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trauma-list Digest, Vol 139, Issue 8

John Hall jrhmdtraum at aol.com
Sun Jan 25 01:21:58 GMT 2015


If the FAST is repeatedly negative, there is no need for a CT
If you are thinking of non-operative management, a CT is useful
If you are thinking of operative management, no CT needed

As per the ER GSW, it's why I pack

Sent from my iPad
John R. Hall, M.D., F.A.C.S., F.C.C.M.
Professor of Surgery

> On Jan 25, 2015, at 10:53 AM, trauma-list-request at trauma.org wrote:
> From: Robert Smith [rfsmithmd at comcast.net]
> Sent: Tuesday, January 13, 2015 12:58 PM
> To: Trauma-List at Trauma. Org
> Subject: Re: A question. Does anyone use scoring systems for amount of  hemorrhage seen on CT like we use with AFAST?
> 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.
> Help.
> Rob
> Robert F. Smith MD, MPH
> Cook County Trauma (ret)

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