Page 61 - Ultrasonography in Prehospital and Emergency Medicine - Rein Ketelaars

Table 2.2 The CAVEAT protocol
Primary assessment (mandatory)
ABCDE of prehospital ultrasonography 59
Urgency
Secondary assessment (optional)
Step
1
2
3
4
Examination
Evaluation of the pleura
Complete FAST examination
Inferior Vena Cava assessment
Upper- and lower extremities
CAVEAT protocol
Focus on
Chest
Abdomen Costophrenic recesses
Collapsibility index
Long bones; Regions of pain, ten- derness, or deformity
Pneumothorax
Hemoperitoneum Hemothorax
Volume depletion
Looking for
Major fractures eligible for more accurate reduction and stabili- zation.
Fractures to prioritize utilization of radiographic resources, or achieve even more accurate triage
CAVEAT, sonographic evaluation of the Chest, Abdomen, Vena cava, Extremities for Acute Triage.
FAST, Focused Assessment with Sonography for Trauma.
This table shows the suggested order of examinations in the CAVEAT protocol. Specific components may depend on the operators’ skill level and on the individual patient’s injuries.
This table is an adaptation of the work by dr. Stawicki.135
2