Key Point: We recommend always striving for the Global FAST® Approach and not “selective imaging” which leads to “Satisfaction of Search Error”, “Confirmation Bias Error” and “Anchor Bias Error”, any of which lead to potentially catastrophic mismanagement of patients. In other words, “asking a question, and going and looking (selective imaging)” is a flawed concept.
The analogy would be “selectively” performing a physical examination. When performing a physical examination, we don’t ask questions and then go look/palpate/auscult. No, we do an unbiased set of physical examination evaluations and in the same way consider your Global FAST® as an unbiased set of 15 data imaging points. Think of this mindset as your “point-of-care ultrasound physical examination” of your patient.
After Global FAST®, then and only then you may selectively image by performing a more detailed approach to the heart, or gastrointestinal tract, or then you may evaluate the soft tissue swelling or image the eye. However, a Global FAST® is always performed to prevent imaging interpretation errors. Through our courseware you will learn many examples of such imaging interpretation errors.
My last point, watch a radiologist or cardiologist, they perform their ultrasound examinations the same way every time. Global FAST is also the same way every time. Asking questions and going and looking counters “standardized formats” and by acknowledging these 3 formats – complete abdominal ultrasound, complete echocardiography, Global FAST® – then systems or regions are not missed. Picking and choosing what is imaged (ask the question and go look) by point-of-care ultrasound violates this major principle. We don’t approach radiography in this manner either.
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We love to hear back from you regarding our templates! Email Dr. Greg Lisciandro at LearngGlobalFAST@gmail.com.
Our Goal-directed Templates (“GDTs”) may look busy and intimidating but after taking our courses, you will see that these “GDTs” are really easy to complete quickly by checking the boxes. The GDTs entries will make sense!
Note the Hepato-Renal Umbilical View (HR-U) is now more accurately named the Spleno-Intestino Umbilical (SI-U) View because the target organs at this FASTVet Original created view are the small intestine and spleen.
Click here for Individual Templates AFAST®, TFAST®, and Vet BLUE® (Word Document File) for AFAST®, TFAST® and Vet BLUE®
Click here for Global FAST® Template ALL done in Standing (or sternal) Positioning
Click here for Global FAST® beginning in Right Lateral Positioning
The Word Documents in JPEG form as Quick Reference and may be modified for your practice. We suggest creating 1-3 with the most common standardized order you will be using at your practice:
AFAST®
TFAST®
Vet BLUE®
gl/GL 12-23-2024
