Hip Exam

July 24, 2017

This week we're going to get...wait for it.... "hip" with the hip. 

Non-traumatic hip pain is a complaint that can be frustrating to diagnose.  Ultrasound is an easy and useful tool in your toolbox. 

Check it out and let me know what you think!

If you want to come learn from us, check out our live courses page!

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60/60 Sign for Acute PE

July 2, 2017

Right off the heels of dasSMACC, I got Ben Smith (@ultrasoundjelly) to give us a 5minsono on the 60/60 sign for PE.  This echocardiographic sign was found to have 94% specificity in patients with suspected PE (Reference)

Come hang out with us in Versailles, Kentucky at Castlefest 2018!

Do you feel like Versailes, Kentucky not beachy enough? Come to Cabofest instead! Offer code "5MINSONO10" gets you 10% off!

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Volume Responsiveness: LVOT VTI

June 25, 2017

Figuring out if your patient will benefit from more IV fluid is paramount. The ultrasound assessment of volume responsiveness is a topic that is always full of controversy.  Here, I talk about one of the many techniques: LVOT VTI. 

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Is Compression Enough to Differentiate Artery from Vein?

June 9, 2017

When I'm eavesdropping on other peoples conversations at ultrasound courses, I often hear people talk about compressing the vessel you want to cannulate to make sure its a vein and not an artery (if you happen to be placing a peripheral IV).  Here's the thing: Peripheral arteries and veins can both be compressible.  

I suggest looking for pulsitility instead of compressibility when trying to differentiate between the two. Check out the podcast for more deets. 

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CVC tips with Haney!

June 3, 2017

This week, we're going to explore Haney Mallemat's top three central line placement tips and tricks.  This episode was shot during a phenomenal hike in the Tetons in Jackson Hole, Wyoming.  Check it out and let me know what you think!

Want to come learn ultrasound with us? Check out www.castlefest2018.com for one of my top three ultrasound conferences for the upcoming year.

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Who gets an US-guided IV?

May 11, 2017

Next on my US-guided IV series: Who gets an IV? (Spoiler alert, this procedure isn't for all patients). 

The patients who should be getting USGIVs should be the following:

  • At least 2 staff members have tried 3 times (total) to get IV using standard techniques.
  • You know they're a difficult stick and you have time
  • You're patient isn't coding (You should be placing the IO)
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Superficial Venous Thrombosis

May 7, 2017

You should care about superficial venous thrombosis.  If they're in the lower extremities and greater than 5 cm in length, they have increased risk of DVT and PE.  Check out the video for more info. 

 

 

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Does the IV catheter length matter?

April 28, 2017

After you successfully cannulate the vein, the most important factors determining if it stays in (I.E., doesn't extravasate/infiltrate/dislodge) are the length of the catheter and the distance of the vein from the surface.

Here's the bottom line:  

If the vein is <1 cm from the skin, standard IV length will probably be fine

If the vein is > 1 cm from the skin, you need a longer IV catheter.

Check out the video for more specifics!

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But is it actually pacing?

April 20, 2017

This week, we look at a patient with severe bradycardia.  The monitor is showing pacing, but...is it, though?

 

If you want more cool sonos or if you need some guided hands-on AND would like to do it at Jackson Hole, Wyoming join me, Mike Mallin, Matt Dawson and Haney Mallemat at Yellowstone Ultrasound 2017! Spots are filling up fast!

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Cool Sono Bro! The Wheel of Echo

April 3, 2017

Ben Smith (@ultrasoundjelly) and I have been working on this phenomenal education tool, The Wheel of Echo! Check it out and let me know what you think.

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