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AFAST is a standardized ultrasound examination with exact clarity of its five acoustic windows and how each is performed. AFAST has been shown to be superior to radiography for not only the detection of free intraabdominal fluid but also the volume through its AFAST‐applied fluid scoring system (Lisciandro et al. 2009, 2015, 2019). Moreover, the AFAST DH view is an important source of patient information for free fluid, volume status, pericardial and pleural effusion and lung conditions. Chapter 7 covers clinical integration of AFAST‐acquired information.

 AFAST has exact clarity to its five acoustic windows.

 AFAST and its acoustic windows are exactly the same no matter the patient positioning.

 Each view has target organs that are imaged while looking for free fluid (intraabdominal, retroperitoneal, pleural, pericardial) and lung conditions.

 AFAST should be part of any POCUS abdominal examination to make sure that effusions or other obvious target organ pathology are not missed.

 Serial AFAST and an assigned abdominal fluid score should be repeated, called the serial exam, four hours after the initial AFAST in all stable patients and sooner if the patient is unstable or questionable.