Ultrasound Podcast

Happy Holidays from The Ultrasound Podcast Family! We just want to say Thank You for listening.  Your commitment to your patients and willingness to put up with our nonsense in order to improve the care you deliver inspire us. Thanks again! p.s. – that beautiful bouncing baby boy that Mike Stone is holding is Jody, the dude behind the scenes who ...

We swore it was coming, and here it is! The famous pocket shot, described by the even more famous Mike Mallin.  Just one more ultrasound technique to stick in your procedural quiver.  Consider this our Christmas gift to you:  Making you the most skilled physician in the world!  I know what you’re thinking: “But I didn’t get you anything!”  Well, ...

Ultrasound guided subclavian.  Better than landmarks?  Only if you believe the studies/literature/science….. We hope you enjoy this Little Itty Bitty on the ultrasound-guided infraclavicular approach to this line.  Of course, there’s a supraclavicular approach as well, and you can expect that little itty bitty in a few days.  We recorded these a while back and planned to do more with ...

Making Horrible Doctors Decent and Good Doctors GREAT - Using the power of ultrasound in the emergency department can take your practice to a new level. This podcast explains in detail different scans and techniques for using ultrasound to up your game.

Pour yourself a cup of eggnog, cuddle up next to the fire, and get ready for story time. We’ve got a couple stories from the community of someone actually performing an US guided cricothyrotomy, and also a couple of cases of cardiac disease with accompanying echoes and education. Oh yeah, remember to follow us @ultrasoundpod, rate the podcast on iTunes, ...

Seriously. No really, we're serious.  We understand that most of you practice in the ED and you may not be that excited about hip ultrasound, but trust us, this is pretty cool.  And if for no other reason, you should download because it's Mark Goodman again.  Yeah, the guy that looks like Val Kilmer, but is way more smooth.  So go ahead.....expand your horizons.

What could be more exciting than combining ultrasound and airway?!?! Ok, ok, so you can think of a thousand things.  But if you don't count anything related to sports, politics, sex, religion, music, poetry, or gangnam style music videos then there's only a hundred or so. Recently you may have heard The Master of the Critical Care Universe, Scott Weingart put out an episode on The Post Intubation Package.  In this episode he briefly mentions using ultrasound during your intubation and commented that he was sure we would post something on this.  Our first thought was, "Come on Scott!  We're busy.  We're "authors" now, not just some clowns you can suggest something to who will reflexively do it."  Then we realized that we're "authors" AND still clowns that you can just suggest something to who will reflexively do it.  So we decided to record our first Ultrasound Podcast Little Itty Bittytm (not to be confused with the EMCRIT Wee).  Same concept, just not similar enough for a copyright lawsuit:  very short instructional episode covering a focused topic.  But then we got excited and it ended up turning into pretty much a full episode close to 20 min.  We decided that we would still call it a "Little Itty Bitty"......mainly because it was easier than editing that part out of the podcast.  Look for future Little Itty Bitty's in the future, though.   p.s. - not sure if we told you, but the iBook is out......  

In this interview by The Man, Mike Stone, Haney Mallemat gets asked the hard hitting questions that everyone wants to know but is too afraid to ask like:  "Tell us about yourself", "How'd you get started in Critical Care Ultrasound", and "What's your opinion on....".  They don't call him Mike "the stones" Stone for nothing.  They discuss some even hotter topics such as Fluid Responsiveness and the future of Critical Care Ultrasound.  More importantly, if you ever wanted a face to put with the prolific twitter feed @criticalcarenow, this is your chance.  Follow him for more goodness, and while you're at....follow us at @ultrasoundpod and follow Mike Stone at @bedsidesono.  Enjoy!

UPDATE This episode has been updated with a english subtitled version.  For now, you must download the file and use a player featuring subtitles such as VLC Player.  We're working on a different solution for future subtitled episodes.  There is also a transcription featured below, as well as a link to download a PDF of the transcription.  Want to learn how to ultrasound for small bowel obstruction?  Well, it's your lucky day!  Mike and Matt back at you for a great podcast on SBO. Want to learn about all things ultrasound in a castle?  Well...April's gonna be your lucky month....if you register soon enough, that is.  Listen to this podcast for more info on both.   UPDATE below you will find the transcription of this podcast provided by Daniel Lakoff.  You can Download PDF Here.   Ultrasound Podcast with Mike and Matt on Small Bowel Obstruction Summary by Elizabeth Dei Rossi, MD Different modalities can be used for diagnosing SBO CT scan is considered gold standard sensitivity of 92% and a specificity of 93% Mallo RD et al. CT diagnosis of ischemic and complete obstruction in SBO: a sys review. J Gastrointest Surg 2005 Abd xray is often used a rapid test in the ER but has very poor sensitivity/specificity Looks for air fluid levels sensitivity of 66-77% and specificity of 50-57% Shrake PK, Rex DK, Lappas JC, et al. (1991) Radiographic evaluation of suspected small bowel obstruction.  Am J Gastroenterology 86:175-178 Ultrasound can be used for diagnosis of SBO Sensitivity of 88% and specificity of 96% Ogata M et al Prospective Evaluation of Abdominal Sonography for the diagnosis of bowel obstruction. Annals of surgery in 1996 can see SBO without air   Ultrasound findings in patients with SBO Fluid filled bowel Dilated bowel with back and forth peristalsis   Bedside ultrasonography of the detection of small bowel obstruction in the emergency department by Timothy B Jang, Danielle Schindler, and Amy H Kaji Methods Residents were given 10 min of training with 5 scans performed then patient’s with suspected small bowel obstruction had an US and XRAY, CT scan was used as the gold standard Using a phased array probe bilateral colic gutters, epigastric and suprapubic areas were assessed for dilated loops of bowel with peristalsis (big loops of bowel with movement back and forth of bowel) Results Dilated bowel on US had a sensitivity of 91% and a specificity of 84% Xray had a sensitivity of 46% and specificity of 67% Some tips from Dr. Timothy Jang Decreased peristalsis is a late finding and therefore not something for which to look If you see dilated bowel also consider non-SBO etiologies like ileus Study didn’t assess for transition point Look for gallstones if you see dilated bowel (gallstone ileus) In SBO bowel wall thickening is a prognostic sign and may suggest diagnosis like IBD and colitis In summary US is potentially a quicker study without side effects of radiation that has a better sensitivity and specificity than XRAY.  Develop your own practice with this information: maybe use to rule out low risk patients.   CastleFest 2013 Some of the speakers and their topics include Mike Stone speaking teaching on nerve blocks with the help of a cadaver lab Mike Blaivas instructing on TEE Scott Weingart lecturing on critical care Vicki noble Matt Dawson Many small group sessions Registration open at castlefest2013.com    

Making Horrible Doctors Decent and Good Doctors GREAT - Using the power of ultrasound in the emergency department can take your practice to a new level. This podcast explains in detail different scans and techniques for using ultrasound to up your game.

Making Horrible Doctors Decent and Good Doctors GREAT - Using the power of ultrasound in the emergency department can take your practice to a new level. This podcast explains in detail different scans and techniques for using ultrasound to up your game.

Had the pleasure of catching up with Preston Wendell last week and talking, among other things, about running an EUS program in a community hospital.           Don't let his awesome mountain man look scare you away from listening: there's lots of great advice here from a guy who's been making the system work for him and his colleagues for the past several years.    

We'd like to write something clever or witty about this interview by Mike Stone of Vivek Tayal, but the title says it all. We recommend having a seat, having a drink, and having a listen. Vivek is the man, and when he speaks....you should listen.

After the Sonogames episodes we got letters from both Charlie Sheen and Brittany Spears telling us we were embarrassing ourselves, so we’ve gotten back to the basics.  It doesn’t get much more basic than straight up, gallbladder ultrasound. Turns out that ED docs are as good as radiologists at gallbladder ultrasound!  What,  “That study was done way back in 2010 by Summer, Fox, and peeps, “ you say? Well…..why the heck all the consternation regarding point-of-care GB ultrasound?  You don’t personally feel comfortable with it?  Well, we’re gonna fix that!  September is The Month of the Bowels on The Ultrasound Podcast.  We’re gonna give you a basic GB podcast, then we’re gonna come at you with a cool Small Bowel Obstruction talk.  Get your bellies ready.  And oh yeah....about the "sneak peak" thing.  Don't worry, we don't make you wait long for it. Go ahead....click on the link.

...an interview with Dr. Teri Reynolds, a good friend of mine and let's face it, a truly amazing person. She's Assistant Professor in the UCSF Department of Emergency Medicine, and currently the Emergency Medicine Residency Program Director at Muhimbili National Hospital, the main public hospital in Tanzania. hear what she has to say about ultrasound education, overcoming obstacles, and accomplishing something truly special.