Ultrasound - POCUS US - trauma bay
- Small amount of hypoechogenic free fluid first seen in the Morrison's pouch is a red flag and a hard evidence of trauma. The decision of to perform a CT STAT is made at this point, the exam is shortened to a focused evaluation of large organs.
- More free fluid noted around the spleen, close to the lower pole of it a thin echogenic line is visible in the splenic parenchyma (see annotated image), indicating laceration. Most of the spleen seems to be vascularised. The exam was discontinued and the patient was transferred to the CT suite.
Note: This was a STAT bedside US performed in the ER. Annotation and image documentation are both nonstandard.