Cynthia Blank-Reid is Trauma Clinical Nurse Specialist, Temple University Hospital, Main Campus, 3401 N Broad St, Rock Pavilion-1st Floor Nsg Office, Philadelphia, PA 19140 (
Denise M. Zappile is Trauma Nurse Practitioner, Temple University Hospital, Main Campus, Philadelphia, Pennsylvania.
AACN Adv Crit Care. 2023 Jun 15;34(2):129-138. doi: 10.4037/aacnacc2023597.
Timing is crucial when caring for an injured patient, and the evaluation requires a systematic, rapid, and thorough assessment to identify and treat immediate life-threatening injuries. An integral component of this assessment is the Focused Assessment with Sonography for Trauma (FAST) and the extended FAST (eFAST). These assessments allow for a rapid, noninvasive, portable, accurate, repeatable, and inexpensive means of diagnosing internal injury to the abdomen, chest, and pelvis. Understanding the basic principles of ultrasonography, having a thorough familiarity with the equipment, and being knowledgeable in anatomy allow the bedside practitioner to use this tool to rapidly assess injured patients. This article reviews the basic tenets that underpin the FAST and eFAST evaluations. Practical interventions and tips are provided to assist novice operators-all with the goal of decreasing the learning curve.
在照顾受伤患者时，时间至关重要，评估需要系统、快速和彻底，以识别和治疗立即危及生命的损伤。评估的一个组成部分是创伤超声重点评估 (FAST) 和扩展 FAST (eFAST)。这些评估允许快速、无创、便携、准确、可重复和廉价的方法来诊断腹部、胸部和骨盆的内部损伤。了解超声检查的基本原理、对设备有透彻的了解以及熟悉解剖结构，使床边医生能够使用该工具快速评估受伤患者。本文回顾了 FAST 和 eFAST 评估的基本原则。提供了实用的干预措施和技巧，以帮助新手操作员-所有这些都是为了减少学习曲线。
