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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 …
 
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/115 https://pubmed.ncbi…
 
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/114 https://…
 
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.ultrasoun…
 
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 …
 
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 …
 
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! http…
 
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 …
 
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…
 
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