Today's #POCUS lecture by @mtabbut about the FAST exam in Hemodynamically Pediatric Blunt Abdominal Trauma. #MetroEUS
Aggregate sensitivity of FAST for all intra-abdominal injuries is low. Specificity is high. Remember though, the FAST was designed to look for FF, not all injuries. So if the injury is not associated with FF, the FAST will likely not see it.
So what can we do to increase the sensitivity of the FAST? Serial exams and adjunctive labs.
Take away points: The FAST suffers from low sensitivity for all IAI. Know the limitations. Risk stratify patients, add adjuncts...
There are a lot of positive, unmeasured effects of the FAST exam but at the end of the day the FAST is a piece of information, not the whole picture.