Osterwalder Joseph J
Zentrale Notfallaufnahme, Kantonsspital St. Gallen.
Praxis (Bern 1994). 2010 Dec 15;99(25):1545-9. doi: 10.1024/1661-8157/a000350.
For many years, the FAST examination has represented the standard procedure for diagnostics in traumatology. Until just recently, the ultrasound societies in German speaking countries did not recognize this procedure, which is the reason why it has not been included in current educational programs. The acronym FAST stands for «Focused Assessment with Sonography for Trauma» and is defined as the sonographic detection of free fluid in the intraperitoneal, pleural and pericardial spaces in patients who have suffered blunt or penetrating trauma. The extension to eFAST («extended FAST») in the year 2004 to include the additional diagnosis of pneumothorax marked the beginning of the procedure's meteoric development. Nowadays, everybody is talking about FAST-plus in reference to a broad range of applications within the field of airway management, organ injury diagnostics, cerebral hypertension as well as support for invasive procedures. However, the continued rise of FAST will depend on the future role that computed tomography (CT) will be playing. Indeed, it remains unclear whether CT utilized as FACTT («Focused Assessment with Computed Tomography in Trauma») will force out FAST and advance to become the diagnostic gold standard.
多年来，FAST检查一直是创伤学诊断的标准程序。直到最近，德语国家的超声学会才认可这一程序，这也是它未被纳入当前教育项目的原因。FAST这一缩写代表“创伤的超声聚焦评估”，定义为对钝性或穿透性创伤患者的腹膜腔、胸腔和心包腔内游离液体进行超声检测。2004年eFAST（“扩展FAST”）的扩展，将气胸的额外诊断纳入其中，标志着该程序迅速发展的开始。如今，每个人都在谈论FAST-plus，它涉及气道管理、器官损伤诊断、脑高压以及侵入性操作支持等广泛领域的应用。然而，FAST的持续发展将取决于计算机断层扫描（CT）未来所扮演的角色。事实上，目前尚不清楚作为FACTT（“创伤的计算机断层扫描聚焦评估”）使用的CT是否会取代FAST并成为诊断金标准。
