eFAST – The Quick Hit

Everything you need to know about the eFAST in 60 seconds or less (120 seconds if you count the one minute ultrasound video).

Who Needs an eFAST Ultrasound:

  • Blunt and penetrating abdominal trauma
  • Blunt and penetrating chest trauma
  • Ectopic pregnancies
  • Any patient you suspect has abdominal or thoracic free fluid or bleeding

The Technique: 5 scans in 1 exam

Heart

  • Probe position: subxyphoid
  • Image: four chambers of the heart and pericardium
  • Evaluation for: pericardial effusion and cardiac tamponade

Right Upper Quadrant (Perihepatic)

  • Probe position: RUQ
  • The image: Morrison’s Pouch (liver and kidney), diaphragm, and some chest
  • Evaluation for: intra-abdominal bleeding or fluid and hemothorax

 Left Upper Quadrant (Perisplenic)

  • Probe position: LUQ
  • The image: Spleen, kidney, diaphragm, and some chest
  • Evaluation for: intra-abdominal bleeding or fluid and hemothorax

Pelvis

  • Probe position: above the bladder
  • The image: in men- bladder and rectum, in women- bladder, uterus, and rectum
  • Evaluation for: intra-abdominal bleeding or fluid

Lungs

  • Probe position: anterior chest at the 3rd and 4th intercostal space
  • The image: ribs, pleura, and lung
  • Evaluation for: pneumothorax

eFAST 1 minute ultrasound

Submitter: Jennifer Cotton

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