Teaching image withheldThe image will be revealed when it becomes clinically available in the case.
ED/resuscitation ultrasound FAST image demonstrating free intraperitoneal fluid in the right upper-quadrant hepatorenal recess, consistent with a positive FAST. • TEACHING IMAGE
Stable Blunt Trauma with a Positive FAST
SCENARIO
A 29-year-old patient arrives after a restrained high-speed motor-vehicle collision. The patient has right-upper-quadrant abdominal tenderness but no peritonitis. Initial airway and breathing assessments are normal. After a brief trauma-bay assessment, blood pressure remains 124/78 mmHg, heart rate 96/min, mental status is normal, and peripheral perfusion is adequate. A FAST examination is performed during the initial resuscitation; the supplied FAST image becomes available at the first decision point.