Ultrasound ציבורי
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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 …
 
Look - we're sorry. We know you are sick of COVID-19, but when this came across our desk we knew it was important. So far we know that point-of-care lung ultrasound is accurate for the diagnosis and even that extent of sonographic findings can correlate with the severity of disease. Now we ask - could it provide a superior diagnostic strategy to ev…
 
I recently realized that I don’t really have that much soft tissue content on the website or podcast and decided I needed to do something about that. The basic differentiation between cellulitis and abscess is unlikely to save a life as speedily as identifying cardiac tamponade will, but it is still vitally important. Skin infections are very commo…
 
Last week I shared with you a conversation I had with Dr. Resa Lewiss on the importance of mentoring. (In case you missed it, Dr. Lewiss is an amazing individual! She is a practicing emergency physician/Professor of Emergency Medicine who works in Philadelphia, is the creator of The Visible Voices podcast and is one of the founding members of TIME’…
 
Patients with acute pain can be challenging to manage in the ED. This week, I speak with two pain control experts: Dr. Alexis LaPietra and Dr. Katherine Vlasica. They both completed a pain management fellowship at St. Joseph’s Regional Medical Center in New Jersey. Dr. LaPietra is the founder and creator of the Alternatives to Opiates (ALTO) progra…
 
We are back for Part 2 of this raucous jamboree! Creagh, Mike, and the gang from Denver Health Ultrasound continue sounding the depths of the article on optic nerve sheath diameter in patients with elevated intracranial pressure. There are more lessons learned about general principles in dissecting POCUS articles. This is Part 2 of 2 episodes!https…
 
This week on the podcast I am thrilled to have a VAD (ventricular assist device) expert, Dr. Tricia Smith, MD (@triciasmithmd), speak to us about the sonographic assessment of a VAD pt. I learned so much talking to Dr Smith about this and anticipate you’ll enjoy this at least as much as I did. Check it out!…
 
This episode is a real holiday special! Creagh and Mike collaborate with the Denver Health Ultrasound team to do a live (at the time) journal club on a recent article about optic nerve sheath diameter. We do a deep dive into the intricacies of the article but also develop important general principles for Gathering Evidence from the POCUS Literature…
 
This week on the podcast, I share with you a virtual lecture I gave for EMRA during Virtual ACEP 2020. In this talk, I run through (very quickly!) how to diagnose a pulmonary embolism at the bedside using your ultrasound. Special thanks to Ben Smith, MD for help with the slides! Missed Castlefest this year? No worries! Check out courses.coreultraso…
 
This episode is a repost from a 5 Minute Sono episode back in 2017. In this case, I discuss performing a full hand block (blocking the ulnar, radial and median nerves). Check it out! Missed Castlefest 2020? Check out our Core Ultrasound Courses page for full access to the course! Interested in an online ultrasound fellowship? Check out ultrasoundle…
 
The PENG block stands for PEricapsular Nerve Group block and looks to be a phenomenal block for hip and femoral neck fractures. Hear all about it in this week's podcast featuring Dan Mantuani, Rob Farrow and Josh Luftig. Missed Castlefest 2020? Check out the whole conference on-demand here: https://courses.coreultrasound.com Interested in an online…
 
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 …
 
Well...we finally made it. This is the 100th episode of the Ultrasound G.E.L. Podcast! The whole team is on this one, and we discuss thoughts sent in by our listeners on the future of point-of-care ultrasound research. Also reflections, plans, and thank yous.https://www.ultrasoundgel.org/100על ידי Michael Prats
 
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…
 
A few weeks ago Lindsay Reardon and Peter Weimersheimer talked to us about a case in which Lindsay uncovered an initially unsuspected tamponade (Click here for part 1 of the podcast). This week, we speak with the cardiologist (Joel Wolkowicz, MD) who took the case after the initial diagnosis.
 
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…
 
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