<p begin="00:00:15.317" end="00:00:16.610" style="s2">- The FAST exam.</p>
<p begin="00:00:16.610" end="00:00:17.899" style="s2">The FAST stands for</p>
<p begin="00:00:17.899" end="00:00:20.450" style="s2">focus assessment with<br />sonography for trauma.</p>
<p begin="00:00:20.450" end="00:00:23.747" style="s2">It's a classic fore-exam<br />view of the torso.</p>
<p begin="00:00:23.747" end="00:00:25.608" style="s2">There's also what's also described</p>
<p begin="00:00:25.608" end="00:00:28.096" style="s2">as a extended FAST that includes</p>
<p begin="00:00:28.096" end="00:00:30.072" style="s2">a further examination of the lung,</p>
<p begin="00:00:30.072" end="00:00:31.780" style="s2">which we'll take you<br />to in a later segment,</p>
<p begin="00:00:31.780" end="00:00:32.952" style="s2">as well as long bones,</p>
<p begin="00:00:32.952" end="00:00:35.604" style="s2">as well as expanded views of the heart.</p>
<p begin="00:00:35.604" end="00:00:38.274" style="s2">Let's go ahead and start<br />with the basic FAST exam.</p>
<p begin="00:00:38.274" end="00:00:40.856" style="s2">First thing you're going to<br />do, is choose your transducer.</p>
<p begin="00:00:40.856" end="00:00:42.832" style="s2">For the FAST exam you're gonna want to use</p>
<p begin="00:00:42.832" end="00:00:44.601" style="s2">a phased array transducer.</p>
<p begin="00:00:44.601" end="00:00:48.288" style="s2">We've chosen a phased-array<br />transducer for the FAST exam</p>
<p begin="00:00:48.288" end="00:00:50.016" style="s2">for a particular reason.</p>
<p begin="00:00:50.016" end="00:00:52.489" style="s2">The small, tiny footprint<br />of the transducer</p>
<p begin="00:00:52.489" end="00:00:55.409" style="s2">allows us to do great<br />intercostal scanning,</p>
<p begin="00:00:55.409" end="00:00:59.255" style="s2">it also provides great<br />echocardiac graphic examinations</p>
<p begin="00:00:59.255" end="00:01:02.103" style="s2">allowing us to get good<br />views of the full torso.</p>
<p begin="00:01:02.103" end="00:01:05.502" style="s2">Now we're gonna choose the<br />exam type on the machine.</p>
<p begin="00:01:05.502" end="00:01:07.422" style="s2">We'll hit the exam button,</p>
<p begin="00:01:07.422" end="00:01:10.023" style="s2">we'll choose the type<br />examine that we want,</p>
<p begin="00:01:10.023" end="00:01:12.166" style="s2">we'll hit select and we will be ready</p>
<p begin="00:01:12.166" end="00:01:14.327" style="s2">to start the FAST exam.</p>
<p begin="00:01:14.327" end="00:01:15.622" style="s2">Who do you do a FAST exam on?</p>
<p begin="00:01:15.622" end="00:01:18.150" style="s2">Anyone that you're worried<br />about serious internal injury.</p>
<p begin="00:01:18.150" end="00:01:22.297" style="s2">That would be a blunt trauma<br />or a penetrating trauma.</p>
<p begin="00:01:22.297" end="00:01:24.423" style="s2">Now the areas I'm gonna examine carefully</p>
<p begin="00:01:24.423" end="00:01:26.719" style="s2">would be the peritoneal space,</p>
<p begin="00:01:26.719" end="00:01:29.144" style="s2">the pericardial space,<br />and the pleural space.</p>
<p begin="00:01:29.144" end="00:01:31.775" style="s2">And I'm gonna take you<br />through these one-by-one.</p>
<p begin="00:01:31.775" end="00:01:34.980" style="s2">Often what comes up is which<br />space do you evaluate first?</p>
<p begin="00:01:34.980" end="00:01:36.732" style="s2">Certainly if it's blunt<br />trauma we're gonna look</p>
<p begin="00:01:36.732" end="00:01:38.239" style="s2">at the peritoneal space first,</p>
<p begin="00:01:38.239" end="00:01:40.716" style="s2">so we're gonna start<br />really at Morison's pouch,</p>
<p begin="00:01:40.716" end="00:01:43.037" style="s2">and if it's a penetrating injury</p>
<p begin="00:01:43.037" end="00:01:44.534" style="s2">I like to start at the heart first.</p>
<p begin="00:01:44.534" end="00:01:48.701" style="s2">So we're gonna examine the<br />pericardial space first.</p>