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POCUS Made Easy: AAA

AAA scan is useful to look for a ruptured or leaking abdominal aortic aneurysm

  • Scan aorta transversely from diaphragm to bifurcation.
  • Save images at level of maximum diameter.
  • AAA defined as >3cm AP diameter

Pre-reading

1. Aorta Transverse View
  • Labelled AORTA TRANS
  • Measurement of AP diameter
  • OUTER to OUTER wall
2. Aorta Long View
  • Labelled AORTA LONG
  • Measurement of AP diameter
  • OUTER to OUTER wall
AAA probe POCUS

Image Sets

  • Minimum 2 Still Images
  • 2-4 images
  • Optional extra views- Proximal + Distal

Machine Settings

  • CURVILINEAR Probe
  • ABDO setting for all images
  • Penetration mode for obese/ gassy patients (as well as graded compression)

Documentation – POCUS AAA

  • Views: Adequate/ Inadequate
  • Findings: Negative / AAA (+/- thrombus)
Anatomical views
Positive Findings (always consider clinical context)

References and Further reading

Bendigo ED Resource PDF – AAA

Clinical Cases


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POCUS

made easy

MBChB FACEM CCPU. Emergency Physician at Bendigo Hospital and Royal Melbourne Hospital, Victoria. Australia.
I studied in Scotland before completing my Emergency Medicine training in Melbourne. I have a big interest in point-of-care ultrasound use and training in Emergency Medicine. I'm also interested in Choosing Wisely and sustainability initiatives in healthcare.
In my free time you'll find me playing tennis and soccer, or heading outdoors on camping trips.

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