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Don’t sweat questionable small pockets of free fluid; stabilize the patient and do a serial (repeat) AFAST and assign an abdominal fluid score. Minimally, a second AFAST four hours later should be performed, and sooner if the patient is questionable or unstable (acep.org; Lisciandro et al. 2009; Blackbourne et al. 2004; Boysen and Lisciandro 2013).