How to perform:
The tank is assessed in two sections. First the inferior vena cava (IVC) is assessed with the phased array probe. Then the abdomen and lung apices are assessed with the curvilinear probe, in the same way as an extended Focused Assessment with Sonography in Trauma (eFAST) scan.
Inferior Vena Cava (IVC)
Probe position: With the probe in the subcostal position, rotate 90 o so the marker now looks to the patients head. This image shows the IVC collapsing in inspiration
Image: authors own
Pitfall
The aorta can be mistaken for the IVC in the above view. The easiest way to avoid this mistake is to visualise the RA and follow the hepatic vein draining into the IVC.