| Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals. | |
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MedLine Citation:
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PMID: 21463438 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To review the nonradiologist use of ultrasound (US) in the setting of emergency and critical care, the development, clinical applications, and standardization of veterinary abdominal and thoracic focused assessment with sonography for trauma (FAST) techniques. ETIOLOGY: Since the 1990s, the 4-point FAST US technique has been used for injury surveillance in people with blunt and penetrating trauma. FAST screens for free fluid in the abdominal, pleural, and pericardial cavities with high sensitivity and specificity. More recently, an extended FAST scan was developed for the rapid detection of pneumothorax. These techniques and newly created scans have been applied to other critically ill, nontraumatized, subsets of human patients. As a result, the terminology related to this field, eg, extended FAST, HHFAST, FFAST, FAFF, BOAST, SLOH, bedside US, '$ Approach,' protocols, and objectives have become convoluted despite having similar goals. DIAGNOSIS: The importance of US in the setting of emergency medicine is highlighted by the fact that this diagnostic modality has become an integral part of the core curriculum for nonradiologists including the American College of Surgeons, American College of Emergency Physicians, American Board of Emergency Medicine, Society of Academic Emergency Medicine, and all United States Accreditation Council for Graduate Medical Education Emergency Medicine residency programs. THERAPY: Veterinary applications of FAST techniques include an abdominal FAST technique with an abdominal FAST applied fluid scoring system, and a thoracic FAST technique. In an attempt to avoid the creation of numerous acronyms, veterinarians would be well served by making the 'T' in 'FAST' stand for 'Trauma,''Triage,' and 'Tracking.' PROGNOSIS: These veterinary FAST techniques provide an extension of the physical examination for the emergency and critical care veterinarian potentially expediting diagnosis, prompting life-saving maneuvers, and guiding patient management. Further clinical research to determine sensitivity, specificity, and accuracy for specific conditions is warranted. |
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Authors:
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Gregory R Lisciandro |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) Volume: 21 ISSN: 1476-4431 ISO Abbreviation: J Vet Emerg Crit Care (San Antonio) Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-04-05 Completed Date: 2011-06-03 Revised Date: 2011-08-25 |
Medline Journal Info:
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Nlm Unique ID: 101152804 Medline TA: J Vet Emerg Crit Care (San Antonio) Country: United States |
Other Details:
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Languages: eng Pagination: 104-22 Citation Subset: IM |
Copyright Information:
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© Veterinary Emergency and Critical Care Society 2011. |
Affiliation:
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Hill Country Veterinary Specialists, San Antonio, TX 78259, USA. woodydvm91@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Injuries Animals Ascitic Fluid Cat Diseases / diagnosis, ultrasonography* Cats Dog Diseases / diagnosis, ultrasonography* Dogs Emergency Medical Services* Prognosis Veterinary Medicine / instrumentation, methods* Wounds and Injuries / diagnosis, ultrasonography, veterinary* Wounds, Nonpenetrating / diagnosis, ultrasonography, veterinary Wounds, Penetrating / diagnosis, ultrasonography, veterinary |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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