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• Case of the Week - Case # 86

  20-year-old male is admitted to the ED via EMS after a rollover MVC. The patient is hemodynamically stable. On exam you note that the patient has multiple torso bruises. After initial stabilization, you perform a FAST exam and note the following (perihepatic and perisplenic windows shown):... Posted Jul 28 2008, 04:14 PM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma

• Case of the Week - Case # 66

  An 87-year-old female nursing home resident presents to the ED hypotensive after a fall. The patient has a history of organic brain syndrome, a fib on coumadin, hypertension, coronary artery disease, hypothyroidism and gout. The patient is nonverbal. Her vitals signs are as follows: BP 62/40, HR 108, RR 26 and PO of 95%. Her physical examination reveals multiple abrasions and a large ecchymotic region in the left flank and left lateral thorax. You perform a FAST exam to evaluate her for the hypotension. Her pericardial window reveals no evidence of pericardal effusion or tamponade. Her perihepatic and pelvic windows were negative. You note the following on her perisplenic window...... Posted Mar 04 2008, 04:57 PM by Rob with | with no comments Filed under: FAST, Advanced, trauma

• Case of the Week - Case # 62

  A 24-year-old male presents after having been stabbed to the anterior right hemithorax with a screwdriver. His vital signs are stable and his pulse ox is 95% on room air. You perform a FAST exam and note the following on the perihepatic window. ... Posted Feb 06 2008, 12:08 AM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma, lung

• Case of the Week - Case # 61

  A 23-year-old female presents with vaginal bleeding and lower abdominal pain. She is approximately 6 weeks pregnant by date and has a positive bedside UCG. Her vitals are as follows: BP 88/46, HR 122, RR 24 and T 37.1C. Her physical exam reveals moderate lower abdominal tenderness with guarding. She has mild, nonclotted blood in the vaginal vault but bimanual examination is limited due to pain. You are concerned about an ectopic pregnancy and perform a bedside ultrasound...... Posted Jan 30 2008, 09:36 PM by Rob with | with no comments Filed under: FAST, Pelvic, Intermediate, Advanced, Pregnancy

• Case of the Week - Case # 58

  A 41-year-old male presents with severe midepigastric abdominal pain and hypotension. The patient states he has had no trauma and developed the pain 2 days ago and it has gotten progressively worse. His vitals are as follows: BP 78/54, HR 138, RR 28 and T 38.1 C. You perform a FAST exam in order to better evaluate this patient's hypotension. On the perihepatic window you note the following...... Posted Jan 10 2008, 11:21 PM by Rob with | with no comments Filed under: FAST, Intermediate

• Case of the Week - Case # 57

  A 32-year-old male presents to the ED after being shot. He has an entrance wound noted at the anterior axillary line near the lower costal margin. An upright chest radiograph reveals no intrathoracic trauma. The bullet's location is not seen on the chest radiograph. The patient's vital signs are stable. You are asked by the trauma surgeon to perform a FAST exam to see if the patient has hemoperitoneum in Morison's pouch.... Posted Jan 01 2008, 09:28 PM by Rob with | with no comments Filed under: FAST, Beginner, trauma

• Case of the Week - Case # 55

  An 86-year-old nursing home patient presents to the ED with dyspnea and low blood pressure. Her EKG reveals low voltage QRS complexes and your resident is concerned that the patient has a pericardial effusion/tamponade. Your resident is also concerned that "something doesn't look right in the right ventricle." You perform a bedside ultrasound and note the following:... Posted Dec 17 2007, 01:16 AM by Rob with | with no comments Filed under: FAST, Beginner, Cardiac

• Case of the Week - Case # 44

  A 36 y.o. female presents after a rollover MVC. On examination, she has a right wrist fracture, left femur fracture and left ankle fracture. In addition, she has numerous thoracoabdominal bruises noted and a large scalp laceration that appears to have bleed a significant amount. She remained hemodynamically stable until midway through her ED visit, when her blood pressure was noted to drop to 82/54 with a heart rate of 126. As you begin fluid resuscitating the patient, you grab the ultrasound machine and perform a FAST exam.... Posted Sep 23 2007, 06:52 PM by Rob with | with no comments Filed under: FAST, Beginner

• Case of the Week - Case # 42

  A 24 y.o. female presents via EMS after being ejected from a vehicle in a rollover MVC. On arrival, her GCS was 3 and her vitals were: BP 100/64, HR 118, RR 20. The patient has multiple torso bruises and is noted to have diminished breath sounds on the left. After the patient is intubated and the initial phase of the resuscitation is complete, you perform a FAST exam and note the following on the pericardial and perihepatic windows.... Posted Sep 08 2007, 11:51 PM by Rob with | with no comments Filed under: FAST, Intermediate

• Case of the Week - Case # 41

  A 36 y.o. male is admitted to the ED via EMS after a high-speed MVC. The patient was the unrestrained driver of the vehicle. The medics report that the Ultrasound Case of the Weekpatient "broke the steering wheel. It was also noted on exam that the patient has extensive bruising in the upper abdominal region. His physical exam reveals multiple minor lacerations and a large bruise over his anterior torso. His abdomen is diffusely tender. His vital signs are stable. You perform a FAST exam... ... Posted Aug 27 2007, 10:12 PM by Rob with | with no comments Filed under: FAST, Intermediate, trauma

• Case of the Week - Case # 31

  A 56-year-old male presents s/p MVC with multiple injuries. His vitals signs are stable. On exam, he has left thoracoabdominal bruising and tenderness noted. Due to your concern for possible internal hemorrhage, you perform a FAST exam. On the FAST exam you do not note any free fluid but you note an abnormality of the spleen. ... Posted Jun 13 2007, 12:50 PM by Rob with | with no comments Filed under: FAST, Intermediate

• Case of the Week - Case # 27

  52 y.o. male who presents after the car he was driving struck a tree. The patient was a restrained driver. He currently complains of left and right upper quadrant abdominal pain. He has anterior torso bruising and complains of right wrist pain. His vitals are: BP 148/82, HR 90, RR 18, T 37.0, Pulse Ox – 98%. You perform a FAST ultrasound. His cardiac view is normal. The remainder of the images are seen on the next slide…... Posted May 16 2007, 01:12 AM by Rob with | with no comments Filed under: FAST, Intermediate

• Clinical Case # 5

  A 24-year-old male presents to the ED after a GSW to the left flank with an entrance wound noted posteriorly and an exit wound noted anteriorly. His vitals are stable and his examination is only remarkable for left flank and side tenderness. His abdominal exam is benign. Your trauma surgeon wants you to perform a FAST exam to see if there is any intra-abdominal involvement. You perform the FAST exam...... Posted Nov 29 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Beginner, Intermediate, trauma

• Clinical Case #2

  A 55-year-old male was involved in a rollover MVC after his car was cut off by another vehicle. The patient was retrained and is complaining of generalized abdominal pain, in addition to neck pain, back pain and extremity pain. His vitals are stable upon arrival into the trauma room. He has obvious deformities of his right humerus, left wrist and left femur. He has no obvious thoracoabdominal trauma but has generalized abdominal tenderness. After the initial stabilization, the patient’s blood pressure… ... Posted Nov 08 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Advanced, trauma

• Clinical Case # 1

  A 32 y.o male presents after being stabbed in the R chest with a knife. He is hemodynamically stable and has symmetric breath sounds on exam. A chest x-ray cannot be immediately obtained...... Posted Nov 01 2006, 12:00 AM by Rob with | with no comments Filed under: FAST, Intermediate, trauma, lung