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I know your first thought - is this for real?! The POCUS enthusiasts have gone off the rails again! Well - that very well may be the case, but hear me out- this is a fascinating idea. This article presents a novel strategy for searching for embolic etiologies in the acute phase of ischemic strokes (which means even climbing into CT with a handheld …
 
Ultrasound of the bowel is a relatively new application for POCUS users. It came into the spotlight proving itself with small bowel obstruction, but now we are slowly peristalsing even further down the colon of indications. You may be surprised to find that you can actually see diverticulitis on ultrasound, but it turns out it's not that hard! The …
 
You may have heard whispers of a magical new way to determine if your patient has too much fluid on board. The VExuS (Venous Excess UltraSound) grading system has been described as a way to use the IVC in combination with abdominal organ doppler in order to determine the degree of venous congestion. This is the first study that takes a look at the …
 
This week I share a pretty spectacular case where Dr. Rob Farrow et al present a patient in whom bedside ultrasound helped appropriately disposition the patient (check out the article here). My two favorite pearls for this are the fact that patients that have symptoms suspicious of COVID also can have other diseases (like heart attacks and PEs) AND…
 
We haven't discussed COVID-19 for a long time, despite the explosion of POCUS articles on how ultrasound can be used during this pandemic. Many of the articles have focused on the accuracy of POCUS for making the diagnosis, or comparing the ultrasound findings to those on CT. These are helpful, but now what we really want are studies that help esta…
 
This week I get the pleasure of sitting down (virtually) with Dr. Claire Heslop, a phenomenal educator and Emergency Physician in Toronto, Canada. We chat about a few of our choicest machine/patient/sonographer optimization tips. Check out the top pearls below: Make sure you have the right probe and have the ultrasound machine in the best setting f…
 
We are making some headway in the evidence behind using point-of-care ultrasound in aortic emergencies. This study takes a look at sensitivity and specificity for acute aortic dissection (which has been a few times before) and also compares POCUS to a control group to see if it causes delays or improves times to diagnosis or treatment (has not been…
 
A few months ago I had a wonderful conversation with Scott Weingart regarding the RUSH exam (which he invented) and the sonographic diagnosis of cardiac tamponade. If you'd like to hear Scotts 2019 update on the RUSH exam, click here. This week I'm cross-posting our interview where he asked me about how to diagnose this at the bedside. Check it out…
 
People have been using POCUS to diagnosis shoulder dislocation for a while now, although it is far from standard of care in most places. We have seen that it is really accurate compared to xray, but this well-done study adds some important information to the existing literature. They measure the glenohumeral distance in an attempt to make a quantif…
 
In this weeks podcast Jacob speaks with Zack Risler, who is the Director of Ultrasound Education for the residents at Thomas Jefferson in Philadelphia. Zack and I are both on the Ultrasound GEL podcast and a few months ago we started talking about our thoughts on resident education and decided to share it with you all! Enjoy! If you are interested …
 
This week we keep our basics series up and running! A few months ago I had the privilege of speaking at the Tennessee American College of Emergency Physicians Scientific Assembly and the talk I gave was entitled "Top Five Bedside Ultrasound Applications". Instead of a traditional "Top Five", I gave the two most life altering (COPD vs CHF and aortic…
 
This week I share with you a conversation that Dr. Kat Ogle and I had on medical education with emphasis on bedside ultrasound teaching. We recorded this on location in Cartagena, Colombia while doing some workshops for the Developing EM conference. This podcast will be the first in a series of podcasts on education since we are fortunate enough to…
 
Deep learning is a branch of artificial intelligence that holds a lot of promise for point-of-care ultrasound, but we don't have much data on how it performs. The fearless investigators in this fascinating study train a deep learning algorithm to recognize sonographic anatomy of the upper extremity and then pit it against expert POCUS users to see …
 
Placing a tube thoracostomy (aka chest tube) is a very useful procedure but can have complications of injuring the diaphragm or intraabdominal organs. Traditionally, the location for placement is selected using anatomic landmarks to find the correct intercostal space. This study questions the safety of this traditional location by using point-of-ca…
 
We are back with Part 2 of discussing POCUS research with renowned expert and researcher, Michael Gottlieb. More pearls, pitfalls, tips, and tricks to help you step up your POCUS research game. This is the final episode in this two-part special edition, and we wrap it up as always with some take home points!https://www.ultrasoundgel.org/93…
 
This week, Drs. Lindsay Reardon and Peter Weimersheimer talk to us about a case of shortness of breath they had in their community shop that ended up being a life-threatening pathology that was caught early enough to avoid the patient decompensating. Next week, we're publish part 2 of the podcast where we speak with the cardiologist on the case. In…
 
We have reviewed a lot of POCUS articles on this podcast, but we don't often talk about the process of performing a research study. On this episode, we bring on world-class POCUS expert and researcher Michael Gottlieb to discuss the ins and outs of performing, publishing, and reviewing ultrasound research studies. This is Part 1 of 2.https://www.ul…
 
Pediatric patients with suspicion of congenital heart abnormalities can be very intimidating! In this week's podcast Jacob speaks with one of our pediatric POCUS experts regarding congenital heart abnormalities and how the average provider might be able to evaluate them. Your point-of-care exam should never replace a cardiology-performed echo, but …
 
For peritonsillar abscesses, sometimes you need imaging to make the diagnosis clear. Many turn to CT, but ultrasound offers an appealing alternative. A transcervical approach can be used which is likely less uncomfortable than the intra-oral method. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergen…
 
It appears that there is a higher incidence of thrombotic events in COVID-19 patients, including upper and lower extremity DVT, MI, CVA and heart attacks. While there are many ways to diagnose thrombotic disease, point of care ultrasound is definitely an option. For a summary of the available literature on COVID-associated thrombosis, check out www…
 
Back in January 2020, I was in Vermont with Russ Horowitz. We had both been lecturing at Stowe EM and we got to talking about pediatric pneumonia. Russ told me about a case of a patient who was sent to his hospital with a radiographic diagnosis of pneumonia. Turns out the patient didn't have pneumonia, but had a thymus (which is a normal finding in…
 
The FASH exam is not just a typo when trying to write about the FAST exam. FASH stands for Focused Assessment with Sonography for HIV-associated Tuberculosis (TB). This exam combines various body areas to look for evidence of TB. You can look for extra fluid (pericardial, pleural, ascites), enlarged abdominal lymph nodes, and solid organ lesions (s…
 
Let's be honest: Musculoskeletal ultrasound is unlikely to save a patient's life. However, it can dramatically change your patients disposition and may help diagnose your patients with abnormalities much faster than without POCUS. This week, Jacob talks with Zachary Risler (@zrisler) about his thoughts on the sonographic evaluation of hip effusions…
 
In this video, Michael Prats, MD (guest host!) and Jacob Avila sit down with Yale Tung Chen and speak with him regarding his article, Results of a Prospective Study to Evaluate the Impact of Point-of-Care Ultrasound in the Enhancement of Gastrointestinal Bleeding Risk Scores. In this study, Dr. Chen showed that ultrasound was able to prognosticate …
 
This week, we talk with Dr Peter Weimersheimer and Dr. Lindsay Reardon regarding their experience using ultrasound in the era of COVID. Listen to the podcast to hear their thoughts on machine protection and decontamination, using portable devices and how to teach ultrasound. Interested in an online ultrasound fellowship? Check out www.ultrasoundlea…
 
We're (obviously) pro-ultrasound when it comes to diagnostic work-ups. This is especially true when you consider the overwhelming COVID pandemic. When using POCUS to evaluate your patients, you definitely don't want the machines to be a potential source of infection for your next patient. In this podcast, Mike and Jacob discuss their thoughts on ho…
 
It's not what you think - POCUS is not going to be used to diagnose a GI bleed. However, perhaps it can be used to risk stratify this diverse group of patients. These authors had the idea to check IVC, echo, and LVOT VTI to see if it could help predict which patients are going to have adverse events from their bleed.https://www.ultrasoundgel.org/89…
 
On March 10th we published part 1 of Cardiac Arrest Ultrasound with Cian McDermott. We usually like to publish part 2 right after part 1, but instead we published a series of 'casts on COVID and lung ultrasound. But now, the wait is over! Check out PART 2 of Cardiac Arrest Ultrasound with Cian McDermott where we ask ourselves rapid-fire questions! …
 
In this Podcast, Mike Mallin, Michael Prats and I speak with Marco Garrone (Twitter: @drmarcogarrone; Website: https://www.ultrasonica.net/), an Italian physician working on the front lines of Torino, Italy. Here, we talk specifics regarding COVID-19 and Ultrasound. Check out the podcast! Interested in an online ultrasound fellowship? Check out www…
 
COVID-19 is taking the world by storm, and not in a good way. As a medical community, we're scrambling trying to figure out how to best diagnose it and treat it. In this podcast, Mike Mallin, Mike Stone, Michael Prats and I talk about the literature and our experiences with it thus far. Check it out! Interested in an online ultrasound fellowship? C…
 
This week we get to hear from Cian McDermott, ED physician extraordinaire on his approach to cardiac arrest. In this podcast we discuss 1 vs 2 person POCUS, different ways to use it during arrest, and some of our favorite published protocols. If you want detailed show notes, check out www.coreultrasound.com, courtesy of Cian. If you're interested i…
 
This week our podcast features Claire Heslop (@RogueClaire), one of our Castlefest 2020 speakers and her amazing aorta and renal ultrasound talk she gave at Castlefest last year (2019). Also, *an important announcement*! Ultrasound Podcast, 5 Minutes Sono and Ultrasound of the Week are combining forces into a NEW website: www.CoreUltrasound.com. Ch…
 
We know that point of care ultrasound can be used to find evidence of urinary obstruction in patients with renal colic from a kidney stone. However, it is not clear how to put this into practice. Who should get an ultrasound? Who needs further testing after ultrasound? This article poses one protocol to see if it can help save time and money in the…
 
This week Jacob interviews Mike Stone, an Emergency Physician that works out in Portland, Oregon. Mike wears many hats, but the hat we’re going to be focusing on this week is that of an EM physician who is an expert on ultrasound-guided nerve blocks. In this wide-ranging conversation, we talk about tips on how to start doing nerve blocks if you’ve …
 
A focused cardiac ultrasound is commonly used in the evaluation of patients with possible pulmonary embolism (PE). Based on the literature to date, we know that this can be helpful for ruling in signs of right heart strain. On the other hand, so far, this focused exam has not been that helpful in ruling out PE. These authors try to fix that by opti…
 
This week we hear the podcast Rachel Liu and Jacob recorded at ACEP 2019 to discuss external certification for POCUS as well as how POCUS fellowships will be accredited in the future (Recorded live in the podcasting booth at ACEP 2019 in Denver, Co!)If you want a bigger summary, subscribe to our newsletter HERE. Learn live: Bendfest20.com and Castl…
 
This week we show you the caliber of lecture we have at our yearly Castlefest conference. In this video, Peter Weimersheimer walks us through his best tips and tricks for ultrasound-guided vascular access. If you want to learn more about Castlefest 2020, check out the website: www.castlefest2020.com. If you want to learn about our online fellowship…
 
This week we show you the caliber of lecture we have at our yearly Castlefest conference. In this video, Peter Weimersheimer walks us through his best tips and tricks for ultrasound-guided vascular access. If you want to learn more about Castlefest 2020, check out the website: www.castlefest2020.com. If you want to learn about our online fellowship…
 
This week, Russ Horowitz (PEM physician extraordinaire) talks to us about his approach to the diagnosis of pediatric pneumonia with ultrasound. We talk about how ultrasound compares to the physical exam, how to use this to help include the parents in the care of their children, how to actually perform the exam, and how to use your ultrasound even i…
 
This week, Russ Horowitz (PEM physician extraordinaire) talks to us about his approach to the diagnosis of pediatric pneumonia with ultrasound. We talk about how ultrasound compares to the physical exam, how to use this to help include the parents in the care of their children, how to actually perform the exam, and how to use your ultrasound even i…
 
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