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- Replaced diagnostic peritoneal lavage (DPL)
- Emergency ultrasound training required for all emergency medicine residents since 2001
Focused assessment with sonography in trauma (FAST)
Morison's Pouch
ECG
130
bpm
Pelvis
2 Questions
Subxiphoid
Perispenic Space
Subxiphoid
Morison's Pouch (RUQ)
Morison's Pouch
1. Is there free fluid/blood in the abdomen?
2. Is there fluid/blood in the pericardium?
Pelvis
Transverse position (probe marker to the patient's right) on the symphysis pubis and angle toward the patient's feet
Probe almost flat on the abdomen with the marker to the patient's right and angle the probe to the patient's left shoulder.
Anterior axillary line in the seventh to ninth intercostal space
Subxiphoid
Thank You!
Perisplenic Space (LUQ)
Pelvis
Perispenic Space
Posterior axillary line in the fifth to seventh intercostal space
Noble Vicki E, Nelson Bret. Manual of Emergency and Critical Care Ultrasound. Cambridge University Press. 2011.