12 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Minor blunt trauma ... No obvious injury ... #LUQ #FAST #Exam ... #Clinical #Ultrasound ... #Trauma #POCUS
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adult male with RUQ ... Has femur fracture ... intra-abdominal injury ... #Positive #trauma ... #clinical #ultrasound
Radial Head Elbow Fracture with displaced Fat Pads
Intra-Articular Fracture of the Elbow with displaced fat pads
Radial Head Elbow Fracture ... Intra-Articular Fracture ... intra-articular injury ... called the “Sail sign ... #trauma #clinical
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
adult with femur fracture ... Grade V splenic injury ... Perihepatic #Positive #Clinical ... #POCUS #Ultrasound ... #RUQ #Trauma
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... ↓ BP is a late sign ... abdomen/pelvis, eFAST ... potential pelvic fracture ... #Pediatrics #Trauma
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
for solid organ injury ... Injury to spleen ... Upper Quadrant (RUQ ... #positive #trauma ... #clinical #POCUS
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
FAST Exam Bike ... for sonographic signs ... Abdominal #POCUS #clinical ... #ultrasound #Liver ... #Trauma
Pelvic Hematoma on POCUS
Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple
w pubic ramus fracture ... Pelvis FAST. ... clue to pelvic injury ... with FAST exam ... #ultrasound #trauma
Liver laceration and pneumoperitoneum on POCUS

BAT s/p MVC-unrestrained driver. RUQ pain. Good quality FAST exam windows
Good quality FAST ... of solid organ injury ... look for second injury ... pneumoperitoneum #POCUS #clinical ... #ultrasound #trauma
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... trauma are diagnosed