FAST scan script
20yo thrown off bike, self-presented to ED, has some abdo pain. Your SHO
perform FAST scan in trauma context
- washes hands, introduces self
- can explain indications for FAST scan
- explains purpose of scan
- explains limitations of scan
- Gain consent from patient
- Position patient appropriately
- Ensures no immediate pain or discomfort
- Correct choice of probe
- systematic approach to FAST scan - suggest:
- R upper chest (eFAST)
- L upper chest (eFAST)
- R lower chest → RUQ abdo
- L lower chest → LUQ abdo
- Pelvic view x2 transverse + longitudinal
- Subxiphoid view
- Obtains usable images - able to correct gain/depth
- interprets images appropriately
- suggests further investigations
- thanks patient
teaching station
- introduce self
- check student's identity and level of experience
- confirm student's grade
- ensure patient (if applicable) is safe in department
- set learning objectives
- indications for scan
- major trauma
- suspected chest/abdo injury
- deteriorating trauma patient
- emphasise that POCUS is not a rule out examination
- patient positioning
- Describe different views
- elicit questions
- signpost to further learning material
- thanks student