Advanced Trauma Life Support ATLS Student Course Manual 2018

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APPENDIX G n Skills
n FIGURE G-6
n FIGURE G-7
n FIGURE G-8
n FIGURE G-9
STEP 4. Look for black or anechoid areas above
the diaphragm.
Identify Fluid on FAst
Video or Still Images
of FAst
STEP 1. On the pericardial view, look for a black
stripe of fluid separating the hyperechoic
pericardium from the gray myocardium.
This stripe represents fluid.
STEP 2. Look at the hepatorenal space. Intraperitoneal
fluid has a black hypoechoic or
anechoic appearance.
STEP 3. Look at the splenorenal space. Blood will
appear as a hypoechoic or anechoic strip in
this area.
STEP 4. Look around the bladder for an area
of hypoechogenicity.
STEP 5. Be sure you have thoroughly visualized
all spaces before declaring an examination
negative.
Evaluate Thoracic and
LumbAR Spine Images
(optional)
Note: Before interpreting the x-ray, confirm the patient
name and date of examination.
STEP 1. Assess for alignment of vertebral bodies/
angulation of spine.
STEP 2. Assess the contour of the vertebral bodies.
STEP 3. Assess the disk spaces.
STEP 4. Assess for encroachment of vertebral body
on the canal.
Interpret a Pelvic X-Ray
Note: Before interpreting the x-ray, confirm the patient
name and date of examination.
STEP 1. Check for interruption of the arcuate
and ilioischial lines, including the pubic
symphysis. The pubic symphysis should be
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