II. Approach: Suprapublic View (Pelvis)
- See Suprapubic Ultrasound View
- Transducer positioning
- Placement: Low suprapubic region
- Axis
- Start with Long axis with indicator at 12:00
- Rotate to Short Axis with indicator at 9:00
- Direction
- Perpendicular to Pelvis - towards low Lumbar Spine
- Landmarks
IV. Interpretation: Findings
-
Bladder Distention
- Bladder Volume = Height x Width x Depth x 0.625
- Blood in Pelvis (Douglas Pouch)
- See Suprapubic Ultrasound View (See FAST Exam)
- Perform initially prior to Foley Catheter insertion (Bladder should be full to start)
- May be difficult to distinguish Bladder from blood in Pelvis
- Consider rescanning after urine drained with Foley Catheter