By Mauro Zago
E-FAST (extended targeted evaluate by means of sonograpy for trauma) represents the fundamental ultrasonographic method of any trauma sufferer. identity or exclusion of unfastened fluid and air within the stomach and thoracic cavities performs a pivotal function in identifying the speedy diagnostic and healing course. studying E-FAST is needed for all acute care surgeons and all physicians taken with trauma administration. The constitution of the ebook and its useful technique will make it an easy-to-consult and speedy reference software for newbies and an invaluable help for more matured professionals.
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Additional info for Essential US for Trauma: E-FAST
Complete PTX has no lung point! 4 Thoracic Views: Anatomy, Techniques, Scanning Tips and Tricks, Abnormal Images 49 Fig. 14 Lung point Fig. 15 Lung point (M-mode): alternation between stratosphere and seashore signs Lung point is better observed with the probe along the axis of the intercostal space, eliminating the rib shadows. A. Casamassima and M. Zago Warning! • Don’t lose time with US if a tension PTX is suspected (patient is in shock) • Priority is to decompress the thorax • If needed, use the probe for a few seconds: rule out hemothorax, confirm PTX (parasternal), and insert the needle and drainage Several other static signs were described and cataloged (Lichtenstein) using alphabet letters.
2 Mirror effect. On both sides of the diaphragm, you can see the same texture. That indirectly rules out pleural effusion On left side of the patient, the technique will be the same: upper left abdominal quadrant view, pan headward 1 or 2 in. You will see the spleen, a bright white line (the diaphragm), and the white curtain moving in and out of the screen with the patient’s breathing. In patients affected by hemothorax, you will see the liver or the spleen, according to the side you’re probing, the bright line of the diaphragm and on the left side of the screen, there will be a sort of black triangle or black strip, which is fluid (Figs.
You will learn to recognize the normal sonographic anatomy of the chest wall as well as normal and pathological US patterns. ”). Chest US is useful in prehospital and in emergency room but also in intensive care units, to detect PTX and hemothorax earlier than using X-ray and without moving the patient! A. com M. com M. A. Casamassima and M. Zago Scanning Technique and Semeiotics As we said before, there are two main severe conditions possibly affecting a chest trauma patient that can be detected with US: hemothorax and pneumothorax.