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In reality, AFAST and the Global FAST approach are everyday imaging modalities for nearly every patient as an extension of the physical examination. However, to better grasp this concept with baby steps to get to “an extension of the physical examination” mentality, we have bulleted the following.

 All blunt and penetrating trauma cases as standard of care for screening for indirect evidence of intraabdominal injury.

 All collapsed (both recovered and unrecovered) cases with unexplained hypotension, tachycardia, or mentation changes.

 All anemic cases.

 All “ain’t doing right” (ADR) cases.

 All postinterventional, postsurgical cases, at risk for bleeding, infections, vascular complications.

 All peritonitis suspects, including acute abdomen, for expedient diagnosis through the detection of free fluid (and sampling, fluid analysis testing as deemed appropriate).

 Add‐on for all POCUS exams (abdomen, thorax, eye, brain) to make sure that forms of peritonitis and pleuritis, presence of bleeding, cardiac and pulmonary complications are not being missed that could have easily been detected with the Global FAST* approach.

*The Global FAST approach includes the combination of AFAST and its fluid scoring system and its target organ approach, the TFAST and Vet BLUE combined as part of the physical examination (see Chapters 36 and 37).