• Emerg Med J · Jun 2006

    Evaluation of focussed assessment with sonography in trauma (FAST) by UK emergency physicians.

    • J Brenchley, A Walker, J P Sloan, T B Hassan, and H Venables.
    • Emergency Department, Barnsley Hospital, Barnsley, South Yorkshire, UK. jane.brenchley@bhnft.nhs.uk
    • Emerg Med J. 2006 Jun 1;23(6):446-8.

    ObjectivesTo evaluate the introduction of a focussed assessment with sonography in trauma (FAST) scan into the early assessment of trauma patients in the UK.MethodsThe setting was an inner city teaching hospital emergency department (annual attendance 100,000). All patients aged 16 or over admitted to the resuscitation room after blunt trauma were included in a prospective observational study. Patients had a FAST scan performed at the end of the primary survey. Results were compared to results of other investigations, laparotomy, postmortem examination, or observation.Results153 patients were entered into the study. The sensitivity of the FAST scan was 78% and specificity was 99%.ConclusionFAST is a highly specific "rule in" technique and is useful in the initial assessment of trauma patients. Emergency physicians can perform FAST after a brief training period.

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