PURPOSE OF REVIEW: The use of ultrasound for the management of the injured @entity1 has expanded dramatically in the last decade. The focused assessment with sonography for @entity130 (FAST) has become one of the fundamental skills incorporated into the initial evaluation of the @entity130 @entity1 . However, there are significant limitations of this diagnostic modality as initially described. Novel ultrasound examinations of the injured @entity1 , although useful, must also be considered carefully. RECENT FINDINGS: Increasing evidence supports the high specificity of FAST for detecting a pericardial effusion and intra-abdominal free fluid ( @entity548 ) in the @entity1 with @entity1913 . On the other hand, a so-called negative FAST result still requires further diagnostic work up given its low sensitivity. Similarly, the role of FAST in penetrating @entity1661 appears to be limited because of lower sensitivity for @entity130 compared to other modalities. Extended FAST (EFAST), that adds a focused thoracic examination, has high accuracy for the detection of pneumothorax comparable to computed tomographic scan, the significance of which is not currently known. Finally, the utility of intensivist-performed ultrasound in the ICU is expanding to limited hemodynamic assessment and facilitation of central venous catheter placement. SUMMARY: The indications for FAST and additional ultrasound studies in the injured @entity1 continue to evolve. Application of sound clinical evidence will avoid unsubstantiated indications for ultrasound to creep into our clinical practice.

Beyond focused assessment with sonography for @entity130 : ultrasound creep in the XXXX resuscitation area and beyond.

@entity1 :: ('9606', 'Species') :: ['patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal trauma'] @entity1913 :: ('MESH:D014949', 'Disease') :: ['blunt injury'] @entity130 :: ('MESH:D014947', 'Disease') :: ['visceral injury', 'trauma']
@entity130 :: (MESH:D014947,Disease) :: ['trauma']
