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June 13, 2017

Abdominal Ultrasound for Pediatric Blunt TraumaFAST Is Not Always Better

Author Affiliations
  • 1Columbia University College of Physicians and Surgeons, New York City, New York
JAMA. 2017;317(22):2283-2285. doi:10.1001/jama.2017.6163

The focused assessment with sonography for trauma (FAST) examination is conducted to rapidly identify bleeding within the abdominal, pericardial, or intrathoracic spaces. The use of the FAST examination is not limited to trauma but is best described in studies involving adults who sustained blunt or penetrating abdominal trauma.1 Although no clear reduction in mortality has been reported by incorporating the FAST examination into trauma protocols, the use of this bedside imaging modality has been associated with other improvements in outcomes among adult patients including reductions in abdominal computed tomographic (CT) rates, decreased time to the operating room, and decreased hospital length of stay.13

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