicle and the diaphragm. Hold the transducer still and look for lung sliding with respiration or lung pulse scene with the beating of the heart. If these signs are missing, it is suggestive of pneumothorax. Slide the transducer laterally to assess the dependant portion of the lung cavity. To visualize any pleural effusion that may collect in the dependent position of the chest cavity. There are three transducer types that are typically used for fast and ifast examinations. The linear array is used to assess superficial structures and is very good at evaluating the pleural lining. The curved array may be used for fast and easy fast exams. But is not preferred for cardiac evaluations. The phased array is the preferred transducer for fast and efast exams. It is able to both penetrate adequately, to visualize abdominal and thoracic cavities and can also image the heart utilizing parasternal and apical scan views. You may also use it to scan obese patients. Intercostal E. Let's discuss presets on your Siemens ultrasound system for the acuson Juniper system. A fast preset is available for all transducers. On the P500 you will want to start with the abdominal preset and increase your depth to between 14 and 16 centimeters. Then save as a user defined preset for the acuson freestyle. You will want to start with the abdominal preset and increase your depth to between 14 and 16 centimeters. Then save as a user defined preset. Thank you for

SIEMENS Transducers Subxiphoid View Subxiphoid view Left Upper Quadrant View Right upper quadrant Right Upper Quadrant View Lefht Upper Quadrant View Overview e FAST Exam FAST Exam Lung View eFAST Exam Presets • eFAST Exam eFAST Views Healthineers SIEMENS Thank You Healthineers Subxiphoid / Subcostal or Pericardial View ACUSON Juniper Right Upper Quadrant / Perihepatic View All information in this presentation is for illustration only and is not intended to be relied upon by the reader for instruction as to the practice of Phased Array Linear Array Left Upper Quadrant or Perisplenic View Suprapubic or Pelvic View Lung View or Anterior Pleural View An Extended Focused Assessment with Sonography in Trauma (eFAST) • eFAST Exam FAST preset is preconfigured Used to assess superficial structures A Focused Assessment with Sonography in Trauma (FAST) exam Image the heart to assess for pericardial effusion. USA, Inc. to be used for any purpose in that regard. Image liver and kidney interface looking for fluid Good for pleural lining assessment Image the left upper quadrant to assess the spleen Image the pelvic area for fluid collection. Image the chest cavity to assess for pneumothorax is a rapid bedside ultrasound examination performed by FAST and eFAST Pericardial effusion is a disease state where fluid as a screening test for blood around the heart (pericardial effusion) or in ACUSON P500 collections in the Morison's pouch as well as the and left kidney looking for fluid in the perisplenic and pleural effusions. e FAST Views • FAST Views builds up in between the visceral and parietal SIEMENS the abdomen (hemoperitoneum) after trauma. It includes the FAST Select abdominal preset and increase Curved Array Phased Array paracolic gutter area. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively "Operator spaces. (pericardial effusion) or in the abdomen (hemoperitoneum) Siemens Ultrasound pericardium space. depth to 14— 16 cm Adequate probe for FAST and eFAST exams but not preferred for the symphysis pubic bone. If the bladder is full, you Place probe on the anterior chest at the midclavicular Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software after trauma. cardiac evaluations Place probe on the right side of the abdomen on the Place probe on the lefht side of the abdomen on the Place probe on the right side of the abdomen on will see the bladder as a hypoechoic fluid filled line between the clavicle and the diaphragm. Place probe on the left side of the abdomen on the Siemens Place the probe in the epigastric region and apply Training Five views of the abdomen and thorax defined preset the anterior surface and slide laterally to assess the anterior surface and slide laterally to assess the Healthineers pressure as you angle the probe superiorly. You ACUSON Freestyle Phased Array liver/kidney interface. spleen and left kidney interface. peritoneal space. Hold the probe still and look for lung sliding with should see the heart and will see hypoechoic fluid Lefht upper quadrant Right upper quadrant Select abdominal preset and increase Subxiphoid view Preferred probe for FAST and eFAST exams respiration or lung pulse seen with the beating of the surrounding the heart. Depending on the origin of depth to 14 — 16 cm Right upper quadrant Lefht upper quadrant Subxiphoid View Subxiphoid view Able to penetrate adequately to see abdominal and thoracic cavities Slide inferior to visualize the inferior pole of the The echogenicity of the spleen should evaluated. Sweep in a transverse plane using the bladder as an heart. If these signs are missing, it is suggestive of country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your the fluid, (serous fluid, blood, infection) the fluid may local Siemens Healthineers sales representative for the most current information. Suprapubic view Save preset as FAST or eFAST user right kidney and assess the paracolic gutter area for Able to visualize the heart using parasternal and apical scan views Splenic rupture with trauma is common. The spleen pneumothorax. Left Upper Quadrant View Right Upper Quadrant View appear hypoechoic, complex or solid. defined preset Transducers any dependent fluid collections. Easy to scan intercostal on obese patients is normally seen as a homogenous organ but with space for free fluid. Suprapubic view liable for damages. trauma it may appear heterogenous with hyper or Slide laterally to assess dependent portion(s) of lung If you are unable to scan the epigastric region, hypoechogenic areas seen. cavity to visualize any pleural effusions that may parasternal or apical four chamber view may be used. Preferred Presets collect in the dependent position of the chest cavity. Next Back