Ultrasound-based acoustic streaming for deciding whether material is fluid is dependent upon any one or more of a variety of criteria. Examples are displacement, speed (230), temporal or spatial flow variance, progressive decorrelation, slope or straightness of accumulated signal to background comparisons over time, and relative displacement to adjacent soft tissue. Echogenicity-based area identification is combinable with the above movement characteristic detection in the deciding. Fluid pool identification is performable from the area-limited acoustic streaming testing and ultrasound attenuation readings. Candidates from among the areas (210) are screenable based on specific shapes or bodily organs detected. Natural flow can be excluded from streaming detection by identification of blood vessels (206). Processing for each FAST ultrasound view (202), or for the entire procedure, is performable automatically, without need for user intervention or with user intervention to identify suspected areas.