The Focused Assessment With Sonography for Trauma (FAST) examination can decrease the use of hospital resources, but it is not routinely used in the evaluation of injured children. Holmes and colleagues conducted a randomized clinical trial of 925 children and adolescents with blunt torso trauma and found that the FAST examination compared with usual care did not improve resource use, emergency department length of stay, safety, or hospital charges. In an Editorial, Kessler considers the challenges of adopting point-of care ultrasound in emergency departments and recommends further study of the FAST examination to reduce exposure to ionizing radiation.
Highlights. JAMA. 2017;317(22):2251-2253. doi:10.1001/jama.2016.13163