Implementation of an eFAST guideline and teaching to improve documentation practices and saving of ultrasound images.

Objectives: To investigate whether implementation of a hospital-based Extended Focused Assessment with Sonography in Trauma (eFAST) guideline and teaching improved documentation and saving of images.

Methods: A retrospective cohort study was conducted on trauma patients aged ≥16 years presenting to St Vincent's Hospital Sydney Emergency Department over two, three-month periods in 2023.

Results: Guideline and teaching implementation resulted in statistically significant improvement in documentation on the Trauma Response Form, 85% (113/133) to 93% (120/129), odds ratio (OR) 2.

Superior vena cava syndrome: a rare complication of saphenous vein graft stenting: a case report.

Rupture of coronary artery bypass graft during percutaneous coronary intervention is a rare but serious complication. These perforations are often associated with myocardial infarction, pericardial tamponade, immediate or delayed, emergency bypass surgery and even death. We report an interesting case where perforation of a saphenous vein graft occurred after direct stenting, resulting in a very rare complication of superior vena cava (SVC) syndrome.