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Gross, Ronald Ronald.Gross at baystatehealth.org
Fri Aug 26 18:02:24 BST 2011

My reasons for FAST on all trauma patients:
-  IF stable (and I don't really trust that word on ANY trauma patient till I have full work up done) then it may define ongoing intra-abdominal bleeding to be noted before VS's crash - especially frequent in cases where prehospital times are short as they might be in the urban setting	
-  IF stable, then a negative FAST will relax my sphincter tone just enough to allow me to decide "to scan or not to scan".  IF negative and exam is negative as well, with a low suspicion I just might send the patient home.  On the other hand, if positive AND the patient has a negative exam, I would likely scan the patient and then keep him or her for observation for 6 - 12 hours, reexamining frequently to make sure I am not sending someone home with a hollow viscus injury
-  IF stable, it allows my residents many opportunities to learn how to do a very good and necessary procedue
-  If unstable, hypotention + FAST = IMMEDIATE trip to OR (in the absense, of course, of any other obvious blood loss)

Hope that helps.  Actually, I hope it makes sense!!  :-)

Take care,

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Robert Smith
Sent: Friday, August 26, 2011 10:47 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: FAST

I've asked this before but have never gotten an answer. 

It seems like doing a FAST has become a routine procedure in patients with the possibility of blunt abdominal trauma whether they're vital signs are "stable" or normal or not. If that is so, why is that? What does one do with the "information" you get from the FAST in a stable patient?

Rob Smith
trauma-list : TRAUMA.ORG
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