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Achilles tendon rupturescan be difficult to diagnose via the physical exam. #POCUS has been shown to have a +LR = 74, -LR of 0.05, a sensitivity of 95% and a specificity of 99% in the diagnosis of achilles tendon ruptures! (This is according to a SR/MA of 15 studies and 808 patients.PMID:34801318). Watch this 5 Minute Sono video to learn more! Chec…
 
Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS.ht…
 
https://www.coreultrasound.com/Airway ultrasound is something that can be quite complex but at its most basic, it can be used to help determine if you have endotracheal versus endobronchial intubation. This is definitely not something that needs to be done all the time, but is a great adjunct in the appropriate clinical setting! Check out our FREE …
 
This episode has been a long time coming! We're talking ultrasound-guided subclavian central lines, and a lot of people have opinions. Are they better than landmark? What should we teach learners? The GEL team discusses through the lens of this fascinating RCT.https://www.ultrasoundgel.org/138https://pubmed.ncbi.nlm.nih.gov/35562246/…
 
Another Bonus Cuts author interview - this time with Amy Zhou, Pediatric Emergency Medicine specialist and first author of the recently reviewed article on IVC collapse duration. Zach and Mike ask the hard questions about how this paper came to be and how we should be thinking about the IVC in our pediatric patients.https://www.ultrasoundgel.org/13…
 
What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids?https://www.ultrasoundgel.org/132https://pubmed.ncbi.nlm.nih.gov/32530838/…
 
In this Special Edition episode, Mike and Creagh interview physician, entrepreneur, and author Larry Istrail discussing his recent book The POCUS Manifesto! Awesome discussion of the ups and downs of implementing, teaching, and researching POCUS. Part 1 of 2.https://www.ultrasoundgel.org/130Michael Prats tarafından oluşturuldu
 
This clever study questions which cardiac view is best to obtain during a cardiac arrest. By using a simulated arrest scenario on living non-cardiac arrest patients, they compare the subxiphoid window and the parasternal long axis view in terms of speed and image quality.https://www.ultrasoundgel.org/128https://pubmed.ncbi.nlm.nih.gov/35065867/…
 
Jugular venous distention (JVD) is a classic physical exam finding taught for ages, but assessing it can be a challenge. Can ultrasound do a better job and therefore offer a non-invasive evaluation of the patient’s right heart pressures? This goal has been the pursuit of many ultrasounds before. This time we have a new vessel to assess and a nice r…
 
This is a Special Edition podcast which features the winner of a competition at the recent SAEM Sonogames! The challenge was to create the best infographic for a POCUS article of the team's choice. The winning team was from Boston Medical Center. This podcast is a brief discussion of the article and the graphic this talented team created.https://ww…
 
In this episode, Mike and Jacob dive into an important intersection of musculoskeletal and procedural ultrasound - the ultrasound-guided arthrocentesis. People have been doing arthrocentesis without the help of ultrasound for a while, and most would agree it is feasible. BUT what about those smaller joints - like the wrist, elbow, and ankle? Perhap…
 
Intussusception is a big deal and an area where POCUS can potentially make a difference. The literature has been promising, but there hasn't been any definitive studies...until now? The GEL Jr hosts dive into this impressive prospective, multicenter, non-inferiority study and (much like an air enema) they try to get to the bottom of this question t…
 
Ultrasound has been a friend to central venous catheter placement for a long time. It's always there to make sure you are putting that line in the right place without causing problems. While this has been standard for internal jugular lines for years, it is only more recently that this has been proposed for subclavian lines. There is now ample lite…
 
If you have listened to this podcast for any amount of time, you know how POCUS studies usually go. Someone does an ultrasound on something cool and then compares it to another test to see how good it is. Well this study is different. In this case, we are taking a tried and true application of POCUS (undifferentiated dyspnea) and comparing a dedica…
 
Can you believe we have never talked about ectopic pregnancy on this podcast?? Fortunately for you, a new research article allows our faithful hosts to dive into this core application of POCUS. These authors ask the practical question of whether or not a POCUS saves time in patients with ectopic pregnancy requiring an operation. The results may not…
 
Ultrasound in cardiac arrest is a favorite topic of the GEL Team and thus, we are back to crack open a radical new concept in the field. Does the left ventricular function actually matter in patients that are arresting?? Current practice for many is to assess for the binary presence or absence of cardiac activity, but these audacious authors sugges…
 
The FAST exam has been used in trauma for decades - so why is there still confusion on how to use it in pediatrics? Because kids are different than adults! This article takes a look at the associations between intraabdominal injury and the FAST, physical exam, and labs. The authors then combine the FAST with physical exam findings to create the exF…
 
Do you use ultrasound for suspected peritonsillar abscess (PTA)? Some of us probably do, some don't - but what does the evidence say?? Does it help the clinician? and (dare we ask) does it help the patient? This paper is potentially the best data we currently have on the topic. Mike and special guest Kim Fender dive straight into the purulence of t…
 
I've performed the TAP (Transversus Abdominus Plane) block a few times, but as an EM doc, I sometimes have a hard time finding a good application for it. In this week's podcast, Dr. Kat Vlasica joins us again to enlighten us on some novel applications of the TAP block as well as introduce us to some variations on the TAP block: The subcostal TAP an…
 
Spoiler: Dr. Spiegel uses IVC ultrasound in every one of his sick patients. Another spoiler: Volume responsiveness might not be all that important. Check out the podcast on his top tips for evaluating the IVC and his thoughts on volume responsiveness, volume tolerance and why it might not even matter. Don’t forget to check out Courses.coreultrasoun…
 
This week I get to share with you an online lecture I gave for "EM-Sono Mastery 2021" in March (Thanks, Dr. Marco Garrone!). In this lecture I share with you my top 4 favorite nerve blocks. Check it out! Don’t forget to check out Courses.coreultrasound.com for all your CME educational needs! Our new POCUS Question Bank is HERE Our newest in-person …
 
GEL Jr coming in hot with the latest in neuro-ocular sonography - optic disc elevation! That's right - not optic nerve sheath diameter (ONSD), the actual elevation of the disc as seen on ocular ultrasound. Super cool new idea - lets how how it pans out in this pilot study! https://www.ultrasoundgel.org/116https://pubmed.ncbi.nlm.nih.gov/34051397/…
 
Everyone's new favorite doppler marker for pulmonary embolism is back! We discussed the ESN (early systolic notching) when this concept was first introduced as a marker for large PEs, but now we have a prospective study that improves upon some of the limitations of the past article...or does it?https://www.ultrasoundgel.org/115https://pubmed.ncbi.n…
 
In this weeks podcast, Jacob talks about all things cardiac arrest ultrasound. He tackles 3 different topics starting with ID'ing reversible causes. Not all of the H's and T's are amenable to ultrasound diagnosis, but you can use ultrasound for: Tamponade, Tension PTX, Thromboses, Trauma and Hypovolemia. With procedures, ultrasound-guidance is key,…
 
One of the gang's favorite topics - ultrasound in cardiac arrest! This article delves into the importance of "pre-pause imaging", getting that picture of the heart ready even before the compressions are stopped! This seems like an important part of minimizing pauses in CPR, but how convincing is this data?https://www.ultrasoundgel.org/114https://pu…
 
In this video I share with you a summary of the 3 main leg blocks from a lecture I gave at WINFOCUS this year. While I don't cover suprainguinal fascia iliaca or PENG blocks in this talk, we have links to how to perform them elsewhere on the website. Looking forward to hearing what you all think! Don’t forget to check out Courses.coreultrasound.com…
 
This Special Edition podcast covers not one - but 7 really important POCUS articles! These articles were selected by the Academy of Emergency Ultrasound (an academy of the Society of Academic Emergency Medicine) as the top articles from the past year. Here we briefly discuss the winningest articles from each of the categories!https://www.ultrasound…
 
In this episode I share with you my TOP TIPS for bedside ultrasound (Technically it's 15 tips, but who's counting?) I originally gave this during the virtual SEMPA conference this year (2021). Check it out! Don’t forget to check out Courses.coreultrasound.com for all your CME educational needs! If you’re interested in an online ultrasound fellowshi…
 
In this ultrasound podcast, I will be discussing a few of my favorite cases. This was initially recorded for the SEMPA virtual conference last week, and I’m stoked to share it with you all here. Check it out and let me know what you think! Don’t forget to check out Courses.coreultrasound.com for all your CME educational needs! If you’re interested …
 
We have talked about ocular ultrasound many times before - it certainly can be useful in identifying many acute ophthalmologic pathologies. But what about papilledema? We know that POCUS can be used to measure the optic nerve sheath diameter (ONSD), which dilates with increased intracranial pressure. So theoretically this should work well in patien…
 
This week on the podcast I feature a Grand Rounds talk that my bestie Ben Smith gave at the University of Vermont (via Peter Weimersheimer). In this talk, Ben gives us his best pearls on how to educate effectively, using ultrasound as the educational product. Check it out below! Don't forget to check out our website: Coreultrasound.com, as well as …
 
This week I had the pleasure of giving a virtual lecture for the Utah College of Emergency Physicians meeting, and I recorded it for your viewing pleasure! The RUSH exam (the version that I use) was invented by Scott Weingart a few years ago and is super useful in patients with undifferentiated hypotension. It stands for "Rapid Ultrasound in Shock …
 
We have been ultrasounding hips for a while now. We know this modality is accurate for finding effusions. This can really help in cases of suspected septic arthritis. Unlike patients with this disease, this study takes multiple steps forward. First it asks the question - "Does point-of-care ultrasound (POCUS) in the emergency department lead to a f…
 
This week we have a special guest host, Michael Prats, from the Ultrasound GEL podcast. In this episode, Mike speaks with Dr. Rafael Blanco about the blocks he created, the Pecs 1 block, the Pecs 2 block and the Serratus blocks! If you want to know how to perform the serratus block, click here. Don’t forget to check out courses.coreultrasound.com f…
 
In this Special Edition podcast, Mike is joined by POCUS leaders and educators Nova Panebianco and Cameron Baston to discuss their recent publication on interdepartmental collaboration with ultrasound. They discuss their process for creating a combined fellowship and share additional pointers in achieving mutually beneficial relationships between d…
 
Acute chest syndrome is such a great application for lung ultrasound, especially in pediatrics where we do everything we can to dodge the harmful affects of ionizing radiation. We have covered this once before on the podcast, but it was ages ago. This is a recent well-done study that takes another look to see how ultrasound compares to the commonly…
 
In this episode, I demonstrate a case of early tamponade in which only right atrial diastolic collapse is visualized (rather than the oft-quoted right ventricular diastolic collapse), as well as review the literature on the sonographic findings. I also suggest that maybe tamponade should be considered more of a sonographic diagnosis rather than a c…
 
Transcranial doppler has been a developing interest to point-of-care ultrasound enthusiasts. While it has been a mainstay for certain inpatient indications, only relatively recently have some bold souls proposed application in the acute care setting. These uses include assessing for midline shift, vasospasm, elevated intracranial hemorrhage. This a…
 
The Ultrasound Leadership Academy is an online ultrasound fellowship that is designed to help clinicians learn bedside ultrasound if they hadn’t gotten the training during their residencies. I was honored to be asked to revamp their curriculum as well as being on their board last year. This lecture is a recording of a live lecture that Dr. Claire H…
 
This is the first episode of GEL Jr. - our pediatric series! Hosts Delia Gold and Lianne McLean join Mike in discussing an important article on the learning of pediatric POCUS. These authors studied how participants learned image interpretation from an online POCUS educational system. The findings have many important implications for education and …
 
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