Ultrasound imaging systems for automatically identifying and saving ultrasound images relevant to a needle injection procedure, and associated systems and methods, are described herein. For example, an ultrasound imaging system includes a transducer for transmitting/receiving ultrasound signals during a needle injection procedure, and receive circuitry configured to convert the received ultrasound signals into ultrasound image data. The image data can be stored in a buffer memory. A processor can analyze the image data stored in the buffer memory to identify image data that depicts a specified injection event of the needle injection procedure, and the identified image data can be stored in a memory for archival purposes.