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A question. Does anyone use scoring systems for amount of hemorrhage seen on CT like we use with AFAST?

Robert Smith rfsmithmd at comcast.net
Tue Jan 13 17:58:27 GMT 2015

Maybe the List can help me understand the role of FAST. I’m old and confused and it seems like its’ use has evolved. I thought FAST was for use in an unstable patient to see if the presence of blood in the abdomen indicated that this was the body cavity likely containing the injuries causing the instability. I thought this was a qualitative, not a quantitative test. I have not understood the practice of getting a FAST and then sending the patient to CT.



Robert F. Smith MD, MPH
Cook County Trauma (ret)

> On Jan 13, 2015, at 11:20 AM, Tim Crowe <tcrowedvm at gmail.com> wrote:
> A group of us in veterinary trauma are looking to a research project in bluntly traumatized K-9's where we correlate the finding of AFAST and the amount of hemorrhage detected (one of our investigators has developed a scoring system for   this). Then do a CT scan and compare the results obtained- hoping to see if we can validate the AFAST hemorrhage scoring from the results we get on the gold standard abdominal CT.  
> Also planning to do a similar study regarding TFAST and thoracic CT. 
> So appreciate any feed back and especially on any information on a scoring system for abdominal hemorrhage or thoracic hemorrhage and lung confusions from CT results in blunt trauma that anyone is currently using or have used in the last would be much appreciated.  Thank you.  D Tim Crowe, DVM, Diplomate Am Coll Vet Surgeons, Dip Am Coll Vet Emergency and  Critical Care, Fellow Am Coll Critical Care Med 
>>> Chief of Surgery and Critical Care, Regional Institute for Veterinary Emergencies and Referrals,
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