Ultrasound Podcast

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 talk about the errors we most commonly see when performing our image review sessions.  Here are some tips: Basics: Depth – Make sure that the image you’re trying to see is as big as you can make it.  Don’t have any wasted space in your clips or images. Gain – Make sure your image is bright enough.  But don’t over gain! Exam type – If you’re doing a FAST exam, don’t scan in the “lung” setting.  Video clips – Be conscientious of the clips and images you take.  Focus on the thing you want to record and record a long enough clip of it, but also don’t record multiple clips of subpar exams. Specific exams: DVT – Make sure that the vein you’re evaluating is actually a deep vein. Deep veins paired, while superficial veins may be solitary.  Also, don’t confuse a lymph node for a DVT. FAST exam – Slow sweeps of the regions your evaluating.  Fast sweeps can miss subtle fluid collections. Don’t forget to look at the inferior pole of the kidney/caudal tip of the liver interface on the right side.  Be careful with the seminal vesicles in the pelvis. Intrauterine pregnancy (IUP) – Make sure that gestational sac is actually inside the uterus. Thorax – Make sure to... Read More

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 tissue infections on ultrasound, check out the 5 Minute Sono abscess vs cellulitis 2019 update video and the 5 Minute Sono necrotizing soft tissue infection 2019 update and if you want to see a video on how to perform the technique we discuss with Jenn, check out our youtube page Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy

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 fellowship?  Check out http://ultrasoundleadershipacademy.com/

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 instead of letting the computers learn it for you. Want to come scan with us in Bend, Oregon? Go to Bendfest19.com Want to participate in an online ultrasound fellowship?  Check out ultrasoundleadershipacademy.com

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 Venue Go machine, check out the youtube page. If you want hands-on time with us and some great didactics this coming July, check out Bendfest 2019! Interested in an online ultrasound fellowship? Check out the ULA!

During Castlefest we had the honor of sitting down with Anand Swaminathan to hear his thoughts on learning and utilizing ultrasound even if you didn’t necessarily learn it in residency. Check it out! If you want to come hang out with us in Bend, Oregon, go to Bendfest19.com.  Want to come free of charge courtesy of G.E.? Email us to tell us why you think you deserve it. Want to participate in a year long online fellowship? Go to Ultrasoundleadershipacademy.com.

The LAST DAY of Castlefest 2019 was a great one (as were all of the other days). Check out day 4’s summary: Jimmy Fair:  Diastology: Consider approaching diastology as binary; does your patient have elevated left atrial pressure or not? If you want a more in-depth summary, watch: Diastology part 1, Diastology part 2 Cardiac arrest: Concentrate on getting windows during your 10 second pulse check, save clips, then interpret the image during compressions. Unless if you have TEE.  Then just leave it in there and get continuous monitoring. RUSH: It’s not a law that you have to do every part of the RUSH exam in all your hypotensive patients. Peter Weimersheimer: Pelvic Ultrasound: If you can get the answer with transabdominal US, you don’t necessarily need to go for the endocavitary probe TEE: Why learn this if I get good TTE views during arrest?  Answer: Because you often can’t.  Also, some tips on how to start a TEE program. Here’s the Link to Annals of Emergency Medicine article on TEE and cardiac arrest (that Mike Mallin was second author on) Claire Heslop:  Volume responsiveness is defined as the ability of a patient to increase their cardiac output with fluids.  Best way to tell with US: VTI.  Although carotid flow time is an up-and-comer. Bendfest 2019 is coming soon! Spots are filling quickly, reserve your spot today! Interested in an online ultrasound fellowship?  Go to ultrasoundleadershipacademy.com

Day 3 was nearly a full Mike Stone/Justin Cook day with a little Mike Mallin sprinkled in there.  We did all things nerve blocks and MSK. .Check out the podcast for our in-depth post-day interview with them. Stay tuned for day 4!

Castlefest 2019 is in full swing!.  Check out the day 2 summary, with guests including Ben Smith, Wilma Chan, Claire Heslop and Lauren Westafer.  If you want more, we’re going to be sending out podcasts the morning after for the next 4 days. Enjoy!  

We are nearly 1/2 done with #Castlefest19.  Check out the day 1 summary!  If you want more, we’re going to be sending out podcasts the morning after for the next 4 days. Enjoy!

Ever pondered on the best way to read ultrasound articles and how best to develop your peripheral (i.e., external) brain? This weeks podcast tackles those two questions with special guest Michael Prats of the Ultrasound GEL podcast.  Check it out! We will have tutorials on how to master the pubmed search and get custom email searches sent directly to your email on our YouTube page. If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, email us (ultrasoundpodcast@gmail.com) and let us know why you think you deserve to get a scholarship courtesy of GE. Interested in an online ultrasound fellowship? Check out the ULA!

This week Jacob sits down in the GE booth with Kylie Baker (@kyliebaker888) at the very last SMACC in Sydney, Australia.  There, they discuss how ultrasound can be used in conjunction with other tools to best help manage your patients at the bedside.  Check it out! This interview is pure audio! If you want to watch a video of the interview, check out our YouTube page. If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, stay tuned at the end of the episode to find out how you can get a free scholarship courtesy of GE. Interested in an online ultrasound fellowship? Check out the ULA!

This week, Jacob discusses all things TAP (Transversus Abdominus Plane) block with Arun Nagdev.  This block has previously been relegated mostly to post-surgical patients, but Arun explains to us why you should consider using this in your patients with certain types of abdominal pain, such as in patients with appendicitis.  Do not adjust your screens…This interview is pure audio! If you want to watch a video of the interview, check out our YouTube page. If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, stay tuned at the end of the episode to find out how you can get a free scholarship courtesy of GE. Interested in an online ultrasound fellowship? Check out the ULA!

Ever wondered what b-lines are?  How they’re classified? How to use them clinically? Probably the best way to think about them is to remember that they correspond to increased density of the lung, not just increased edema.  Jacob recorded this latest podcast on location in Sydney, Australia while attending the last SMACC conference.  We’d love to hear your thoughts on this new format.  Check it out!If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, stay tuned at the end of the episode to find out how you can get a free scholarship courtesy of GE. 

In this weeks video Jacob talks about his approach to the pneumothorax. This video comes straight from the ultrasound leadership academy’s didactic series. If you want to know more, watch now: Come join us in Lexington Ky or Bend Oregon for some in-person ultrasound goodness (www.Castlefest2019.com and www.Bendfest19.com).  Want to come for free?  Send us your best ultrasound case and enter in a competition sponsored by GE for free registration to either conference!