Cover image of Ultrasound Podcast
(95)
Health & Fitness
Medicine
Science

Ultrasound Podcast

Updated 3 days ago

Health & Fitness
Medicine
Science
Read more

Making horrible doctors decent and good doctors GREAT at Ultrasound

Read more

Making horrible doctors decent and good doctors GREAT at Ultrasound

iTunes Ratings

95 Ratings
Average Ratings
89
2
1
2
1

Fantastic way to make POCUS part of your practice

By Greatfulman1 - Jun 01 2019
Read more
Informative, entertaining and simply an incredible way to access the many facets of POCUS

Everything you wanted to know about US

By @TDsimaginaryBFF - Dec 04 2017
Read more
Amazing, fantastic, entertaining podcast that is very informative. Trail blazing

iTunes Ratings

95 Ratings
Average Ratings
89
2
1
2
1

Fantastic way to make POCUS part of your practice

By Greatfulman1 - Jun 01 2019
Read more
Informative, entertaining and simply an incredible way to access the many facets of POCUS

Everything you wanted to know about US

By @TDsimaginaryBFF - Dec 04 2017
Read more
Amazing, fantastic, entertaining podcast that is very informative. Trail blazing

Listen to:

Cover image of Ultrasound Podcast

Ultrasound Podcast

Updated 3 days ago

Read more

Making horrible doctors decent and good doctors GREAT at Ultrasound

MSK ultrasound with Mark Goodman

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Looking to do more than put ’em in a splint and give ’em followup? Wanna be a MSK ninja with all the injection aspiration skills of a Jedi? Then you’ve found the podcast to watch. This lecture was recorded at Bendfest 2018, and brings all the joints to the yard.
#FOAMed
#Bendfest2018

Wanna learn more in person. Bring yo’self to Castlefest

Aug 20 2018

Play

The Summer of Failure featuring @criticalcarenow.  Get the Right Heart Right! #FOAMED #GangnamStyle

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Why don’t the right heart get no respect?!?!

We think it should, and so does our good buddy and brilliant critical care doctor, Haney Mallemat.  This is maybe the best right heart talk you’ll ever hear.  No…..wait…..this IS the best right heart talk you’ll ever hear!  If you know Haney, you know he’s the man.  Now hear him tell you why you should care about the right heart, and how to care for the right heart.  Your mind ready to be blown???

Stay tuned for an interview with him about this exact stuff very soon.

Follow us:  @ultrasoundpod

Learn with us:  www.ultrasoundleadershipacademy.com

Register:  Castlefest 2016DevelopingEM Cuba CourseAtlantis CME Bahamas Course

FREE Introduction to Bedside Ultrasound eBook:

Volume 1

Volume 2

One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Jul 28 2015

32mins

Play

Serratus story and interview with Patrick Ockerse and Mike Stone @probeme @bedsidesono #FOAMed

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What use is knowing how to do a Serratus block without a good story of it in action?

As usual, we’ve got you covered. On this podcast we talk with Patrick Ockerse, Ultrasound Director and Fellowship Director at the University of Utah, about a recent case where the serratus block made all the difference. And to help us deep dive into the serratus block, academic style, we’ve got a special guest appearance from the one, the only, Dr Mike Stone. Bring on the rib fractures!
Follow us:  @ultrasoundpod @ultrasoundmd
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone Ultrasound Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

May 21 2017

Play

DVT Ultrasound demonstration with @bedsidesono.  The whole upper leg approach.  #FOAMED

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OK, 2 points not quite good enough.  How much better is the whole upper let approach?  Not sure.  But it’s probably better.  So, here’s how to do it.  We’re gonna discuss a little more, then we’ll actually do this thing.

@ultrasoundmd, Jacob Avila, was kind of enough to loan us his leg so we can demonstrate.  We use some really sweet technology, the Epiphan DVI video grabber, which we’re now using with the Ultrasound Leadership Academy to demonstrate remotely.  I’m in a hotel in West Virginia with Jacob (don’t ask), and Stone is in Boston.  We think it’s a sweet setup that allows us pretty cool remote education capabilities.
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone CourseDevelopingEM Cuba CourseAtlantis CME Bahamas Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS
One Minute Ultrasound Smartphone App for Android

May 14 2015

17mins

Play

The Summer of Failure continued with @criticalcarenow Right Heart ultrasound interview.  #FOAMED

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So, you watched the last episode and you loved it!  Right…..right?  Of course you did.  Haney is incredible.  The only problem was that you wanted even more Haney and right heart.  So, we’ve fixed that problem by bringing him on again.  We had some questions, and you probably did as well.  Listen in, learn, and enjoy!

Talk to you soon!
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Castlefest 2016Atlantis CME Bahamas Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS
One Minute Ultrasound Smartphone App for Android

Aug 13 2015

20mins

Play

RV enlargement in arrest, and how it’s not always a PE

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While preparing for a recent grand rounds lecture, I uncovered something rather interesting: The fact that the RV can enlarge during cardiac arrest independently of the presence of a pulmonary embolism. It turns out that the data showing RV enlargement as a marker of a pulmonary embolism is actually mostly extrapolated from alive patients (in which it has been shown to be a pretty good marker of submassive and massive PE).  There is very minimal data on RV enlargement in arrest in humans, but there are some animal studies that suggest that the RV enlarges in many causes of arrest, including hypoxia and arrhythmias.  
Check out the podcast, and the summary of the literature on the PDF below:

PDF SummaryDownload

Aug 20 2019

Play

Lung Ultrasound Basics part 1:  Pneumothorax and Pulmonary Edema with @ultrasoundmd.  #foamed. Also, www.cabofest2017.com!!

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We’re still in the Spring into the basics series, and we’ve got @ultrasoundmd, Jacob Avila, on yet again to help us educate you folks.  This time he gets to talk about his favorite topic in the world, lung ultrasound!

Also, we’re putting on a mini-castlefest and mini-resusfest……on the beach……in January.  It’s going to be awesome!  You know you’re going to need some sunshine and awesomeness come mid January.  It’s Jan 11-13, but with very limited spots.  We have room about about 30% of our normal course size as it’s a pretty luxe, all inclusive, exclusive place where we just don’t much room.  Scoop up one of the spots and come join us!
Register HERE.
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone Ultrasound CourseCabofest Ultrasound Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

May 21 2016

Play

TAP Block with @bedsidesono.  Also….AtlantisCME with @emcrit, @criticalcarenow, @EMswami, @emergencypdx, Sloas & others

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You’re just now coming down from your nerve block high off of SCP and Tibial block goodness, but we’ve got another for you!  It’s a block that isn’t super common, but it’s got some really nice potential in the right patient.

Obviously we’ve got the nerve block man, Mike Stone, on to talk about this one.  Who else would, right?!?  At the end stay tuned to hear a special announcement about an incredible course with Scott Weingart, Haney Mallemat, Rich Levitan, Andy Sloas, Anand Swaminathan, and Rob Orman.

And see you next time when we talk about DVT ultrasound and whether what we’ve been teaching for several years is total crap……
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone CourseDevelopingEM Cuba CourseAtlantis CME Bahamas Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS
One Minute Ultrasound Smartphone App for Android

Apr 20 2015

Play

Superficial Cervical Plexus Block with @bedsidesono.  Trust us, this is really awesome…#FOAMED

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What do you mean you don’t know how to do the superficial cervical plexus block?!?!  Yeah, neither did we until a little over a year ago when Mike Stone showed us.  Then we realized how useful it is……and we were ashamed.  We were ashamed we weren’t using it more often.

Clavicle fracture, IJ placement, ear lacerations!  The SCP block is super helpful in all these situations.  So let’s learn together.  We don’t consider ourselves masters of this block yet so we got The Nerve Block Master, Mike Stone on the podcast to go over this in more detail.  We’re going to use an Ultrasound Leadership Academy video to show you how to do this, and then we’ll ask Stone all the questions you have about this block.  If we don’t, tweet to us and him, and we’ll get your questions answered. Next podcast……DVT ultrasound.  Is 2 point compression really good enough?  Some recent evidence says maybe not.   Let’s discuss!

In this episode

:27 – Ice slip
1:22 – Central line placing
3:00 – Here we go!
6:53 – Risks?
8:40 – Coverage
11:45 – Landmark techniques
15:18 – Depth & angles
17:26 – Ultrasound process
26:01 – 1 spot?
27:48 – the EMC

Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course Introduction to Bedside Ultrasound: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Mar 13 2015

33mins

Play

RUSH exam update with it’s Inventor: Scott Weingart

Podcast cover
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The RUSH exam has been around for at least 13 years, and it’s time for a review from one of the innovators who first coined the phrase “Rapid Ultrasound in Shock and Hypotension”.  Scott has the perspective of a resuscitationist who uses ultrasound, and needs this exam to be as efficient as possible. Listen to the podcast to hear his thoughts. Caution: If you’re listening with children, this episode has a bit of strong language. 
*A couple of clarifications: During the podcast I mentioned that I’ve done a bunch of research on DVT. I’ve done absolutely no clinical or laboratory research on DVT’s, but I’ve definitely read a bunch of articles. Also, during the podcast I mentioned a systematic review/meta-analysis that shows that when a DVT is found in a patient in whom there is suspicion of PE, the +LR was 16.2.  Here’s the pubmed ID: 16052017).  Also, if you’re unfamiliar of the LLS score, check out this link.


Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy!

Sep 21 2019

Play

Tibial Nerve Block with @bedsidesono.  Free Yellowstone Scholarship for students! #FOAMED.

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So you totally loved the SCP block, huh!  We heard from lots of you that you tried it out and it was super dope.  So, we’re bringing you another block episode that’s gonna take your pain and procedure game to the next level.  This time it’s the tibial nerve block.  Easy, simple, and effective.  This is one you need in your arsenal.

Some other stuff’s happening as well.  Students, if you want to come to Yellowstone with us, we have a couple scholarships we’ve created for medical students.  Email matt@ultrasoundpodcast.com to claim one.  First come, first serve.

Also, want to visit Cuba?  We thought so.  Register for Developing EM and come to Cuba, hang with us, and learn with us.  It’s gonna be incredible!

Lastly, if you want to check out Castlefest this year without actually being there you’re in luck!  Follow us on twitter @ultrasoundpod, and download the Periscope App and you can catch lots of it live, while it’s happening.
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone Course  
Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS
One Minute Ultrasound Smartphone App for Android

Apr 07 2015

13mins

Play

How to run a better code with @edecmo & @criticalcarenow.  #FOAMED.  #Haneyissosneaky!

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Well, we’ve learned our lesson about locking our door when Haney is town.  Apparently he’s broken into our home/studio and recorded this podcast on running a better code.  There’s literally NOTHING in this video about ultrasound……but we’re letting it slide.  It’s an incredible talk by Zach Shinar from Resusfest last year, and it may just save some lives if you listen to it and put it into practice.

Stay tuned for some new awesome ultrasound stuff coming up in the near future.  In the meantime, go to www.castlefest2017.com to register for Castlefest or Resusfest.

Oh, yeah, we almost forgot to mention Sonoscandinavia!  We’re having an incredible course in Norway in February this year.  If interested, go to www.sonoscandinavia.com and register.
Follow us:  @ultrasoundpod @ultrasoundmd
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Cabofest Ultrasound CourseSonoscandinaviaCastlefest 2017Yellowstone Ultrasound Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Nov 08 2016

Play

The FAST exam is often the first ultrasound exam we teach.  But… It is useful?

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Check out Mike and Jacob as they discuss how the FAST exam can and should be used in 2019. #FOAMed #Meded

Signed up for CastleFest 2019 yet?  If not, what are you waiting for??!? Register at castlefest2019.com today.

Jan 07 2019

Play

Intrauterine Ketamine?  Find out more on late pregnancy US part 2 with @broomedocs.  #FOAMED

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Late pregnancy ultrasound…….not something we do much.  Fortunately, Dr. Casey Parker from the Broomedocs blog does.  So here he is to finish up the lesson.  Mike also asks some questions that we know you’ve been thinking…..

Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Castlefest 2016DevelopingEM Cuba CourseAtlantis CME Bahamas Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS
One Minute Ultrasound Smartphone App for Android

Jul 15 2015

Play

What does the Fox say about Gallbladder Ultrasound?  Listen up and find out!  #FOAMED

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Did you miss the event that was Castlefest last year?  Shame on you!  Luckily for you, we’re bringing the education straight to your earbuds from the conference.  Here’s the amazing Chris Fox teaching about gallbladder ultrasound.  Sure, you know how to scan the gallbladder, but a quick refresher from the legend, Chris Fox, is always appropriate.

If you don’t want to miss the experience that is Castlefest this year, then go register now before it’s sold out!
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Cabofest Ultrasound CourseCastlefest 2017yellowstoneultrasound.com
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Sep 19 2016

Play

Bendfest 2019 Day 1 Summary!

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A few weeks ago we had a wonderful time in Bend, Oregon
during Bendfest 2019.  We got some
mountain biking in, some hiking in, some river floating in and ate some great
food!  We wanted to share the choicest
pearls from our phenomenal lecturers on some of the topics they covered.  Check out the summary of day 1!

Peter Weimersheimer
(Cardiac):

  • Find the beating thing first.
  • Use lots of gel, and lot of pressure to get your
    view.
  • Get your ultrasound beam parallel with the heart.
  • Start your exam with your patient in the left
    lateral decubitus position.
  • Do one maneuver at a time (rotate, fan, rock,
    etc).
  • Start with the probe at the clavicle/sternal
    interface, slide down until you see the heart.
  • You don’t always need all the 4 views of the
    heart.
  • If ventricle is round, subtle hand rotations
    will fix.
  • #1 point – Just use bedside echo.

Ben Smith (Aorta,
renal)

  • If you think you see mild hydro, use color flow to differentiate between mild hydro and prominent renal vessels
  • Scan from the back; the ribs are farther away from each other back there so may get better windows.
  • We aren’t good at finding the actual ureteral stone, but were pretty good at hydro
  • For getting past bowel gas when looking at the aorta – start up high where there is less gas (epigastric). Then when you come up on gas, use other hand to apply steady pressure (often 30-60 seconds). Use curvilinear probe, hurts less than the phased array.
  • Transhepatic view of aorta – not bad for aneurysm, but not great for dissection
  • We are good at looking at the aorta as long as we can actually see the aorta. Research that show great accuracy of bedside sonographic aorta exam only included studies where the aorta was able to be visualized.

If you are interested
in an online ultrasound fellowship, please check out
ultrasoundleadershipacademy.com!

Jul 22 2019

Play

Lung Ultrasound part 2.  Pulmonary Edema with @ultrasoundmd.  #FOAMED. Check out www.cabofest2017.com before it’s too late!

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Finishing up the spring back to the basics series with lung ultrasound.  Let’s keep it basic and talk about pulmonary edema.

How good is ultrasound for this exactly?  How does it compare to the physical exam and X-ray?  Let’s find out!

Also, don’t forget to come learn with us in January in Cabo!  It’s gonna be phenomenal!
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Cabofest Ultrasound Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Jun 02 2016

Play

Renal Ultrasound with @nobleultrasound. Hydro, twinkling, and Jets, oh my! #FOAMED

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We’re still springing into the basics here on The Ultrasound Podcast, and that means renal ultrasound on this episode.  There’s not much more basic than renal ultrasound, but we’ve got some stuff to discuss.  First off, big evidence recently that REALLY SHOULD be changing our practice.  Also, we know you’re good with hydro, but what about jets and twinkling?  Useful or just a party trick?  Let’s discuss!

Lastly, you can get CME credit from ACEP for this episode if you’re interested.  Go HERE for that.
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Yellowstone Ultrasound Course
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Apr 27 2016

Play

Spring Into the Basics Series!  Central Lines Part 1 with @ultrasoundmd.  #foamed.

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Spring has sprang……sprong…..sprung….whatever!

It’s getting warmer outside if you’re in the Northern Hemisphere.  So, let’s spring into the basics.  We’re gonna release in rapid fire succession a whole bunch of basic podcasts!

First up:  Central Lines!

This very well may be the biggest way to reduce complications and improve your practice if you’re not already doing it.  We convinced Jacob Avila, from 5 minute sono to tackle this first topic with us.  It’s gonna come at you in several parts.  Starting with “WHY?”.  Next one to follow in a few days…….stay tuned.

Oh yeah, if you haven’t registered for Castlefest it’s probably too late.  Go to the website and check it out.  If it is sold out……that’s OK.  Just hop over to the Yellowstoneultrasound.com site if you still want to come learn with us.  See you there!
Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Castlefest 2016Yellowstone Ultrasound CourseResusFest
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Mar 24 2016

Play

Ultrasound in Sepsis.  Be 22% more accurate in diagnosing Sepsis in 10 minutes!  #FOAMED 

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We all know that ultrasound helps us be more accurate and fast in making diagnosis and getting our sick patients appropriately treated.  Now we have proof!  THIS study proves just how much quicker we are with ultrasound.  Let’s discuss exactly how much of a difference it can make for you and your patients.

Follow us:  @ultrasoundpod
Learn with us:  www.ultrasoundleadershipacademy.com
Register:  Cabofest Ultrasound CourseCastlefest 2017
FREE Introduction to Bedside Ultrasound eBook:
Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS

One Minute Ultrasound Smartphone App for Android

Aug 08 2016

Play

@RussUltrasound shares his approach to #POCUS and #pneumonia

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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 if the culture in your hospital is to get XR.


Here are the references Russ is referring to in the podcast:

https://www.ncbi.nlm.nih.gov/pubmed/28835381
https://www.ncbi.nlm.nih.gov/pubmed/29931473
https://www.ncbi.nlm.nih.gov/pubmed/25780071

Learn live: Bendfest20.com and CastleFest2020.com

Looking for an extended fellowship? Look no further: ULA

Dec 02 2019

Play

Let’s talk M-mode

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M-mode (Motion Mode) is another way the ultrasound machine interprets the sonographic data it receives.  There are multiple applications of M-mode, but one application we should definitely NOT use M-mode is in the evaluation of IVC collapse Check out the podcast for more info!

Learn live: Bendfest20.com and CastleFest2020.com

Looking for an extended fellowship? Look no further: ULA

Nov 22 2019

Play

A new (and possibly the best) marker for submissive and massive PE?

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Recently, Dr. Ben Smith showed me this article, entitled “A Doppler Echocardiographic Pulmonary Flow Marker of Massive or Submassive Acute Pulmonary Embolus”.  It talks some pretty interesting stuff, including showing us a finding that apparently, might be better than all the other echocardiographic findings we have for ruling in and ruling out submissive and massive PE.  It’s called Early Systolic Notching, and it outperformed McConnell’s, the 60/60 sign, and acceleration/deceleration times.  Check out the graphic (produced by Ben Smith) and the podcast, which was cross posted on the Ultrasound GEL podcast earlier this week. 
Registration for Castlefest 2020, our ultrasound conference in Lexington Ky, IS LIVE! Click here to learn more

https://www.castlefest2020.com/

Interested in an online ultrasound fellowship?  Click here to find out more. 

Nov 14 2019

Play

VTE and Nerve Blocks w/ Cian McDermott

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I had the opportunity to hang out with Cian McDermott in Dublin for a conference on one of my favorite topics: Venous thromboembolism.  This week, we discuss some salient VTE topics as well as our thoughts on ultrasound-guided nerve blocks.  

Registration for Castlefest 2020, our ultrasound conference in Lexington Ky, is live! Click the following link to learn more. 

Interested in an online ultrasound fellowship?  Click here to find out more

Oct 28 2019

46mins

Play

Mike Prats and Jacob Avila talk about their approach to sonographic evaluation of a patient with suspected heart failure.

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There is a fair bit of literature out there that touches on the sonographic diagnosis of heart failure in the ED.  Recently I was fortunate enough to speak with Michael Prats regarding our approaches to CHF and Ultrasound.


CASTLEFEST 2020 registration is live!  Ultrasound with national experts in beautiful Lexington, Ky.  Check out the website here: 

https://www.castlefest2020.com/

Interested in an online ultrasound fellowship?  Check out the 
Ultrasound Leadership Academy!

Oct 15 2019

Play

RUSH exam update with it’s Inventor: Scott Weingart

Podcast cover
Read more

The RUSH exam has been around for at least 13 years, and it’s time for a review from one of the innovators who first coined the phrase “Rapid Ultrasound in Shock and Hypotension”.  Scott has the perspective of a resuscitationist who uses ultrasound, and needs this exam to be as efficient as possible. Listen to the podcast to hear his thoughts. Caution: If you’re listening with children, this episode has a bit of strong language. 
*A couple of clarifications: During the podcast I mentioned that I’ve done a bunch of research on DVT. I’ve done absolutely no clinical or laboratory research on DVT’s, but I’ve definitely read a bunch of articles. Also, during the podcast I mentioned a systematic review/meta-analysis that shows that when a DVT is found in a patient in whom there is suspicion of PE, the +LR was 16.2.  Here’s the pubmed ID: 16052017).  Also, if you’re unfamiliar of the LLS score, check out this link.


Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy!

Sep 21 2019

Play

Why We Shouldn’t Call Our Ultrasound “Informal”

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What we do matters.  Our bedside ultrasound often changes management and saves lives. So why are we calling our scans “informal”? We might not always say that outright, but I frequently hear our residents and staff call a radiology or cardiology performed ultrasound a “formal” scan, implying that what we do is informal.  I have nothing but respect for the vast knowledge and experience that our consultant colleagues bring to the table, but what we do is also “formal”, albeit its usually a limited exam compared to the comprehensive scans they do. 
While pondering on this, I decided that I might be able to convince people that what I do at the bedside is formal….by performing ultrasounds whilst wearing the most formal attire I could buy off of Amazon.  I was fortunate enough to be joined by Nik Theyyunni, Rob Huang and Creagh Boulger at GLUC (Great Lakes Ultrasound Consortium) a few months ago in Cincinnati, and they were nice enough to sit down with me and record our thoughts. You can definitely hear the audio podcast, but make sure to check out the Youtube page to see us in our whole get-up. 


Interested in an online ultrasound fellowship? Check out the Ultrasound Leadership Academy!
Interested in an in-person fellowship, check out the University of Kentucky’s Ultrasound Fellowship!

Sep 12 2019

Play

Should We Use Tegaderms for Ultrasound-Guided IV’s?

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Over the past year there has been a small bit of controversy regarding the best way to make sure that we aren’t causing iatrogenic infections when placing ultrasound-guided IV’s. To be honest, I took it for granted that tegaderms should be used when we do this potentially life-saving procedure.  Recent posts from ALiEM and EMRAP made me question the utility of these adhesive barriers.  After much research, it turns out that tegaderms are probably perfectly fine to use.  In this podcast, Dallas Holladay, Michael Gottlieb and I sit down to talk about our interpretation of the literature behind using tegaderms for ultrasound-guided IV’s.  Check it out!
If you’re interested in an online ultrasound fellowship, check out the Ultrasound Leadership Academy

Aug 27 2019

Play

RV enlargement in arrest, and how it’s not always a PE

Podcast cover
Read more

While preparing for a recent grand rounds lecture, I uncovered something rather interesting: The fact that the RV can enlarge during cardiac arrest independently of the presence of a pulmonary embolism. It turns out that the data showing RV enlargement as a marker of a pulmonary embolism is actually mostly extrapolated from alive patients (in which it has been shown to be a pretty good marker of submassive and massive PE).  There is very minimal data on RV enlargement in arrest in humans, but there are some animal studies that suggest that the RV enlarges in many causes of arrest, including hypoxia and arrhythmias.  
Check out the podcast, and the summary of the literature on the PDF below:

PDF SummaryDownload

Aug 20 2019

Play

This week we talk with @probeme and @ER_Dr_ummer and discuss best practices for US-guided vascular access and cardiac arrest. Recorded live at #Bendfest19!

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The last day of Bendfest 2019 was bittersweet.  I was a phenomenal day of education, idea exchanges and friendship, but also it was the last day.  In this summary, I sit down with Justin Cook to talk about his top tips for being a master of the ultrasound-guided vascular access, and I give you a sneak peek of Patrick Ockerse’s phenomenal talk on ultrasound in cardiac arrest. Check it out!

Check out our other ventures

www.ultrasoundleadershipacademy.com – Online ultrasound fellowship

www.5minsono.com – Short videos on how to perform exams

www.ultrasoundGEL.org – Audio ultrasound journal club 

www.ultrasoundoftheweek.com/tools – If you want to learn to create content, definitely check this out. 

Aug 14 2019

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Jacob sits down w/ @CreaghB & @SonoMojo to talk about #POCUS in shock and pregnancy

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Day 2 of Bendfest 2019 is drifting further in the past, but that doesn’t mean we can’t relive it! In this interview summary, Jacob sits down with Creagh Boulger and Jenn Cotton and they talk about ultrasound in shock and pregnancy.  Here are the salient points: 

Creagh Boulger (Ultrasound in Shock)

  • Mnemonics can be helpful, but not every patient needs the same exam every time.  
  • First step for Dr. Boulger: Is it the pump (cardiac contractility) and/or is it the pipes (Preload)?
  • Other things can cause shock that aren’t in the typical hypotensive algorithm (Gallbladder, Soft tissue, etc)

Jenn Cotton (Pregnancy)

  • Don’t get tricked by the hCG! You can have ruptured ectopics at hCG = 0. Additionally, viable pregnancies with hCG levels above the “discriminatory zone” and not visualized on US can still be viable
  • Our job is to RULE IN uterine pregnancies, not RULE OUT ectopics. 
  • Fertility treatments increase risk of heterotopic ultrasounds
  • Don’t be scared of performing a transvaginal ultrasound. 

Day 3’s summary will be out soon!
If you’re interested in an online ultrasound fellowship, check out www.ultrasoundleadershipacademy.com

Aug 07 2019

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Jacob sits down with @jchristianfox to talk about his journey integrating #POCUS into #Medschool

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Dr. Chris Fox is one of the trailblazers in integrating ultrasound into medical school education. This week, I got the opportunity to interview him and hear a bit of his story, get some tips and talk about the 7th Annual World Congress of Ultrasound in Medical Education.  If you want to see a video of the interview, check out our youtube page
Interested in an online ultrasound fellowship?  Check out ultrasoundleadershipacademy.com

Jul 30 2019

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Bendfest 2019 Day 1 Summary!

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A few weeks ago we had a wonderful time in Bend, Oregon
during Bendfest 2019.  We got some
mountain biking in, some hiking in, some river floating in and ate some great
food!  We wanted to share the choicest
pearls from our phenomenal lecturers on some of the topics they covered.  Check out the summary of day 1!

Peter Weimersheimer
(Cardiac):

  • Find the beating thing first.
  • Use lots of gel, and lot of pressure to get your
    view.
  • Get your ultrasound beam parallel with the heart.
  • Start your exam with your patient in the left
    lateral decubitus position.
  • Do one maneuver at a time (rotate, fan, rock,
    etc).
  • Start with the probe at the clavicle/sternal
    interface, slide down until you see the heart.
  • You don’t always need all the 4 views of the
    heart.
  • If ventricle is round, subtle hand rotations
    will fix.
  • #1 point – Just use bedside echo.

Ben Smith (Aorta,
renal)

  • If you think you see mild hydro, use color flow to differentiate between mild hydro and prominent renal vessels
  • Scan from the back; the ribs are farther away from each other back there so may get better windows.
  • We aren’t good at finding the actual ureteral stone, but were pretty good at hydro
  • For getting past bowel gas when looking at the aorta – start up high where there is less gas (epigastric). Then when you come up on gas, use other hand to apply steady pressure (often 30-60 seconds). Use curvilinear probe, hurts less than the phased array.
  • Transhepatic view of aorta – not bad for aneurysm, but not great for dissection
  • We are good at looking at the aorta as long as we can actually see the aorta. Research that show great accuracy of bedside sonographic aorta exam only included studies where the aorta was able to be visualized.

If you are interested
in an online ultrasound fellowship, please check out
ultrasoundleadershipacademy.com!

Jul 22 2019

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Ultrasound Image Review pearls with Patrick Ockerse, MD.

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This week, we had the pleasure of sitting down with Patrick
Ockerse, MD at Bendfest 2019, a 3 day ultrasound event in Bend, Oregon.  Dr. Ockerse is the ultrasound director at the
University of Utah in Salt Lake City, Utah and part of his job is to review
ultrasound images performed in his emergency department. Mike was formerly the
ultrasound director in Utah and Jacob has a very similar job as the ultrasound
director at the University of Kentucky in Lexington, Ky.  This week, we sit down and talk about the
errors we most commonly see when performing our image review sessions.  Here are some tips:

Basics:

  • Depth – Make sure that the image you’re trying
    to see is as big as you can make it. 
    Don’t have any wasted space in your clips or images.
  • Gain – Make sure your image is bright
    enough.  But don’t over gain!
  • Exam type – If you’re doing a FAST exam, don’t
    scan in the “lung” setting. 
  • Video clips – Be conscientious of the clips and
    images you take.  Focus on the thing you
    want to record and record a long enough clip of it, but also don’t record
    multiple clips of subpar exams.

Specific exams:

  • DVT – Make sure that the vein you’re evaluating
    is actually a deep vein. Deep veins
    paired, while superficial veins may be solitary.  Also, don’t confuse a lymph node for a DVT.
  • FAST exam – Slow sweeps of the regions your
    evaluating.  Fast sweeps can miss subtle
    fluid collections. Don’t forget to look at the inferior pole of the
    kidney/caudal tip of the liver interface on the right side.  Be careful with the seminal vesicles in the
    pelvis.
  • Intrauterine pregnancy (IUP) – Make sure that
    gestational sac is actually inside the uterus.
  • ThoraxMake
    sure to look at the back of the thorax when evaluating your patient with
    suspected pneumonia
  • Aorta vs IVC – To identify the IVC, first find
    the right atrium then look for the thing coming off of the right atrium. That’s
    your IVC.  Know your left and your
    right.  Most of the time, the IVC will be
    on the patient’s right.  Also, put color
    flow on it.  The less pulsatile one is
    the IVC.

General

  • We do quality assurance (QA) to make sure that
    our ultrasound examinations are the best they can be.  We should aim to give negative feedback
    privately and commend when we see excellence!

Jul 17 2019

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Lateral Water bath technique for evaluation of hand infections with Jenn Cotton!

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We love talking about super advanced ultrasound applications, but its important to make sure we understand the basics.  Soft tissue ultrasound probably has a greater effect on patient dispositions and treatment than most of our other ultrasound applications due to the sheer volume of soft tissue infections we see.  I recently (virtually) sat down with Jenn Cotton and discussed a technique she developed with Mike Prats for evaluating hand infections.  If you need a review on how to evaluate soft tissue infections on ultrasound, check out the 5 Minute Sono abscess vs cellulitis 2019 update video and the 5 Minute Sono necrotizing soft tissue infection 2019 update and if you want to see a video on how to perform the technique we discuss with Jenn, check out our youtube page


Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy

Jul 09 2019

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Are you holding the probe correctly?

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Sometimes we have to get back to our basics and just, make sure we’re holding the probe correctly.  This is especially relevant considering we all have new residents this month (It is July, after all!).  In this podcast, Cian McDermott sits down with Jacob to discuss his tips for how to hold the probe and how to position yourself to get your best images.  Jacob’s favorite tip? Don’t treat the probe like a dirty sock.  Check out the podcast to learn more!
Interested in an online ultrasound fellowship?  Check out

http://ultrasoundleadershipacademy.com/

Jul 02 2019

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Jacob sits down with Srikar Adhikari to talk about #ArtificialIntelligence and #POCUS.

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Is Skynet around the corner? Remember Terminator? That was set in 2029, 10 years away.  Maybe that’s a little dramatic, but AI, artificial intelligence, is already present in daily medicine and we’re starting to see it in point of care ultrasound as well. In this episode Jacob sits down with Srikar Adhikari, man, myth, legend of POCUS and they wax extensionally about AI in point of care ultrasound. Education, feedback, accuracy, and the future of AI in POCUS. Join us and learn something instead of letting the computers learn it for you.
Want to come scan with us in Bend, Oregon? Go to Bendfest19.com

Want to participate in an online ultrasound fellowship?  Check out ultrasoundleadershipacademy.com

Jun 17 2019

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Current Point of Care Machines

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This week Mike and Jacob sit down and talk about their thoughts on current point of care machines, including the cart based machines, the laptop machines, and the tablet/phone ultra-portable machines.  A lot of the discussion right now is regarding Butterfly and its utility in patient care scenarios. If you want more on the comparison between the Butterfly Is and the Philip Lumify machine, check out this podcast we did a few weeks ago.  Also, if you would like to see my review on the new GE Venue Go machine, check out the youtube page.

If you want hands-on time with us and some great didactics this coming July, check out Bendfest 2019!

Interested in an online ultrasound fellowship? Check out the ULA!

Jun 10 2019

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@EMSwami on Learning and Utilizing Ultrasound

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During Castlefest we had the honor of sitting down with Anand Swaminathan to hear his thoughts on learning and utilizing ultrasound even if you didn’t necessarily learn it in residency. Check it out!

If you want to come hang out with us in Bend, Oregon, go to Bendfest19.com.  Want to come free of charge courtesy of G.E.? Email us to tell us why you think you deserve it.

Want to participate in a year long online fellowship? Go to Ultrasoundleadershipacademy.com.

May 27 2019

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Day 4 #Castlefest19

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The LAST DAY of Castlefest 2019 was a great one (as were all of the other days). Check out day 4’s summary:
Jimmy Fair:  Diastology: Consider approaching diastology as binary; does your patient have elevated left atrial pressure or not? If you want a more in-depth summary, watch: Diastology part 1Diastology part 2 Cardiac arrest: Concentrate on getting windows during your 10 second pulse check, save clips, then interpret the image during compressions. Unless if you have TEE.  Then just leave it in there and get continuous monitoring.
RUSH: It’s not a law that you have to do every part of the RUSH exam in all your hypotensive patients.
Peter Weimersheimer:
Pelvic Ultrasound: If you can get the answer with transabdominal US, you don’t necessarily need to go for the endocavitary probe
TEE: Why learn this if I get good TTE views during arrest?  Answer: Because you often can’t.  Also, some tips on how to start a TEE program. Here’s the Link to Annals of Emergency Medicine article on TEE and cardiac arrest (that Mike Mallin was second author on)
Claire Heslop: 

Volume responsiveness is defined as the ability of a patient to increase their cardiac output with fluids.  Best way to tell with US: VTI.  Although carotid flow time is an up-and-comer.
Bendfest 2019 is coming soon! Spots are filling quickly, reserve your spot today!


Interested in an online ultrasound fellowship?  Go to ultrasoundleadershipacademy.com

May 17 2019

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