<p begin="00:00:07.326" end="00:00:08.966" style="s2">- [Voiceover] A phased array transducer</p>
<p begin="00:00:08.966" end="00:00:10.768" style="s2">with an abdomen exam type</p>
<p begin="00:00:10.768" end="00:00:14.463" style="s2">is used to perform the<br />pelvis view of the fast exam.</p>
<p begin="00:00:14.463" end="00:00:17.238" style="s2">Place the transducer in<br />a transverse position</p>
<p begin="00:00:17.238" end="00:00:19.326" style="s2">with the orientation marker to the right</p>
<p begin="00:00:19.326" end="00:00:22.046" style="s2">at the level of the symphysis pubis.</p>
<p begin="00:00:22.046" end="00:00:25.136" style="s2">The pelvis is evaluated in two planes.</p>
<p begin="00:00:25.136" end="00:00:26.975" style="s2">It is easier to perform this exam</p>
<p begin="00:00:26.975" end="00:00:28.840" style="s2">when the bladder is filled.</p>
<p begin="00:00:28.840" end="00:00:30.951" style="s2">The bladder is used as an acoustic window</p>
<p begin="00:00:30.951" end="00:00:32.302" style="s2">to view the cul de sac</p>
<p begin="00:00:32.302" end="00:00:35.478" style="s2">or retrovesicular space for free fluid.</p>
<p begin="00:00:35.478" end="00:00:37.113" style="s2">To visualize the bladder,</p>
<p begin="00:00:37.113" end="00:00:40.830" style="s2">angle the transducer<br />inferiorly into the pelvis.</p>
<p begin="00:00:40.830" end="00:00:42.879" style="s2">If it is difficult to<br />visualize the bladder,</p>
<p begin="00:00:42.879" end="00:00:46.456" style="s2">slide to the left or right<br />of the symphysis pubis</p>
<p begin="00:00:46.456" end="00:00:48.646" style="s2">to bring the bladder into view.</p>
<p begin="00:00:48.646" end="00:00:51.313" style="s2">To evaluate the pelvis for free fluid,</p>
<p begin="00:00:51.313" end="00:00:55.480" style="s2">sweep the transducer from an<br />inferior to superior position.</p>
<p begin="00:00:56.314" end="00:00:59.499" style="s2">Fluid will appear hyperechoic or anechoic</p>
<p begin="00:00:59.499" end="00:01:01.994" style="s2">and accumulate posterior to the bladder,</p>
<p begin="00:01:01.994" end="00:01:05.569" style="s2">posterior to the uterus,<br />and between loops of bowel.</p>
<p begin="00:01:05.569" end="00:01:07.508" style="s2">To obtain a long access view,</p>
<p begin="00:01:07.508" end="00:01:09.952" style="s2">rotate the transducer 90 degrees</p>
<p begin="00:01:09.952" end="00:01:11.440" style="s2">with the orientation marker</p>
<p begin="00:01:11.440" end="00:01:14.273" style="s2">pointed toward the patient's head.</p>
<p begin="00:01:11.440" end="00:01:22.000" style="s2">Sweep the transducer across the pelvis from left to right</p>
<p begin="00:01:22.000" end="00:01:26.000" style="s2">to evaluate the pelvis for free fluid.</p>