focused assessment with sonography in trauma (fast) in blunt abdominal trauma

Ultrasound-based clinical diagnosis tools speed up the initial diagnosis of injury, reduce ionizingradiation in computed tomography (ct) scans, and reduce medical costs. however, the role offocused assessment with sonography in trauma (fast) in the diagnosis of intra-abdominal injurieshas not been well established. fast is a rapid procedure and rapid information can be easilyobtained in a hemodynamically unstable patient. fast competes with ct scans in the diagnosis ofintra-abdominal injuries; while it is not yet known whether fast can be used as a tool to identifyintra-abdominal injuries and eliminate the need for ct scan before laparotomy, as ct scans wouldnot always be safe in unstable trauma patients. in this narrative we evaluate literature of fast indifferent medical situations following the blunt abdominal trauma. advantages and disadvantagesof fast was discoused for free fluid detection in abdomen and any solid organ injury. sinceclinical examination is not reliable to properly assess trauma patients and accepted gold standardmethods such as ct scan and diagnostic peritoneal lavage (dpl) are time consuming and invasive,fast could provide reliable precision for treating hemodynamic patients unstable or more stable. beconsidered patient.