<p begin="00:00:15.338" end="00:00:17.481" style="s2">- We're gonna do the FAST exam,</p>
<p begin="00:00:17.481" end="00:00:19.857" style="s2">the pelvic view in a female now.</p>
<p begin="00:00:19.857" end="00:00:22.104" style="s2">Again we have the phase array transducer,</p>
<p begin="00:00:22.104" end="00:00:24.440" style="s2">here's our probe marker right here,</p>
<p begin="00:00:24.440" end="00:00:26.319" style="s2">I'm gonna start off with a sagittal view.</p>
<p begin="00:00:26.319" end="00:00:29.870" style="s2">And ideally, the<br />(slurred) bladder is full.</p>
<p begin="00:00:29.870" end="00:00:32.183" style="s2">So you go just above the symphysis pubis,</p>
<p begin="00:00:32.183" end="00:00:34.754" style="s2">so we're scanning down here sagittaly,</p>
<p begin="00:00:34.754" end="00:00:36.570" style="s2">and some of the anatomic landmarks</p>
<p begin="00:00:36.570" end="00:00:37.842" style="s2">that we're looking at,</p>
<p begin="00:00:37.842" end="00:00:39.802" style="s2">at the very top of the<br />screen is the bladder,</p>
<p begin="00:00:39.802" end="00:00:41.482" style="s2">which is an anechoic structure,</p>
<p begin="00:00:41.482" end="00:00:43.363" style="s2">fluid filled, obviously with urine,</p>
<p begin="00:00:43.363" end="00:00:45.292" style="s2">it's got nice walls around it.</p>
<p begin="00:00:45.292" end="00:00:47.500" style="s2">Just below that is the uterus,</p>
<p begin="00:00:47.500" end="00:00:49.548" style="s2">which is a pear-shaped organ.</p>
<p begin="00:00:49.548" end="00:00:50.908" style="s2">You can see it well visualized</p>
<p begin="00:00:50.908" end="00:00:52.772" style="s2">because the bladder is full.</p>
<p begin="00:00:52.772" end="00:00:53.605" style="s2">And just below that</p>
<p begin="00:00:53.605" end="00:00:55.772" style="s2">is a potential space, the Cul de Sac,</p>
<p begin="00:00:55.772" end="00:00:58.125" style="s2">where we can look for, very carefully,</p>
<p begin="00:00:58.125" end="00:01:01.186" style="s2">small amounts of free fluid.</p>
<p begin="00:01:01.186" end="00:01:02.495" style="s2">When we scan this patient,</p>
<p begin="00:01:02.495" end="00:01:04.192" style="s2">in this view, in the sagittal view,</p>
<p begin="00:01:04.192" end="00:01:06.871" style="s2">from the patient's left<br />to the patient's right.</p>
<p begin="00:01:06.871" end="00:01:09.234" style="s2">And we're slowly slowly scanning to see</p>
<p begin="00:01:09.234" end="00:01:11.808" style="s2">if there's any evidence of free fluid.</p>
<p begin="00:01:11.808" end="00:01:13.816" style="s2">Once we finish the sagittal view,</p>
<p begin="00:01:13.816" end="00:01:16.087" style="s2">we want to go ahead and<br />do a transverse view.</p>
<p begin="00:01:16.087" end="00:01:17.141" style="s2">What we're gonna do now</p>
<p begin="00:01:17.141" end="00:01:20.830" style="s2">is point the transducer marker<br />toward the patient's right.</p>
<p begin="00:01:20.830" end="00:01:23.677" style="s2">So we're gonna rotate that transducer,</p>
<p begin="00:01:23.677" end="00:01:24.941" style="s2">toward the patient's right.</p>
<p begin="00:01:24.941" end="00:01:27.734" style="s2">Again, we see the bladder<br />in the center of the screen.</p>
<p begin="00:01:27.734" end="00:01:30.381" style="s2">We're now gonna scan from inferior,</p>
<p begin="00:01:30.381" end="00:01:34.269" style="s2">just below the symphysis,<br />to more superior,</p>
<p begin="00:01:34.269" end="00:01:38.726" style="s2">and in between we're also<br />gonna identify the uterus.</p>
<p begin="00:01:38.726" end="00:01:41.965" style="s2">So we're going right to the<br />very top of the bladder,</p>
<p begin="00:01:41.965" end="00:01:42.880" style="s2">to about mid-bladder,</p>
<p begin="00:01:42.880" end="00:01:46.769" style="s2">we can see the uterus here in the center.</p>
<p begin="00:01:46.769" end="00:01:49.936" style="s2">A very small amount of free fluid here,</p>
<p begin="00:01:49.936" end="00:01:52.576" style="s2">which can be physiological as well.</p>
<p begin="00:01:52.576" end="00:01:55.993" style="s2">So we're scanning all the way inferiorly,</p>
<p begin="00:01:57.937" end="00:02:00.672" style="s2">to more superiorly, we see the uterus,</p>
<p begin="00:02:00.672" end="00:02:03.792" style="s2">we actually see part of the ovary there,</p>
<p begin="00:02:03.792" end="00:02:07.959" style="s2">and then we're gonna go all<br />the way more superiorly.</p>