Key PointsQuestionDoes the focused assessment with sonography for trauma (FAST) examination safely improve care when used in the emergency department (ED) evaluation of hemodynamically stable children with blunt torso trauma? FindingsIn this trial of 925 hemodynamically stable children with blunt torso trauma, randomization to the FAST vs standard trauma examination did not result in significant improvement in the rate of abdominal computed tomographic scans, time in the ED, hospital charges, or missed intra-abdominal injuries vs children randomized to standard trauma evaluation. MeaningThe study findings do not support the routine use of FAST in the ED for hemodynamically stable children with blunt torso trauma.
JAMA – American Medical Association
Published: Jun 13, 2017