IMAGINGThe Use of Ultrasonography in the Emergency Department to Screen Patients After Blunt and Penetrating Trauma: A Clinical Update for the Advanced Practice ProviderGonzález, Juan M. DNP; Ortega, Johis PhD; Crenshaw, Nichole DNP; de Tantillo, Lila PhD, MS, RNSection Editor(s): Ramponi, Denise R. DNP, FNP-C, ENP-BC, FAEN, FAANP, CEN; Column Editor Author Information University of Miami School of Nursing and Health Studies, Coral Gables, Florida. (Drs González, Ortega, Crenshaw, de Tantillo); and Jacksonville University, Keigwin School of Nursing, Jacksonville, Florida (Dr de Tantillo). Corresponding Author: Juan M. González, DNP, University of Miami School of Nursing and Health Studies, 5030 Brunson Dr, Coral Gables, FL 33146 (email@example.com). Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (http://www.aenjournal.com). Disclosure: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: October/December 2019 - Volume 41 - Issue 4 - p 290-305 doi: 10.1097/TME.0000000000000267 Buy SDC Take the CE Test Metrics Abstract Use of bedside ultrasonography to identify life-threatening injuries for patients with blunt and penetrating trauma is the standard of care in the emergency department. The “FAST” examination—focused assessment with sonography for trauma—ultrasound scan of the chest and abdomen allows clinicians to assess critical regions for free fluid without use of invasive procedures as quickly and as often as needed. In addition, ultrasonography has a high degree of sensitivity and specificity and is safe during pregnancy. For patients requiring evaluation of the pleura, the “eFAST” (or extended FAST) may be conducted, which may serve to locate pleural effusions, hemothorax, and pneumothorax. However, ultrasound quality is operator dependent and is recommended with other diagnostic measures to provide a complete clinical picture of trauma patients. Ongoing development of ultrasound competency among established clinicians and nurse practitioner students is vital to maintain diagnostic accuracy and ensure quality care for trauma patients in the emergency department. © 2019 Wolters Kluwer Health, Inc. All rights reserved.