Check out the awesome narrated lecture below by EM intern Dr. Roger Roxas. Read the recent Carter article refuting the utility of FAST while listening to the podcast. Read the landmark LaSelle article discussing the importance of a false negative FAST while listening to the podcast. For more FAST FOAMed fun check out the Trauma page.
A 74 y/o F with pmhx of metastatic breast cancer, IDDM, HTN presents after a syncopal episode. The patient notes that for the past 2-3 days she has been experiencing some lightheadedness and shortness of breath with exertion. She is presently undergoing chemotherapy (I'd throw in some random chemo drus here, but lets face it, we wouldn't know them anyways...) and radiation. She notes that she hasn't been eating/drinking very well. She denies fever, cough, hemoptysis, leg pain/swelling. She has mild nausea but no abdominal pain. As you peek up at the monitor, you note that the patient’s HR is ~ 135 and her BP is 88/56 . Her O2 saturation is 99% and the nurse told you that she was afebrile. Taking a look at this patient, she looks ill-appearing and anxious. Her extremities are cool to touch. You quickly decide that Room 33 might not be the best place to manage this patient and that she would be better served in a RESUS station. As you wheel the patient to RE