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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Cool Sono, Bro! The Hypoxic Trauma Patient.

March 28, 2017

I've been wanting to share more cases with you guys, and decided on a new mini series within 5minsono: Cool Sono, Bro!. I'm going to be showing you cool cases I see in the ED with short (hopefully) 2 minute explanations.  Check out the inaugural episode: The hypoxic trauma patient!

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The Interscalene Brachial Plexus Nerve Block

March 20, 2017

The interscalene brachial plexus block was my first foray into brachial plexus blocks, and it has a special place in my heart. This block is great for shoulder dislocations or proximal shoulder injuries (ie, proximal humerus fractures, abscesses, etc).  Check out this video to learn how to perform it!

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The Hand Block

February 27, 2017

Many of you probably already perform isolated ulnar, median and radial nerve blocks.  But... what about all three of them at the same time? Here we talk about a case where we anesthetized the entire hand using 3 nerve blocks at the forearm.  Check it out.  

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The Fetal Heart Rate

February 12, 2017

When evaluating the pregnant patient, the ability to accurately check the fetal heart rate is paramount. Check out this video to see how. 

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