Mount Sinai Emergency Medicine Ultrasound

bringing technology to the bedside for improved patient care

Minimum Required Views:

FAST exam:

(4 views)

  1. Cardiac view (subxiphoid or other)
        • Myocardium and pericardium
      1. Morison’s pouch (RUQ)
            • Inferior pole of kidney
            • Diaphragm
            • Hepatorenal interface
          1. Splenorenal recess (LUQ)
                • Diaphragm
                • Splenorenal interface
              1. Pelvis (bladder)
                    • Bladder interface with prostate, uterus, or rectum
                  Cardiac exam:

                  (Any two of these views)

                  1. Subxiphoid four-chamber
                  2. Parasternal long axis
                  3. Parasternal short axis
                  4. Apical four-chamber
                    Renal exam:

                    (5 views)

                    1. Transverse view of both kidneys
                    2. Sagittal view of both kidneys
                    3. View of bladder
                      Gallbladder exam:

                      (2 views)

                      1. Long axis of gallbladder
                            • Measure gallbladder wall thickness
                            • Measure common bile duct diameter
                            • Demonstrate portal vein, common bile duct
                          1. Short axis of gallbladder
                          Aorta exam:

                          (5 views)

                          1. Proximal aorta- transverse
                                • Lumbar shadow, aorta, inferior vena cava, superior mesenteric artery
                              1. Mid aorta- transverse (near level of renal arteries)
                                    • Lumbar shadow, aorta, inferior vena cava
                                  1. Distal aorta- transverse (inferior to renal arteries)
                                        • Lumbar shadow, aorta, inferior vena cava
                                      1. Iliac bifurcation- transverse
                                      2. Longitudinal view of mid-distal aorta
                                        Uterus exam:

                                        (2 views)

                                        1. Sagittal view
                                              • Endometrial stripe, bladder
                                            1. Transverse view
                                                  • Endometrial stripe, bladder
                                                1. If there is a pregnancy:
                                                      • Measure myometrial mantle
                                                      • Estimate age (Gestational sac diameter, fetal pole length, etc.)
                                                    Posted by Bret On March - 5 - 2007