Ultrasound in Trauma (E-FAST)
Extended Focussed Abdominal Scanning in Trauma (E-FAST) was the flagship of bedside ultrasound. Nowadays sending the unstable trauma patient straight to theatre is not an everyday occurrence; and, E-FAST scanning remains one of the most useful point of care ultrasound techniques, for reasons other than those proposed by its inventors. E-FAST can risk stratify the patient with an ectopic pregnancy, identify ascites, guide paracentesis, but most importantly – familiarises novices with the ‘windows’ of the abdomen. No prior experience is required for this module. After a machine familiarisation session and sonoanatomy lesson, you will be taught how to acquire a set of scans that adequately rule out free fluid in the abdominal cavity, pleural effusion, pericardial effusion and pneumothorax. Through the day you will practice the skill on different patients. You will learn about false positives and false negatives. By the end of the day, you should be able to scan, label, save and interpret a set of scans that support your clinical decision. You are not expected to become an expert in a day. However, this one day-course is all about learning what you don’t know, what you need to know, and what you need to practice safely. And, when you return, we will build on your competency with the next layer of optimisation and interpretation, with eventual integration into multisystem protocols answering clinical questions.
- Extended Focussed Abdominal Scanning in Trauma (EFAST)
At the end of this course the attendees should be able to:
- Identify the parameters of safe application of ultrasound and its limitations in medical diagnosis
- Identify the physical principles, artefacts and the steps for image optimisation while performing ultrasound.
- Practice “hands on” ultrasound scanning skills required to maximise diagnostic ability in answering relevant clinical questions
- Recognise the sonographic appearances of normal and abnormal structures required to answer common clinical questions
- Perform E-FAST ultrasound techniques
- Acquire images obtained on normal adult volunteers & phantoms
- Interpret images from normal adult volunteers
- Recognise the variants and abnormalities from presentations and case-based learning.
- Document the ultrasound findings
- Equip the learner with the foundation skills to begin to incorporate the ultrasound skills with the clinical situation to make appropriate management decisions
ASUM | CCPU units included in the course:
- Extended Focussed Abdominal Scan for Trauma (E-FAST)
ACEM | This course accredited for 8 Continuing Professional Development (CPD) hours as complying with ACEM standards and policies for E-FAST.
ACRRM | Approved for 30 PDP points; 30 points PRPD; 30 pts MOPS Radiology; 30 pts MOPS Emergency Medicine
Eligible for Rural Procedural Grants Funding – 1 day under all components (Emergency Medicine, Anaesthetics, Obstetrics and Surgery)
Rural Procedural Grants Program – GPs can receive $2000 per day for a maximum of 10 days of training per financial year, GPs providing hospital based emergency services can receive up to three days of eligible training per financial year. Access: email@example.com.
ANZCA | Participants in the ANZCA and FPM CPD program may claim this this course under the Knowledge and skills activity Short format learning at 2 credits per hour
CICM | Lectures – Category 2A, points per hour 1;
Demonstrations – Category 2B, points per hour 2;
Skills – Category 3B, points per hour 3
RACGP | Activity Number: 123331, 40 Category 1 points. Specific Requirement Eligibility – Diagnostic radiology
Grant Approved Training – 1 day under Emergency Medicine, Anaesthetics, Obstetrics and Surgery. Forward your certificate of attendance and program of the activity (including session times and content) and claim form to firstname.lastname@example.org