CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine. 153-MiM25 Austere Ultrasound with Dr Slaven Bajić
Jul 25, 2025
Dr. Slaven Bajić, an emergency medicine expert with experience in austere settings like Mali, discusses the transformative role of ultrasound in pre-hospital care. He highlights the FAST protocol's advantages for trauma assessment, emphasizing speed, non-invasiveness, and its essential role in decision-making. Slaven also tackles limitations and practical challenges faced in the field. A gripping case study showcases how FAST identified critical injuries, underscoring ultrasound's growing importance in modern emergency medicine.
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POCUS Is Core To Emergency Care
- Focused ultrasound (POCUS) has become central to modern emergency care and is used more than the stethoscope in many settings.
- FAST, RUSH, lung and cardiac POCUS expand rapid bedside diagnostics across pre-hospital and ER environments.
Follow The Standard FAST Windows
- Scan Morrison's pouch, splenorenal space, pouch of Douglas/rectovesical and the pericardium for free fluid during FAST.
- Treat any anechoic (black) stripe in these windows as free fluid until proven otherwise.
Include Lung Views For Pneumothorax
- Add lung views (E-FAST) to detect pneumothorax by checking pleural sliding in 2nd–3rd intercostal spaces.
- Use M-mode if needed; absent sliding suggests pneumothorax requiring intervention.