Internal bleeding systems, devices, and methods are disclosed that include a sensing module and a processing module. The sensing module has an ultrasound module and a communication module. The ultrasound module emits and receives ultrasound energy to and reflected from tissue in a patient and generates a reflected energy signal. The communication module transmits the reflected energy signal to the processing module. The processing module analyzes the reflected energy signal to determine if it indicates the presence of blood from internal bleeding in the patient.