Identification

eFAST has particularly high sensitivity – about 95% according to ATLS [2].

Do note that there are drawbacks in detecting and interpreting the classical clinical signs:

  • Neck veins may not be distended if the patient has haemorrhagic shock
  • Distended neck veins may be caused by a tension pneumothorax
  • Hypotension (and a raised respiratory rate) may have other causes
  • Muffled heart sounds are difficult to hear in a noisy resus room