Figure 1. FAST based algorithm.
| Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc |
| Journal website http://www.currentsurgery.org |
Original Article
Volume 4, Number 1, February 2014, pages 17-22
The Effectiveness of Focused Assessment With Sonography for Trauma in Evaluating Blunt Abdominal Trauma With a Seatbelt Mark Sign
Figure
Tables
| FAST | GCS | ABD Tenderness | CT Results | OR Findings |
|---|---|---|---|---|
| Positive | 15 | YES | N/A | Mesenteric laceration of small bowel and colon |
| Positive | 15 | YES | N/A | Small bowel mesenteric laceration and minor liver laceration |
| Positive | 15 | YES | N/A | Multiple small bowel mesenteric lacerations and small splenic laceration |
| Positive | 14 | YES | Free air, fluid in pelvis | Jejunal perforation and sigmoid colon seroral injury |
| Positive | 15 | YES | Free fluid without solid organ injury | Grade I liver laceration |
| Positive | 15 | YES | Grade II splenic laceration, free fluid | N/A |
| Positive | 15 | NO | Ascites secondary to cirrhosis | N/A |
| Positive | 15 | YES | Rt kidney laceration and small liver laceration | N/A |
| Positive | 15 | NO | Grade II liver laceration and pancreatic head contusion | N/A |
| Positive | 15 | YES | Grade III splenic laceration | N/A |
| Positive | 15 | YES | Subcutaneous air, fluid in Morrison’s space | N/A |
| FAST | GCS | ABD Tenderness | CT Results | OR Findings |
|---|---|---|---|---|
| Negative | 15 | NO | Grade III splenic laceration | N/A |
| Negative | 15 | NO | Grade IV splenic laceration | N/A |
| Negative | 15 | YES | Fluid/stranding in pelvis | Multiple mesenteric lacerations and serosal tears (all sigmoid) |
| Negative | 15 | YES | Small bowel injury | Jejunal perforation and colonic serosal tears |