Atrium Health 1 article published in JoVE Medicine Focused Assessment with Sonography for Trauma (FAST) Exam: Image Acquisition John D. Ritchie1, Charles N. Trujillo2, David L. Convissar3, William Shihao Lao4, Sean Montgomery5, Yuriy S. Bronshteyn6 1Trauma, Acute, and Critical Care Surgery, Duke University Hospital, 2Mount Sinai Medical Center, 3Department of Anesthesiology, Massachusetts General Hospital, 4Acute Care Surgery, Atrium Health, 5Department of Surgery, Duke University School of Medicine, 6Department of Anesthesiology, Duke University School of Medicine, Duke University Health System, Durham Veterans Health Administration The Focused Assessment with Sonography for Trauma (FAST) exam is a diagnostic point-of-care ultrasound examination used to screen for the presence of free fluid in the pericardium and peritoneum. Indications, techniques, and pitfalls of the procedure are discussed in this article.