NEW Course – Global FAST® Training Remote Lectures

plus Remote Real-time Assisted Scanning Session

*Note: This is a different course than the “Online Only” Individual or Bundled AFAST®-TFAST®, and VetBLUE®-Global FAST® 21-hours of courseware for those already doing ultrasound that wants a more in-depth knowledge of our approach.

This course includes 6 hours of online lecture AND 2 hours of one-on-one remote teaching with Dr. Lisciandro using remote technology for hands-on training.

The 5-lectures cover AFAST®, TFAST®, and Vet BLUE®, combined called Global FAST®, plus a 1-hour Global FAST® image acquisition supplemental module (6-hours total of online lecture). Quizzes must be passed with a score of 80% to move on to the next module. Objectives are listed by scrolling to the bottom of this page.

These 6-hours of lectures MUST be completed prior to the scanning session with Dr. Greg Lisciandro by remote real-time assistance (ultrasound machine is shipped to your practice – only available within the continental USA).  Equipment is provided by Oncura Partners (

Once you have successfully completed the Global FAST® course, a certificate for 8-hours of RACE-approved continuing education will be issued.

For those doing REMOTE-assisted scanning, 2-hours, the session requires:

  • Providing your practice’s shipping address for the machine to be sent to you (if you are an Oncura Partner hospital, you will already have the equipment).
  • Good WIFI access with an internet speed of a minimum of 10 mbps.
    • Note: you can test your internet speed free of charge via the internet at
  • Well-behaved dog(s) that will tolerate AFAST® in right lateral recumbency, standing TFAST® echo views, and standing Vet BLUE® views during the 2-hour scanning session (no shaving; need hand sanitizer gel and 70% alcohol).
    • Delays due to uncooperative dogs will take away from your learning (scanning time).
    • Mild sedation (we want the volunteer dogs to stand) as per your discretion, i.e. butorphanol s.c. or oral sedation.
    • Additional scanning time may be purchased for $250/hour.

Send any questions to Dr. Greg Lisciandro at or by phone at 210.260.5576

This course is a game-changer for veterinary medicine and Global FAST® our new core skill!

Global FAST® Course Objectives

AFAST® – its target-organ approach, its abdominal fluid scoring system, practical and heavily case-based.

  • Its standardized methodology of view order, imaging target-organs in longitudinal planes, and standardized probe maneuvering.
    • Its use as a soft tissue screening test for abnormalities missed or only suspected by physical exam, blood and urine testing, and radiography.
    • AFAST® is a much better test for free fluid because radiographic serosal detail is unreliable. 
  • Its fluid scoring system for bleeding and non-bleeding patients.
    • Small volume versus large volume bleeder-effusion concept. 
    • Decision-making regarding transfusions and surgical intervention.
    • Tracking tool for worsening, static, and improving effusions.

TFAST® – its use for accurately detecting pleural and pericardial effusion, the 4 TFAST® Echo views, pneumothorax, practical and heavily case-based.

  • FASTVet rules for accurately detecting pleural and pericardial effusion.
    • Rule outs for pleural and pericardial effusion.
    • Why you should never “flash ultrasound” for pleural and pericardial effusion.
  • TFAST® echo views and their applications for 1) volume and contractility, 2) left-sided problems, and 3) right-sided problems.
  • TFAST® as a soft tissue screening test of the heart (because the cardiac silhouette is a poor test).

Vet BLUE® – the 6 Vet BLUE Lung Ultrasound Signs, its regional pattern-based approach for a working diagnosis, practical and heavily case-based.  The ultrasound probe is our new stethoscope!

  • Understanding the Gator Sign orientation, dry lung artifacts, and wet lung artifacts.
  • The Vet BLUE® B-line Scoring System and weak positives versus strong positives.
  • The Vet BLUE® Visual Lung Language of Shred Sign, Tissue Sign, Nodule Sign, and Wedge Sign.
  • Use of the Vet BLUE® regional pattern-based approach for a working diagnosis.
  • Use of Vet BLUE® to rapidly rule out wet lung conditions (<90 seconds).
  • Use of Vet BLUE® to track or monitor patients.

Global FAST® for Staging Patients

Recording Your Findings on Goal-directed Templates


Course Information


Course Instructor

Greg Lisciandro Greg Lisciandro Author

Non-Member Enrollment

2 months of access

This is the price for Non-members.

Members-Only Enrollment

2 months of access

This is the discounted price for our FASTVet Premium Members


Buy our Big Saving

We are BUNDLING the AFAST®-TFAST®-Vet BLUE®-Global FAST® Online Course Fee for a signup of ALL 3 Courses for $895.

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