In the case of servere hemorrhage of parenchymal organ of the abdomen, fast diagnosis and immediate laparatomy is the best chance for survival. In case of blunt abdominal trauma, no major signs due to physical examination provide relevant information to make a decision for the need of surgical treatment. Therefore during the prehospital period on scene crucial time lost might occure in cases of intraabdominal bleeding prior to performing urgent laparotomy.

With the development and introduction of portable ultrasound devices, we demonstrated that prehospital focused abdominal sonography for trauma (P-FAST) can significantly improve prehospital care and management of injured patients.