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The “abdominal” fluid scoring system was purposely named as such and not the “hemorrhage” scoring system to avoid the system being typecast for only hemorrhage. The name, however, seems to have prevented its routine use in bleeding cases despite its documented ability to semiquantitate volume, rapidly categorize the bleeding patient, and help with decision making regarding blood transfusion(s) and exploratory laparotomy. The AFS system furthermore serves to track patients for worsening hemorrhage (or effusions) by increasing AFS, static hemorrhage (or effusions) by no change in AFS, and resolving hemorrhage (or effusions) by decreasing AFS. Knowing the patient's AFS is incredibly helpful for clinicians performing AFAST to place the degree of hemorrhage into clinical context (Lisciandro et al. 2009). The AFS should be used as standard of care, calculated and recorded for all patients having AFAST.