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Ultrasound Podcast


Making horrible doctors decent and good doctors GREAT at Ultrasound

Making horrible doctors decent and good doctors GREAT at Ultrasound


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Making horrible doctors decent and good doctors GREAT at Ultrasound




This week we have @RubbleEM and Jacob discussing external certification for #POCUS

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 CastleFest2020.com Looking for an extended fellowship? Look no further: ULA

@VTEMSONO and his fabulous Castlefest 2019 talk.

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, Ultrasound Leadership Academy, Click here: http://ultrasoundleadershipacademy.com/academy/ or the all-new Mini fellowship at...

@RussUltrasound shares his approach to #POCUS and #pneumonia

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:...

Let’s talk M-mode

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

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

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....

VTE and Nerve Blocks w/ Cian McDermott

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.


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

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!

RUSH exam update with it’s Inventor: Scott Weingart

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...


Why We Shouldn’t Call Our Ultrasound “Informal”

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...

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

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...

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

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...

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!

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...

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

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...

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

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

Bendfest 2019 Day 1 Summary!

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...

Ultrasound Image Review pearls with Patrick Ockerse, MD.

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...

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

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...

Are you holding the probe correctly?

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...

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

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...

Current Point of Care Machines

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...