[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-184405-en":3,"doc-seo-184405-105":30,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},184405,13056703020460,"Valentina","https://ap-avatar.wpscdn.com/avatar/be000253dac470eee5d?_k=1778207105932848923",1,11,"Presentations","TFAST - Fundamental Echocardiography","TFAST® is an ultrasound protocol built on the Focused Assessment with Sonography for Trauma (FAST) concept, adapted for veterinary emergency and critical care. The material explains how TFAST® thoracic screening extends FAST and how bilateral pericardial site views support pleural and pericardial effusion assessment. It details core echocardiography views for volume status, contractility, left atrial and aortic assessment, and right-sided filling evaluation, and describes non-echo fallback rules used when full echocardiographic views cannot be obtained.","TFAST® FUNDAMENTAL ECHOCARDIOGRAPHY\nGregory R. Lisciandro, DVM, Dipl. ABVP, Dipl. ACVECC\nHill Country Veterinary Specialists & FASTVet.com, Spicewood, Texas USA\nEmail \u0013 HYPERLINK \"mailto:FastSavesLives@gmail.com\" \u0014LearnGlobalFAST@gmail.com\u0015\nCell 210.260.5576\nWebsite FASTVet.com\nText \u0013 HYPERLINK \"https://www.amazon.com/Point-Ultrasound-Techniques-Animal-Practitioner/dp/1119460980/ref=sr_1_1?crid=2W3RO79YXBLKT&keywords=Lisciandro+ultrasound&qid=1674252243&sprefix=lisciandro+ultrasoun%2Caps%2C203&sr=8-1\" \u0014Point-of-care Ultrasound Techniques for the Small Animal Practitioner, 2nd Edition\u0015, Wiley ©2021\nWhat is TFAST®?\nFAST is an acronym that stands for Focused Assessment with Sonography for Trauma. It is an ultrasound exam developed by trauma surgeons (yes trauma surgeons) in the 1990s and used in people as a screening test for the detection of free fluid in the abdominal cavity, ascites, and the pleural cavity including pleural effusion and pericardial effusion.  In 2004 the translational study from humans to dogs was published by Boysen and colleagues out of Tufts.  The next year TFAST® was developed as part of the speaker's clinical research requirement for his emergency and critical care residency training. This was the first FAST protocol developed for the thorax in veterinary medicine and called TFAST®.  In fact, his TFAST® protocol exceeded the protocol for people called EFAST (\"E\" for \"extended) by having TFAST® bilaterally applied Pericardial Site views.  These unique TFAST® Pericardial Site views were used for pleural and pericardial effusion, pleural space abnormalities, and fundamental echocardiography.  See Proceedings for TFAST® for Pleural and Pericardial Effusion for more detail.\nFigure 1.  TFAST( shown in a standing dog. Fundamental echocardiography is performed from the right and left Pericardial Site views.  CTS, Chest Tube Site view; PCS, Pericardial Site view; DH, Diaphragmatico-Hepatic view. This material is reproduced with permission of John Wiley & Sons, Inc., \u0013 HYPERLINK \"https://www.amazon.com/Point-Ultrasound-Techniques-Animal-Practitioner/dp/1119460980/ref=sr_1_1?crid=2W3RO79YXBLKT&keywords=Lisciandro+ultrasound&qid=1674252243&sprefix=lisciandro+ultrasoun%2Caps%2C203&sr=8-1\" \u0014Point-of-Care Ultrasound Techniques for the Small Animal Practitioner\u0015, 2nd Edition, Wiley ©2021 and Greg Lisciandro, Hill Country Veterinary Specialists, FASTVet.com.\nTFAST® and Fundamental Echocardiography Views\nTFAST® echocardiography views are from the right PCS view and include the left ventricular (LV) short-axis “mushroom” view for volume status and contractility, the LV short-axis \"Mercedes Benz view\" for left atrial (LA) to aortic (Ao) assessment for left-sided problems (increased LA filling pressures), the long-axis 4-chamber view for right-sided problems (increased RV filling pressures), and the long-axis LV outflow tract (LVOT) and aortic valves (Figure 2, 3). The \"eyeball method\" in properly trained non-cardiologists has been shown to be effective as a screening test in people.  These views also serve as a screening test for cardiac-related soft tissue abnormalities because the radiographic cardiac silhouette is unreliable. Importantly, when the sonographer is unable to obtain its echocardiography views, the absence of \"Wet Lung\" during Vet BLUE® rules out clinically relevant left-sided congestive heart failure; and absence of a \"FAT\" or fluid intolerant CVC rules out clinically relevant right-sided congestive heart failure. These Global FAST® Non-echo \"Fallback\" Views allow an approach that often is easier (and faster) than echocardiography in the unstable patient.  Get our TFAST® Echo Charts Rogue and Classic \u0013 HYPERLINK \"https://fastvet.com/tfast-echocardiography-chart-fastvet/\" \u0014here\u0015.\nFigure 2. Rogue TFAST® Echocardiography Chart.  The orientation is called \"Rogue\" but also \"right\" by the author as the head or cranial is to the left and the tail or caudal is to the right like all other imaging which makes centering","cbCaioW1whsAjQpE","https://ap.wps.com/l/cbCaioW1whsAjQpE","docx",1063710,6,"English","en",105,"# What is TFAST®?\n## Historical development and clinical purpose\n# TFAST® and Fundamental Echocardiography Views\n## Core imaging views and clinical assessment\n## Global FAST® non-echo fallback approach\n# Figure references and chart orientation\n## Rogue TFAST® echocardiography chart","[{\"question\":\"What does TFAST® stand for and what is its clinical purpose?\",\"answer\":\"TFAST® stands for Focused Assessment with Sonography for Trauma. It is used as a point-of-care screening approach to detect clinically relevant fluid and thoracic cardiac-related abnormalities and to guide assessment in unstable patients.\"},{\"question\":\"Which echocardiography views are included in TFAST® fundamental echocardiography?\",\"answer\":\"TFAST® includes right PCS views with specific short-axis and long-axis views, including a LV short-axis “mushroom” view for volume status/contractility, views for left atrial to aortic assessment, a long-axis 4-chamber view for right-sided filling, and long-axis LVOT and aortic valve assessment.\"},{\"question\":\"How do non-echo fallback views work when echocardiography views cannot be obtained?\",\"answer\":\"When echocardiography views cannot be acquired, the document describes rules based on Global FAST® non-echo fallback findings: absence of “Wet Lung” during Vet BLUE® rules out clinically relevant left-sided congestive heart failure, and absence of “FAT” or fluid-intolerant CVC rules out clinically relevant right-sided congestive heart failure.\"}]","TFAST - Fundamental Echocardiography | DOCX",1788359078,2,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"tfast-fundamental-echocardiography","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":29},"https://docshare.wps.com/template/","Template",{"item":48,"name":13,"@type":43,"position":49},"https://docshare.wps.com/template/presentations/",3,{"item":51,"name":14,"@type":43,"position":52},"https://docshare.wps.com/template/tfast-fundamental-echocardiography/184405/",4,{"url":51,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-06","2026-09-02",true,{"@type":65,"interactionType":66,"userInteractionCount":11},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What does TFAST® stand for and what is its clinical purpose?","Question",{"text":75,"@type":76},"TFAST® stands for Focused Assessment with Sonography for Trauma. It is used as a point-of-care screening approach to detect clinically relevant fluid and thoracic cardiac-related abnormalities and to guide assessment in unstable patients.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"Which echocardiography views are included in TFAST® fundamental echocardiography?",{"text":80,"@type":76},"TFAST® includes right PCS views with specific short-axis and long-axis views, including a LV short-axis “mushroom” view for volume status/contractility, views for left atrial to aortic assessment, a long-axis 4-chamber view for right-sided filling, and long-axis LVOT and aortic valve assessment.",{"name":82,"@type":73,"acceptedAnswer":83},"How do non-echo fallback views work when echocardiography views cannot be obtained?",{"text":84,"@type":76},"When echocardiography views cannot be acquired, the document describes rules based on Global FAST® non-echo fallback findings: absence of “Wet Lung” during Vet BLUE® rules out clinically relevant left-sided congestive heart failure, and absence of “FAT” or fluid-intolerant CVC rules out clinically relevant right-sided congestive heart failure.","https://schema.org",{"og:url":51,"og:type":87,"og:title":14,"og:site_name":58,"og:description":15},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,96,101,106,111,116,121,126,131],{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":94,"slug":95},90,"presentations",{"id":97,"doc_module":11,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},12,"Resumes",80,"resumes",{"id":102,"doc_module":11,"doc_module_name":46,"category_name":103,"show_sort_weight":104,"slug":105},14,"Invoices",70,"invoices",{"id":107,"doc_module":11,"doc_module_name":46,"category_name":108,"show_sort_weight":109,"slug":110},15,"Posters",60,"posters",{"id":112,"doc_module":11,"doc_module_name":46,"category_name":113,"show_sort_weight":114,"slug":115},16,"Social Media",50,"social-media",{"id":117,"doc_module":11,"doc_module_name":46,"category_name":118,"show_sort_weight":119,"slug":120},17,"Forms",40,"forms",{"id":122,"doc_module":11,"doc_module_name":46,"category_name":123,"show_sort_weight":124,"slug":125},18,"Letters",30,"letters",{"id":127,"doc_module":11,"doc_module_name":46,"category_name":128,"show_sort_weight":129,"slug":130},21,"Paper Templates",5,"papers-templates",{"id":132,"doc_module":11,"doc_module_name":46,"category_name":133,"show_sort_weight":4,"slug":134},158,"General","general-158"]