By Mauro Zago
E-FAST (extended centred review via sonograpy for trauma) represents the elemental ultrasonographic method of any trauma sufferer. id or exclusion of unfastened fluid and air within the belly and thoracic cavities performs a pivotal position in determining the rapid diagnostic and healing course. studying E-FAST is needed for all acute care surgeons and all physicians curious about trauma administration. The constitution of the e-book and its sensible method will make it an easy-to-consult and quickly reference instrument for newbies and an invaluable aid for more matured professionals.
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Extra resources for Essential US for Trauma: E-FAST
It’s useful to diagnose a wrong endotracheal intubation! • Apnea cancels the sliding lung (but not small vertical artifacts at the pleural line – “comet tails”) Fig. ” It is pathognomonic for PTX. You can imagine the lung point to be the point in which the collapsed lung touches the chest wall during breathing cycle. On your US machine screen, the lung point will appear as an alternation between the presence and absence of sliding lung (Figs. 15). ), precisely evaluating the entity of PTX and relating it to patient status.
13 Anatomy and view of splenorenal space F. Ferreira et al. 3 Abdominal Views: Technique, Anatomy, Abnormal Images, Scanning Tips, and Tricks 29 Fig. 14 Position for pelvic transverse view Pelvic View The pelvic view should be evaluated in both transverse and sagittal planes. The probe must be placed transversely in the abdominal midline 2–4 cm superior to the symphysis pubis with the probe marker pointing to the patient’s right, angled down until the prostate or vaginal stripe is identified (Fig.
Fine US lung semiology is out of the scope of this book. B-lines are better visualized with convex or phased array probe. The last artifact of interest is called E-line (Fig. 22). Generated by the air in the subcutaneous tissue, this particular artifact appears as long or short vertical lines, masking the bat sign. It is very important to identify the bat sign BEFORE starting to classify artifacts for diagnosis, because if you have subcutaneous emphysema, you cannot see the pleural line and thus you cannot tell a PTX.
Essential US for Trauma: E-FAST by Mauro Zago