Focus‐assessed transthoracic echocardiography
FATE (focus‐assessed transthoracic echocardiography) is a goal-directed protocol used in critical care for indications such as hemodynamic instability, shock, and pulseless electrical activity (PEA) arrest 1.
The protocol is designed as a series of questions as follows:
- does the left ventricle appear significantly dilated ?
- does the left ventricle function appear significantly impaired ?
- is the right ventricle dilated?
- is a pericardial effusion present?
The following views should be obtained on transthoracic echocardiography (TTE):
- subcostal 4-chamber view
- apical 4-chamber view
- parasternal long +/- short axis view(s)
- 1. Walley PE, Walley KR, Goodgame B, Punjabi V, Sirounis D. A practical approach to goal-directed echocardiography in the critical care setting. (2014) Critical care (London, England). 18 (6): 681. doi:10.1186/s13054-014-0681-z - Pubmed
- 2. Schmidt GA, Koenig S, Mayo PH. Shock: ultrasound to guide diagnosis and therapy. (2012) Chest. 142 (4): 1042-1048. doi:10.1378/chest.12-1297 - Pubmed