Podcast 569: The eFAST Exam
Jun 08, 2020•2 min
Listen to this episode in Metacast mobile app
Don't just listen to podcasts. Learn from them with transcripts, summaries, and chapters for every episode. Skim, search, and bookmark insights. Learn more
Episode description
Contributor: Aaron Lessen, MD
Educational Pearls:.
- Focused assessment with Sonography for Trauma (FAST) exam and the extended-FAST (eFAST) are essential components of current trauma care and evaluation
- There has been an accumulation of research to provide an estimate of effectiveness of identifying certain injuries with ultrasound:
-
- For identifying a pneumothorax, the sensitivity ~70% and specificity ~99%.
- For pericardial effusions, sensitivity 90% and specificity ~ 94%.
- For hemoperitoneum, sensitivity ~74% and the specificity ~98%.
- While ultrasound is excellent for identifying many injuries, it may not be adequate alone to rule out serious injuries if the clinical suspicion is high based on these pooled studies
References
Netherton S, Milenkovic V, Taylor M, Davis PJ. Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. CJEM. 2019;21(6):727‐738. doi:10.1017/cem.2019.381
Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD
For the best experience, listen in Metacast app for iOS or Android