Ultrasound

EFAST Exam

Limited Diagnostic Exam: Limited Abdomen, Limited Chest, Limited Cardiac 

76705-26, 93308-26, 76604-26

Patient Identity confirmed: Yes

Indication for exam: Trauma

Hepatorenal (RUQ): No Free Fluid Identified 

Right Pleural Space: No Free Fluid Identified 

Perisplenic (LUQ): No Free Fluid Identified 

Left Pleural Space: No Free Fluid Identified 

Suprapubic:  No Free Fluid Identified 

Pericardium: No Pericardial Effusion Identified  

Right Anterior Chest Wall: Pleural Sliding Present 

Left Anterior Chest Wall: Pleural Sliding Present 

Other Findings: None

Performed by ED Physician (me)

FAST Exam

Limited Diagnostic Exam: Limited Abdomen, Limited Cardiac 

76705-26, 93308-26

Patient Identity confirmed: Yes

Indication for exam: Trauma

Hepatorenal (RUQ): No Free Fluid Identified 

Perisplenic (LUQ): No Free Fluid Identified 

Suprapubic:  No Free Fluid Identified 

Pericardium: No Pericardial Effusion Identified  

Other Findings: None

Performed by ED Physician (me)

Limited Transthoracic Echocardiogram (TTE)

Limited Diagnostic Exam: Cardiac (TTE)

Patient Identity confirmed: Yes

Performed by ED Physician (me)

Indication for Exam: ***

Pericardium: No effusion noted

Left Ventricular Function: Grossly normal EF by EPSS and global function 

RV size: RV size is grossly normal 

Other Findings: none

Comments: No pathology noted.

Limited Retroperitoneal Ultrasound Exam: Abdominal Aorta 

Limited Diagnostic Exam: Retroperitoneal 

Patient Identity confirmed: Yes

Performed by ED Physician (me)

Indication for Exam: ***

Transverse view of proximal abdominal aorta measures < 3 cm

Transverse view of distal abdominal aorta measures < 3 cm

Long Axis view of the abdominal aorta: No evidence of fusiform or saccular aneurysm

Other findings: No abdominal aortic pathology noted 

Comments: none

Limited Diagnostic Exam: Limited Chest

76604-26

Patient Identity confirmed: Yes

Indication for exam: SOB

Right Lung Sliding: Present 

Right Lung B-Lines: No B-Lines noted

Right Pleural Free Fluid: No free fluid noted

Left Lung Sliding: Present

Left Lung B-Lines: No B-Lines noted

Left Pleural Free Fluid: No free fluid noted

Additional Findings: none

Performed by ED Physician (me)

Peripheral Venous Access US Guidance

Limited Diagnostic Exam: Venipuncture requiring physician skill with ultrasound guidance

Performed by: ED Physician (me)

Patient Identity confirmed: Yes

Risks, benefits and alternatives were discussed

Consent obtained verbally

Indication for Exam: Vascular Access 

Vein/Location: ***

Normal Compressibility and Visualized Patency 

Catheter Size: 20 g

Number of Attempts: 1

Successful Catheter Insertion: yes

Complications: none

Limited Soft Tissue Ultrasound

Limited Diagnostic Exam: Soft Tissue

Patient Identity confirmed: Yes

Performed by ED Physician (me)

Indication for Exam: ***

Location: ***

Findings: ***

Ocular Ultrasound 

Limited Diagnostic Exam: Ocular

Patient Identity confirmed: Yes

Performed by ED Physician (me)

Indication for Exam: ***

Right Eye: anatomy identified, no pathology noted 

Right Retinal Contour: no abnormalities noted, normal contour 

Right Lens: Lens in normal position

Right vitreous body: clear vitreous body, no abnormalities noted 

Right optic nerve sheath diameter (mm): less than 5.5mm

Right Ocular Foreign Body: none noted 

Left Eye: anatomy identified, no pathology noted 

Left Retinal Contour: no abnormalities noted, normal contour 

Left Lens: Lens in normal position

Left vitreous body: clear vitreous body, no abnormalities noted

Left optic nerve sheath diameter (mm): less than 5.5mm

Left Ocular Foreign Body: none noted 

Comments: none

Limited Diagnostic Exam: Bladder 

Patient Identity confirmed: Yes

Performed by ED Physician (me)

Indication for Exam: Post Void Residual Volume 

Bladder Volume: *** ml

Comments: ***