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Der Begriff Focused Assessment with Sonogr … Der Begriff Focused Assessment with Sonography for Trauma (FAST) beschreibt einen standardisierten sonographischen Untersuchungsgang des Bauches und Beckens und in der Erweiterung auch der Brusthöhle beim schwerverletzten Patienten im Schockraum. Die FAST-Untersuchung kommt regelmäßig bei der Initialphase der Untersuchung von Polytraumapatienten zu Anwendung. Ziel der FAST-Untersuchung des Schockraumpatienten ist das Erkennen von freier Flüssigkeit als Zeichen einer Verletzung von Organen und Blutgefäßen des Bauchraumes und damit gegebenenfalls die Entscheidung zu sofortigen lebensrettenden Operationen. Ihre Sensitivität und Spezifität betrug dabei in prospektiven Studien nahezu 100 %. Bis Mitte der 1990er Jahre wurde vor allem im angelsächsischen Einzugsbereich die so genannte diagnostische Peritoneallavage (Spülung der Bauchhöhle) zur Einschätzung von freier Flüssigkeit in der Bauchhöhle eingesetzt. Noch Mitte der 1990er Jahre gab es große Unstimmigkeiten, welches Verfahren zu bevorzugen sei. Die Sonographie konnte sich erst Ende der 1990er Jahre endgültig in der Notfalldiagnostik etablieren und stellt seither eine unverzichtbare Untersuchung dar.ther eine unverzichtbare Untersuchung dar.
, Fast (efter engelskans: Focused Assessment … Fast (efter engelskans: Focused Assessment with Sonography for Trauma) är ett ultraljudsbaserat undersökningsprotokoll utvecklat för att bedöma förekomst av blödning inom traumasjukvård. Protokollet genomförs genom att placera en ultraljudsprob på fyra stycken fördefinierade punkter på den undesöktes kropp. Metoden är anpassad för att användas av den omhändertagande akutläkaren eller kirurgen för att kunna utföra bilddiagnostik på akutrummet utan att passera röntgenavdelningen. Undersökningen används enbart för att bedöma förekomst av blödning och innebär inte någon egentlig bedömning av de inre organen. Fast-protokollet har gradvis blivit en välanvänd metod inom traumasjukvården under 2000- och 2010-talen världen över. Det ingår som ett möjligt steg i ATLS algoritm för första omhändertagande vid fysiskt trauma. Undersökningsmetodens specificitet är mycket hög, men sensitiviteten är lägre. I en systematisk översikt publicerad 2015 av Cochrane konstaterade man att det dåvarande kunskapsläget var otillräckligt för att påvisa några säkra positiva effekter av Fast som verktyg i traumasjukvården.er av Fast som verktyg i traumasjukvården.
, Focused assessment with sonography in trau … Focused assessment with sonography in trauma (commonly abbreviated as FAST) is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and paramedics as a screening test for blood around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) after trauma. The four classic areas that are examined for free fluid are the perihepatic space (including Morison's pouch or the hepatorenal recess), perisplenic space, pericardium, and the pelvis. With this technique it is possible to identify the presence of intraperitoneal or pericardial free fluid. In the context of traumatic injury, this fluid will usually be due to bleeding.his fluid will usually be due to bleeding.
, 외상초음파(Focused Assessment with Sonography in Trauma, FAST)는 병상에서 시행할 수 있는 응급 초음파 검사이다. FAST 검사를 통하여 심장 주변부 출혈(심장막 삼출)이나 복부 출혈(복막 삼출, 혈복강) 등을 보다 빠르게 평가할 수 있으며, 이를 통해 외상환자의 초기 평가에 도움을 줄 수 있다.
, L'eco-FAST, o ecoFAST (dall'inglese Focuse … L'eco-FAST, o ecoFAST (dall'inglese Focused Assessment with Sonography for Trauma), è una metodica utilizzata nella medicina d'urgenza, che consiste in uno screening eseguito sul paziente attraverso l'utilizzo di un ecografo per la ricerca di raccolte di sangue intorno al cuore (tamponamento cardiaco) o agli organi addominali (emoperitoneo) dopo un trauma fisico. Lo scopo principale è di identificare un'emorragia interna in un paziente politraumatizzato per avviarlo immediatamente in sala operatoria se emodinamicamente instabile, oppure per candidarlo ad approfondimenti diagnostici di secondo livello se la stabilità dei parametri vitali lo consente. Il protocollo FAST, nato e codificato in origine per permettere il riconoscimento dell'emoperitoneo ed emopericardio, di recente si è poi ulteriormente esteso a un numero consistente di altre applicazioni cliniche mirate, sempre caratterizzate dalla rapidità di esecuzione, con importanti ricadute diagnostiche e terapeutiche: si è quindi aggiunta l'E-FAST (Extended FAST) con l'obiettivo del riconoscimento ecografico dello pneumotorace. Successivamente, la FAST ABCDE (Airways, Breathing, Circulation, Disability, Exposure), che fa sì che la metodica aiuti i medici dell'urgenza nel dirimere i numerosi quesiti clinici che possono nascere durante la valutazione nella scala di priorità assoluta che si segue nell'approccio al paziente traumatizzato. nell'approccio al paziente traumatizzato.
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외상초음파(Focused Assessment with Sonography in Trauma, FAST)는 병상에서 시행할 수 있는 응급 초음파 검사이다. FAST 검사를 통하여 심장 주변부 출혈(심장막 삼출)이나 복부 출혈(복막 삼출, 혈복강) 등을 보다 빠르게 평가할 수 있으며, 이를 통해 외상환자의 초기 평가에 도움을 줄 수 있다.
, Fast (efter engelskans: Focused Assessment … Fast (efter engelskans: Focused Assessment with Sonography for Trauma) är ett ultraljudsbaserat undersökningsprotokoll utvecklat för att bedöma förekomst av blödning inom traumasjukvård. Protokollet genomförs genom att placera en ultraljudsprob på fyra stycken fördefinierade punkter på den undesöktes kropp. Metoden är anpassad för att användas av den omhändertagande akutläkaren eller kirurgen för att kunna utföra bilddiagnostik på akutrummet utan att passera röntgenavdelningen. Undersökningen används enbart för att bedöma förekomst av blödning och innebär inte någon egentlig bedömning av de inre organen.gon egentlig bedömning av de inre organen.
, L'eco-FAST, o ecoFAST (dall'inglese Focuse … L'eco-FAST, o ecoFAST (dall'inglese Focused Assessment with Sonography for Trauma), è una metodica utilizzata nella medicina d'urgenza, che consiste in uno screening eseguito sul paziente attraverso l'utilizzo di un ecografo per la ricerca di raccolte di sangue intorno al cuore (tamponamento cardiaco) o agli organi addominali (emoperitoneo) dopo un trauma fisico.nali (emoperitoneo) dopo un trauma fisico.
, Der Begriff Focused Assessment with Sonogr … Der Begriff Focused Assessment with Sonography for Trauma (FAST) beschreibt einen standardisierten sonographischen Untersuchungsgang des Bauches und Beckens und in der Erweiterung auch der Brusthöhle beim schwerverletzten Patienten im Schockraum. Die FAST-Untersuchung kommt regelmäßig bei der Initialphase der Untersuchung von Polytraumapatienten zu Anwendung.hung von Polytraumapatienten zu Anwendung.
, Focused assessment with sonography in trau … Focused assessment with sonography in trauma (commonly abbreviated as FAST) is a rapid bedside ultrasound examination performed by surgeons, emergency physicians, and paramedics as a screening test for blood around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) after trauma.inal organs (hemoperitoneum) after trauma.
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외상초음파
, Focused assessment with sonography for trauma
, Focused Assessment with Sonography for Trauma
, Fast (ultraljud)
, Eco-FAST
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