Medical Necessity: Evaluate for intraperitoneal or pericardial fluid
Structures studied: Hepatorenal space, splenorenal recess, pericardial space, and pelvic views.
3 Components to a FAST Exam (include each as clinically indicated) : Abdomen, Cardiac, Thoracic
RUQ - include hepatorenal space, sub-diaphragmatic space, and inferior edge of the liver
LUQ - include splenorenal space, sub-diaphragmatic space, left paracolic gutter
Pelvis - transverse and sagittal views
Obtain any one of the Parasternal Long Axis, Apical 4 Chamber, or Subxiphoid Views
Anterior Chest - Right and Left
Lateral Inferior Chest, Coronal View - Right and Left
Visualize Diaphragm and Spine. These can be obtained concurrent with abdominal RUQ and LUQ views
HOW TO SCAN - FAST
1.) Video in the longitudinal plane, fanning through Morrison’s pouch (hepatorenal space) to include the inferior tip of the liver/inferior pole of right kidney.
2.) Video clip fanning through the bladder in both the longitudinal and transverse planes.
3.) Video clip in the longitudinal plane scanning through the spleen and kidney. Must include diaghram, spleno-renal space, and inferior tip of the spleen/lower pole of left kidney.
4.) Video clip of the subxiphoid cardiac view in the transverse plane.
5.) If subxiphoid view is techniquely inadequate, a video clip of the parasternal long axis will suffice.
6.) Obtain one static representative image.