SAQ 754 – Trauma – limitations of FAST scanning in abdominal trauma

A 25-year-old man is brought to the ED after a high-speed motor vehicle crash. He was wearing a seatbelt and has no apparent head or neck injuries.

Your junior registrar says there is no intra-abdominal pathology based on the FAST scan. You review the image shown.

Observation	Value
BP	130/85 mmHg
HR	115 bpm regular
SpO2	95% on room air
Temperature	37.0 C
GCS	15

List two (2) adjustments you would make to optimise the image.

(Marked out of 2.0)

/ 2

List three (3) reasons for a false-negative right upper quadrant scan in abdominal trauma.

(Marked out of 3.0)

/ 3

State two (2) issues you would raise with the junior registrar about the ultrasound after the resuscitation.

(Marked out of 2.0)

/ 2

List three (3) strategies to reduce infection transmission when using an ultrasound machine.

(Marked out of 3.0)

/ 3

Total Score: 0 / 10

Percentage: 0%