Ultrasound Podcast

Another re-run?!?  Well, probably not. Unless you were at SMACC last year in Australia, then you haven’t heard this.  Hot, new stuff from Mike on the future of ultrasound.  In this talk he talks about some advanced echo stuff that right now only the Top Guns are doing, but we all may be doing this in the future.  Also, some clinical integration pearls on how we really use ultrasound at the bedside. Just as a disclaimer, there’s not a lot of actual technique/logistics teaching in this one, but we’re gonna make up for that.  Next podcast coming up is all about logistics.  We’ve got Mike Stone talking about the superficial cervical plexus block, which is a SUPER useful block that is way underutilized.  You won’t want to miss that.  In the meantime….. In this episode 2:05 – The sexiness of ultrasound 2:59 – Case 5:55 – Aortic stenosis? 6:40 – Manure truck incident 8:28 – TEE 9:09 – Case 3 9:52- Passive leg raise 10:18 – Case 4 11:02 – Appendicitis? 12:10 – Keep it simple 12:57 – Case 5 18:41 – Wrap up Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course Introduction to Bedside Ultrasound: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Here it is, the conclusion.  We know the suspense has been killing you.  Who will win:  The Australian experts or the upstarts from the States?  The epic battle continues here. Don’t miss the 2015 version! Register for SMACC 2015 and come join us the week before for several days of ultrasound education in beautiful Yellowstone National Park. In this episode :30 – DVT instruction 2:22 – DVT study research explanation 6:11 – Playdoh heart anatomy! 13:05 – Ultrasound in pulmonary embolism 15:22 – Subpleural lung infarct 15:44 – Cardiac ultrasound 16:05 – Apical 4 chamber 17:30 – Heart made with humans! 20:10 – Pericardiocentesis in a kangaroo? 25:38- Radial fractures 32:10 – Great Race 49:30 – Wrap up Watch on Youtube: Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

If you kicked yourself for missing Sonowars from SMACC 2014 then you’re in luck.  The amazing James Rippey and Adrian Goudie competed against yours truly, Matt & Mike.  It was part education, part competition, full on silly.  This is somewhat longer than our normal podcasts……but it’s a TON of fun! If you want don’t want to miss out this year, then register now for SMACC 2015.  And if you want even MORE ultrasound education, join us in Yellowstone the week before SMACC.  Either way, we hope you enjoy this podcast.   Hopefully you’ll learn something while we make a fool of ourselves. In this episode 1:30 – Introductions 11:03 – Sonowars event explanations 13:40 – Ocular scanning 13:45 – Sonowars begins! 18:26 – MSK shoulder dislocation 19:50 – Elbow fat pad ultrasound 23:54 – Lung ultrasound 29:30 – Aorta and IVC 36:04 – Gallbladder ultrasound 41:10 – Abdominal Ultrasound (SBO, appendix, and kidneys) 47:13 – Reproductive organs Watch on Youtube: Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course Inkling.com eBook iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Yes, you’ve heard of SMACC by now.  In fact, you may have attended last year.  If you did go, and if you did hear this lecture, then nothing to see here.  New podcast in about a week.  If you didn’t go, though……then you better get there this year!  It’s a great conference, and registration is open. This podcast is about……well, why don’t you just listen.  The title kind of gives it away. Just as a reminder, the ebooks are completely free, but this is your last month ever to get the inkling.comversions.  The link is below.  It won’t be in the bookstore after 3/1/15. Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

What a save last podcast by Sam Ghali!  They’re not all warm and fuzzy, though.  We make life and death decisions based on less than perfect information, and sometimes even the right decision doesn’t lead to a good outcome.  Will Dr. Ghali be as fortunate with this patient with the massive PE?  Let’s find out……. Also, we told you last time that the ebooks were free…..forever.  But then as soon as we released the episode we heard from inkling.com that they were removing all “non-enterprise” titles from the store.  This is after we invested significant resources to get it in the store and so many people spent so much energy creating the ebooks.  SO, download it now!!  It’s in the inkling.com store until March 1st.  You’ve got just over a month to get it from Inkling and tell everyone you know to get it.  After that your only option will be through iTunes, so you’ll only be able to consume on a Mac or iPad.  It’s completely free until it disappears.  Don’t say we didn’t warn you. Lastly, if you haven’t given the podcast a 5 star rating in iTunes it would be greatly appreciated.  Thanks for considering! Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

So, you’ve been running a code for 45 minutes and your patient keeps going in and out of Vfib and Vtach.  You’ve shocked them more times than you can count and you’ve thrown the kitchen sink at them medication wise.  What do you do?  What do you do?!?!  This can be an extremely frustrating case, because there seems to be no good answer. Check out the Emcrit Wee on this case. So let’s see how Sam Ghali handles this situation with his magic sound wave machine that shows him pictures of what that stubborn heart is doing.  Would looking at it give clues to what was wrong and maybe guide therapy?  Only one way to find out……click play below! Also, in this episode, we tell you that our ebooks are now free…..forever.  Spread the word.  They will never cost money again.  The only thing we’re asking for in return is your first born child……or if that’s too much, just give the podcast a 5 start rating and write a review in iTunes.  Actually, now that I think about it, we actually prefer that.  We’ve already got kids. Thanks! Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Guiding a needle inside the body with ultrasound is a critical skill. It makes a tremendous difference, but it’s not always the easiest thing.  It takes some practice, and it takes some time to master.  So that’s why we’ve got a true master to teach you.  Canh Le Nygaard is a GP in Norway and is the Chair of the Norwegian National GP Ultrasound society.  He does an incredible number of injections and has healed with sound more Norwegians than can be counted. So watch the podcast, go practice, and then watch again.  If you’re a novice, this is a ridiculously awesome video to start with.  If you’re already pretty experienced I’m sure you’ll still get something out of it.  It’s chocked full of great tidbits. If you want to come meet and learn from Canh in person join us in Norway.  Enjoy!! Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Ok, now let’s finish it off.  We’re about to get a little more controversial that the last post.  But seriously, what do you trust more, your finger or the echo probe in an arrest.  It’s time we just admit how badly we suck at palpation for pulse and use a better tool if we have it.  Of course, as soon as your finger gets better than all the evidence would suggest it is, then fine, trust it. Until then, watch this. If you really want to get nuts and deliver seriously next level care, at least consider the TEE stuff we’re gonna throw at you in the last part of this podcast.   Also, at the very beginning we’re gonna tell you about a new project we’ve created with Scott Weingart and Haney Mallemat.  If you’re interested, sign up at www.resuscitationleadershipacademy.com.  It’s gonna be incredible.   Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register to Learn Live:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

So listen up people!  You’re doing cardiac arrest resuscitation all wrong!  What’s wrong with you?!?!  Ok, that’s a little harsh.  We’re not really saying that at all.  We just think, based on recent evidence and new technology, that it could be done a little better and we’re gonna explain what we mean.  Accept our humble apologies for the rude beginning. Also, BIG change to SonoNorway.com.  You all were rather adamant, and you’re getting your way.  The course is being moved from the boat to an incredible location in Oslo.  Go to Sononorway.com for more information.  There are a few spots left, but this is what people asked for, so those spots will be gone super quick. We’ll have part 2 of this ultrasound guided resuscitation podcast up for you in no time.  Check back soon! Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

We know you’re awesome and you never mainstem intubate children or adults.  Of course, the literature says even the best peds EM trained docs mainstem about 30% of the time, but you’re best of the best.  However, if others are doing this, you should at least watch this so you can “help them”……right? Enjoy….. Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

Wow, that is a mouth full.  Luckily, we have Resa Lewiss, the current chair of the ACEP ultrasound section, to go over this with us.  It came to our attention based on an article that Resa was the lead author on, and to be honest we didn’t know what to do with it.  So we decided we better figure that out. Also, at the very bottom of this are some show notes for you that you can refer to while listening or afterwards…..whatever floats your boat (does anyone know what that means?). Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Cabo Course or Yellowstone Course or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android Discussed on this podcast: Dr Resa Lewiss tells us about interstitial ectopics and how to measure the myometrial mantle to help diagnose this rare disease. Interstitial ectopics – higher risk for morbidity and mortality but rare. Risk of interstitial ectopic in 2-4% of all ectopics. Risk of ectopics 2% of all pregnancies, but  6-16%% of all 1st trimester pregnancies presenting to the emergency department. Thus risk of interstitial ectopic ~2-3/500 1st trimester pregnancy patients (ish) no prospective studies – so who knows! 8mm – no worries playa 1 J Ultrasound Med. 2014 Jul;33(7):1143-6. 2 Obstet Gynecol Surv. 2013 Aug;68(8):571-8

Alright, so hopefully you didn’t have any worrisome pregnant patients come in between last week when we left you hanging until now.  If so, call them back after you watch this.  Hopefully this will clear things up and give you the info you need to deliver the care they deserve. Before you hit play, though, we need to give you some quick conference updates. Castlefest is SOLD OUT. You can sign up for the waiting list on the website. Yellowstone we still have spots for.  This is a 4-day course in Jackson Hole, WY.  Amazing place!  Ran in conjunction with The Airway course by Rich Levitan. Register now. Norway – Remember the course on a cruise ship under the northern lights?  Time is RUNNING OUT!  Registration deadline is 12/5…..if the spots last that long. Register now. Sweden – There are still some spots, but just a few.  This is the course in a Japanese Spa in Stockholm.  Yeah, you saw the pictures.  Insane.  It will be the time of your life. Register now. Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

You probably remember us starting a “back to the basics” series about 9 months ago.  We did pretty good for 5-6 episodes…..but then our attention span got the best of us and we started doing crazy advanced stuff again.  Sorry. So, we wanted to get back to some basics and cover some super fundamental topics that we’ve never talked about here on the podcast.  One of those:  1st trimester pregnancy.  We have a trio of episodes coming at you, starting with the basics and then ending with some advanced, more controversial stuff. Also, as you’ll see here in the episode, the Cabo Course, just got WAY better. We’re now going to be teaching hands on ultrasound and there will be hands on airway teaching with Levitan, Weingart, Sloas, and Rob Orman. It’s gonna be awesome.  Check it out at www.cabocme.com. Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Cabo Course or Yellowstone Course or Sweden or Norway Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

In the last podcast we went over some literature and had a jolly ole time discussing appendicitis ultrasound in general.  Doesn’t do you much good, though, if you we don’t show you how, right?  So, let’s remedy that. In this episode we’ll show you how we do it, and then we’ll get a true expert to demonstrate.  We’ve done a lot of these, but not nearly as many as Jesper Danielson.  We met Jesper at Sonosweden last year, and we were blown away by his bowel ultrasound skills.  So we’ve convinced him to share those skills with you.  You’re welcome. Speaking of Sonosweden, remember, we’re all doing it (and by “it” we mean learning ultrasound in a Japanese Spa) again.  And if you want to join us in Norway right afterwards for a cruise up the Norwegian coastline under the Northern Lights to learn some advance ultrasound, we’ll be there as well. Register for Sonosweden Register for Sononorway Follow us:  @ultrasoundpod Learn with us:  www.ultrasoundleadershipacademy.com Register:  Castlefest 2015 or Yellowstone Course Inkling.com eBook   iTunes versions if you prefer the iBooks Textbook format: Volume 1 Volume 2 One Minute Ultrasound Smartphone App for iOS One Minute Ultrasound Smartphone App for Android

I’m sure you don’t remember, but our first episode ever was on ultrasound for appendicitis.  But that was a long time ago…..like 3 years.  So it’s time to revisit.  There’s new data, and there’s room for improvement.  In this episode we do something a little different than normal.  Instead of giving you a “great save” story, we’re gonna talk about how it can go wrong.  What we don’t want to do is scare you away from doing this exam.  However, it’s important to inject some humility occasionally, especially when we’re talking about an advanced scan.  This can be screwed up if you don’t know exactly how to perform it and exactly how to apply it clinically to your patient. We’re also SUPER excited to tell you about Sonosweden and Sononorway.  Now last year, Sonosweden was sold out within about a week of talking about it on the podcast, so a lot of people missed out.  Don’t miss out this year.  It’s bigger and better, and if ultrasounding in a Japanese Spa while wearing a robe isn’t enough for you, we’re moving the whole party to a cruise ship in Norway after the Spa course ends this year.  Listen to the podcast for more info. Lastly, we’ll be bringing you more of the exact “how to” part very soon.  Stay tuned. Last reminder:  If you haven’t commented on or rated the podcast, please do, but only if it’s positive and you can give us 5 stars.  Email us if you can’t give us a 5 and we’ll try to do better.  It takes you