Link here: https://expertwitness.substack.com/p/fast-scan-lawsuit-trauma
tl;dr
Elderly man driving 15mph hits a pole, wearing seals belt, air bags deploy.
Taken to ED, has lower right chest pain, CXR is normal.
No abdominal pain, FAST scan done and is negative in all 4 views.
Discharged home.
3 days later comes back in hemorrhagic and cardiogenic shock found to have massive hemoperitoneum from spleen injury.
Survives for over a week but then has airway disaster and codes, dies.
Family sues ER doc, case settles.
In my opinion, doc met the standard of care. That being said, the more scan-happy ER docs amongst us might have just scanned him by default? Also wondering what other cases you guys have seen in which there was overlap with abdominal pathology presenting as chest pain or vice versa.