Focused Assessment with Sonography for Trauma (FAST) exams are rapid point -of-care ultrasound examinations performed by veterinarians as a screening test to look for fluid or blood (most often blood) around the heart (pericardial effusion) or abdominal organs (hemoperitoneum) and other abnormalities following trauma. More recently FAST exams have extended beyond trauma and are now used in many emergency and critically ill patient (regardless of trauma), leading to the term “focused assessment with sonography for trauma, triage, and tracking”.
FAST exams are only one arm of rapid cage side veterinary point of care ultrasound (Vet POCUS), which not only includes a fluid search of the abdomen, pericardium, and pleural space, but also a search for pneumothorax, estimation of intravascular volume status, cardiac function (particularly atrial: aortic ratios) and lung ultrasound (identifying interstitial/alveolar pathology); all within 5-10 minutes of the patient presenting to the emergency or ICU!
Focusing on emergency point of care ultrasound techniques, why has this become so important in both human and veterinary medicine? There are clear limitations and concerns when moving a critically ill patient to radiology where it needs to be taped, sand-bagged or manually restrained to obtain diagnostic imaging results. Human and veterinary studies have demonstrated that radiographic serosal detail is not sensitive or specific at detecting abdominal fluid after blunt trauma.
Ultrasonography is thought to be a more ideal initial imaging modality as it can be performed simultaneously while other assessments are being performed and while resuscitative measures are provided. Importantly, there is no requirement to be a fancy board-certified radiologist or cardiologist to perform these ultrasound procedures. Non-specialist veterinarians can be quickly trained to perform emergency point of care ultrasound including FAST abdominal and thoracic scans as well as lung ultrasound, volume estimation and cardiac function to make life-saving clinical decisions.
|About The Instructor
Dr. Soren Boysen, BSc., DVM, DACVECC
Dr. Søren Boysen, Professor at the University of Calgary, obtained his veterinary degree in 1996 (WCVM), completed a small animal internship at the 1998 (UPEI), and a residency in 2003 (Tufts University, Massachusetts). He is a diplomate of the American College of Veterinary Emergency and Critical Care (ACVECC) and has taught at several Canadian Veterinary Colleges (having designed the ICU, established a residency training program and helped develop the ECC curriculum in Montreal and the ECC curriculum in Calgary). Extensively published, and a recipient of numerous teaching excellence awards, he has become an internationally recognized speaker. He regularly lectures and delivers emergency ultrasound labs at CanWest, EVECCS, IVECCS and various other international conferences. His particular passion is the advancement of point of care ultrasound; he developed the original Focussed Assessment of Sonography for Trauma (FAST) exam in veterinary patients, adapted point of care ultrasound protocols for use in non-trauma patients, and is actively involved in point of care ultrasound research assessing intravascular volume status and response to fluid therapy. He continues to work on improving hands on training workshops targeted at improving emergency ultrasound training for nonspecialist practitioners.
Serge Chalhoub, BSc., DVM, DACVIM (SAIM)
Dr. Chalhoub completed a Bsc. In Honours Biology at Bishop's University in Lennoxville, QC. He was then admitted to the Faculté de médecine vétérinaire at the Université de Montréal and completed his DVM and internship at this university. Dr. Chalhoub then practiced in Montreal as an emergency doctor for two years at the DMV Centre before moving to New York City to pursue a residency in small animal internal medicine at the Animal Medical Center. Once completed, he became their first ever nephrology/urology fellow and was trained in advanced urinary procedures, dialysis, and interventional medicine. After being a staff doctor and supervising students, interns, and residents for a year, he moved to Charleston, SC where he continued to be an internal medicine clinician.
Since July 2012, Dr. Chalhoub has been an instructor at the University of Calgary’s Faculty of Veterinary Medicine in the Department of Veterinary Clinical and Diagnostic Service. His clinical home is C.A.R.E. Centre Animal hospital where he practices internal medicine. He was the recipient of the 2013 Canadian Veterinary Medical Association’s Teacher of the Year Award and the 2015 University of Calgary Team Teacher of the Year Award along with Dr. Søren Boysen. Dr. Chalhoub has been extensively involved in communication and professional skills at the UCVM.
He is the co-coordinator of the UCVM-CUPS Pet Health Clinics for disadvantaged Calgarians, which promotes 3rd year DVM students practicing their professional skills and wellness exams with the pets of the tenants of the Calgary Urban Project Society. Dr. Chalhoub is also the Chair, of the UCVM-DVTH Internship Program
Dr. Chalhoub teaches Internal Medicine and is extensively involved in communication and professional skills at the UCVM.
Alessio Vigani, DVM, PhD, DACVECC, DACVAA
Alessio Vigani is currently faculty in small animal emergency and critical care and extracorporeal therapies at North Carolina State University. Alessio received his D.V.M. degree Summa Cum Laude from the University of Milan in 2006 and then obtained his PhD degree in clinical sciences. He completed a small animal rotating internship at the Ohio State University in Columbus in 2009. He subsequently pursued two consecutive residency programs in veterinary anesthesia and analgesia and emergency and critical care at the University of Florida. He is ACVAA diplomate since 2012 and ACVECC diplomate since 2014. Dr. Vigani has published several journal articles and book chapters and he has lectured nationally and internationally. His special interests include regional anesthesia, hemodialysis and Plasmapheresis. Alessio shares a tiny apartment with his dogs Scimmietta, Macchietta e Anacleto. Alessio is a devoted runner and yogi.
*Breakfast and lunch provided. If you have dietary restrictions, please notify us.
There are numerous hotels close by to the facility. One that we suggest is Fairfield Inn & Suites, 1280 Eglin Pkwy, Shalimar, Florida is a 3 minute drive to Bayside Hospital for Animals. Book online at marriott.com or call the hotel reservations directly at 1-850-651-9999. Any questions, please call lab coordinator at (949) 374-1064.