We will cover fundamental TFAST echocardiography views for obvious abnormalities of the left- and right-heart, general systolic dysfunction, volume status, and soft tissue abnormalities missed or only suspected by thoracic radiography. The EPIC Guidelines and their mandated echocardiography measurements will be detailed. Fundamental TFAST echocardiography has clear advantages over the radiographic cardiac silhouette; and can detect cardiac-related pathology including masses and intracardiac heartworms. Practical everyday cases are used to show this approach’s clinical impact.