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Syndication

In this episode I share with you my TOP TIPS for bedside ultrasound (Technically it's 15 tips, but who's counting?) I originally gave this during the virtual SEMPA conference this year (2021). Check it out!

Don’t forget to check out Courses.coreultrasound.com for all your CME educational needs!

If you’re interested in an online ultrasound fellowship, check out www.ultrasoundleadershipacademy.com!

Direct download: Top_5_Final_for_podcast.mp4
Category: -- posted at: 8:45am EDT

In this ultrasound podcast, I will be discussing a few of my favorite cases. This was initially recorded for the SEMPA virtual conference last week, and I’m stoked to share it with you all here. Check it out and let me know what you think!

Don’t forget to check out Courses.coreultrasound.com for all your CME educational needs!

If you’re interested in an online ultrasound fellowship, check out www.ultrasoundleadershipacademy.com!

Direct download: extreme_US_cases_podcast_smol.mp4
Category: -- posted at: 10:13am EDT

This week on the podcast I feature a Grand Rounds talk that my bestie Ben Smith gave at the University of Vermont (via Peter Weimersheimer). In this talk, Ben gives us his best pearls on how to educate effectively, using ultrasound as the educational product. Check it out below!

Don't forget to check out our website: Coreultrasound.com, as well as our content courses at courses.coreultrasound.com!

Direct download: Vermont_podcast_Final_Smol.mp4
Category: -- posted at: 6:54am EDT

This week I had the pleasure of giving a virtual lecture for the Utah College of Emergency Physicians meeting, and I recorded it for your viewing pleasure! The RUSH exam (the version that I use) was invented by Scott Weingart a few years ago and is super useful in patients with undifferentiated hypotension. It stands for "Rapid Ultrasound in Shock and Hypotension". Check it out here!

Make sure to check out my website, www.coreultrasound.com. If you're interested in some online courses, check out www.courses.coreultrasound.com

Direct download: RUSH_USP_smol.mp4
Category: -- posted at: 10:29am EDT

This week we have a special guest host, Michael Prats, from the Ultrasound GEL podcast. In this episode, Mike speaks with Dr. Rafael Blanco about the blocks he created, the Pecs 1 block, the Pecs 2 block and the Serratus blocks! If you want to know how to perform the serratus block, click here.

Don’t forget to check out courses.coreultrasound.com for all your educational needs

 

Direct download: Rafa_interview_Final_Podcast.mp4
Category:general -- posted at: 2:17pm EDT

In this episode, I demonstrate a case of early tamponade in which only right atrial diastolic collapse is visualized (rather than the oft-quoted right ventricular diastolic collapse), as well as review the literature on the sonographic findings.  I also suggest that maybe tamponade should be considered more of a sonographic diagnosis rather than a clinical diagnosis.  Check it out for more info!

On a side note, Terren Trott, Ben Smith and I are going to be putting together a new live and online ultrasound course March 15-16th! We’re going to spend the first day talking about content creation and the second day talking about how to run an ultrasound division.

The content creation course will cover how to create online presentations, how to use microblogging platforms (such as twitter and instagram) and how to give in-person presentations. The ultrasound management course will involve topics that will help you run a successful ultrasound program at your institution.

With registration, you will be given access to the recorded lectures for 12 months after the course!

Here's the link for more information: https://www.coreultrasound.com/cc_mgmt/ 

Direct download: Tamponade_smol.mp4
Category:general -- posted at: 9:46am EDT

The Ultrasound Leadership Academy is an online ultrasound fellowship that is designed to help clinicians learn bedside ultrasound if they hadn’t gotten the training during their residencies. I was honored to be asked to revamp their curriculum as well as being on their board last year. This lecture is a recording of a live lecture that Dr. Claire Heslop gave last month on cardiac ultrasound. After the lecture myself and few of the other ULA professors have a bit of a question and answer session as well. 

On a side note, Terren Trott, Ben Smith and I are going to be putting together a new live and online ultrasound course March 15-16th! We’re going to spend the first day talking about content creation and the second day talking about how to run an ultrasound division.

The content creation course will cover how to create online presentations, how to use microblogging platforms (such as twitter and instagram) and how to give in-person presentations. The ultrasound management course will involve topics that will help you run a successful ultrasound program at your institution.

With registration, you will be given access to the recorded lectures for 12 months after the course!

Here's the link for more information: https://www.coreultrasound.com/cc_mgmt/ 

Direct download: Claire_ULA_lecture.mp4
Category: -- posted at: 4:45am EDT

I recently realized that I don’t really have that much soft tissue content on the website or podcast and decided I needed to do something about that. The basic differentiation between cellulitis and abscess is unlikely to save a life as speedily as identifying cardiac tamponade will, but it is still vitally important. Skin infections are very common, and choosing the appropriate treatment strategy for them is of utmost importance. What WILL save a life is differentiating between a necrotizing soft tissue infection and cellulitis, which I also delve into in this talk. This vodcast was recording during our residency didactics. Check it out below!

If you’d like to learn from us, check out courses.coreultrasound.com and if you’re interested in an online ultrasound fellowship, check out ultrasoundleadershipacademy.com

Direct download: Soft_TIssue_ultrasound_podcast_podcast.mp4
Category: -- posted at: 6:40am EDT

Last week I shared with you a conversation I had with Dr. Resa Lewiss on the importance of mentoring. (In case you missed it, Dr. Lewiss is an amazing individual! She is a practicing emergency physician/Professor of Emergency Medicine who works in Philadelphia, is the creator of The Visible Voices podcast and is one of the founding members of TIME’s UP healthcare, a non-profit initiative that advocates for safety and equity in healthcare.This week, I get the pleasure of sharing with you our conversation on how COVID has affected how we teach bedside ultrasound. Check it out!

 

If you'd like to learn from us, check out courses.coreultrasound.com and if you're interested in an online ultrasound fellowship, check out ultrasoundleadershipacademy.com

Direct download: Resa_Lewiss_and_Mentoring.m4a
Category: -- posted at: 3:58pm EDT

In this podcast we feature a cross-post from the EM Stud podcast where they interview our very own Ben Smith, MD on how to make your computer’s webcam and speaker look obsolete. Check out the EM Stud website here!

Other DIY webcam videos on YouTube:

We are planning on offering an online course in March 2021 on how to create online content and an ultrasound management course on the courses.coreultrasound.com section of the website. Stay tuned for more info!

Category: -- posted at: 1:35pm EDT

Patients with acute pain can be challenging to manage in the ED. This week, I speak with two pain control experts: Dr. Alexis LaPietra and Dr. Katherine Vlasica. They both completed a pain management fellowship at St. Joseph’s Regional Medical Center in New Jersey. Dr. LaPietra is the founder and creator of the Alternatives to Opiates (ALTO) program and the newly formed Pain Management Section of ACEP. Both are actively involved in a multi-modal approach to pain control in the ED, often including ultrasound-guided nerve blocks. This podcast is the audio version of the interview.  If you'd like to see the video of the interview, check out www.coreultrasound.com!

If you’re interested in some great online ultrasound education, check out Core Ultrasound Courses. If you’d also like to complete an online ultrasound fellowship, check out the Ultrasound Leadership Academy!

 

Direct download: _Screenflow_pain_mgmt_audio_only.m4a
Category: -- posted at: 9:40am EDT

This week on the podcast I am thrilled to have a VAD (ventricular assist device) expert, Dr. Tricia Smith, MD (@triciasmithmd), speak to us about the sonographic assessment of a VAD pt.  I learned so much talking to Dr Smith about this and anticipate you’ll enjoy this at least as much as I did. Check it out!

Direct download: VAD_final_podcast_V2.mp4
Category: -- posted at: 3:53pm EDT

This week on the podcast, I share with you a virtual lecture I gave for EMRA during Virtual ACEP 2020.  In this talk, I run through (very quickly!) how to diagnose a pulmonary embolism at the bedside using your ultrasound. Special thanks to Ben Smith, MD for help with the slides!

Missed Castlefest this year?  No worries! Check out courses.coreultrasound.com for On-Demand

Interested in an online ultrasound fellowship? Check out ultrasoundleadershipacademy.com!

Direct download: POCUS_in_PE_Final.mp4
Category: -- posted at: 8:47am EDT

This episode is a repost from a 5 Minute Sono episode back in 2017.  In this case, I discuss performing a full hand block (blocking the ulnar, radial and median nerves).  Check it out!

Missed Castlefest 2020? Check out our Core Ultrasound Courses page for full access to the course!

Interested in an online ultrasound fellowship? Check out ultrasoundleadershipacademy.com 

Direct download: Full_hand_block_V2.mp4
Category:general -- posted at: 10:12am EDT

The PENG block stands for PEricapsular Nerve Group block and looks to be a phenomenal block for hip and femoral neck fractures.  Hear all about it in this week's podcast featuring Dan Mantuani, Rob Farrow and Josh Luftig.

Missed Castlefest 2020? Check out the whole conference on-demand here: https://courses.coreultrasound.com

Interested in an online ultrasound fellowship? Check out the Ultrasound Leadership Academy: http://ultrasoundleadershipacademy.com/academy/ 

Direct download: PENG_V3_Smol.mp4
Category: -- posted at: 9:13am EDT

This week Anand Swaminathan (of EM:RAP and RebelEM fame) and I talk about medical education for the...more mature clinician.  Check it out!

Virtual Castlefest 2020 will be Nov 9-10 this year. For more info, click here: https://www.castlefest2020.com 

Direct download: Swami_Podcast_Final_2.m4a
Category: -- posted at: 7:37am EDT

In this week's podcast, I sit down with Renee Dversdal and Amin Nikoozadeh, the CMO and CEO, respectively, of Vave Health.  They have produced a new wireless ultrasound transducer, the Vave Wireless that they're excited to tell us about.  Check it out!

Direct download: vave_Podcast_Final_V2.m4a
Category: -- posted at: 12:45pm EDT

This week I share a pretty spectacular case where Dr. Rob Farrow et al present a patient in whom bedside ultrasound helped appropriately disposition the patient (check out the article here). My two favorite pearls for this are the fact that patients that have symptoms suspicious of COVID also can have other diseases (like heart attacks and PEs) AND you should be scared not to use your bedside ultrasound due to the fact that you may miss something important.  Check it out!

Direct download: New_intro_for_Farrow_Podcast_V4.m4a
Category:general -- posted at: 11:07am EDT

This week I get the pleasure of sitting down (virtually) with Dr. Claire Heslop, a phenomenal educator and Emergency Physician in Toronto, Canada. We chat about a few of our choicest machine/patient/sonographer optimization tips.  Check out the top pearls below:

  1. Make sure you have the right probe and have the ultrasound machine in the best setting for that specific exam.
  2. Optimize depth
  3. Optimize gain
  4. Optimize your angle of insonance (angle of the beam relative to the structure you’re scanning.  The sound beam should be perpendicular to the thing you’re looking at)
  5. Patient optimization –
    1. Position the patient
    2. Remove leads/stickers
    3. Clean up gel
  6. Keep your patient informed on what you’re seeing (also, ask them if they want to be informed on what you’re seeing)
  7. Think about ergonomics for the ultrasonographer –
    1. Drop the bed rails
    2. Lower/raise patient bed
    3. Place the ultrasound machine in your line of sight.
In other news, we’ve decided to cancel in-person Castlefest this year (2020).  We had postponed it from May 2020 to November 2020 in hopes that the pandemic would be less prominent by then.  Since this likely won’t be the case, we feel that moving the conference to a virtual platform is the right thing to do.

We’re still working out details on exactly how we’re going to do this, but we do know we will offer it November 9-10th 2020 and the URL for updates will be https://www.castlefest2020.com. If you have already paid for in person Castlefest, you have two options:

  1. Full refund
  2. We hold onto your spot (and registration) for Castlefest 2021.  If you do this, we will give you FREE ACCESS to virtual Castlefest 2020.

More details to follow soon, and if you have any questions in the meantime, please feel free to reach out! (ultrasoundpodcast@gmail.com)

Direct download: Claire_podcast_FINAL.m4a
Category:general -- posted at: 8:38am EDT

A few months ago I had a wonderful conversation with Scott Weingart regarding the RUSH exam (which he invented) and the sonographic diagnosis of cardiac tamponade. If you'd like to hear Scotts 2019 update on the RUSH exam, click here

This week I'm cross-posting our interview where he asked me about how to diagnose this at the bedside.  Check it out!

If you're interested in an online ultrasound fellowship, check out the Ultrasound Leadership Academy

Direct download: scott_tamponade.m4a
Category:general -- posted at: 5:30am EDT

In this weeks podcast Jacob speaks with Zack Risler, who is the Director of Ultrasound Education for the residents at Thomas Jefferson in Philadelphia. Zack and I are both on the Ultrasound GEL podcast and a few months ago we started talking about our thoughts on resident education and decided to share it with you all! 

Enjoy!

If you are interested in an online ultrasound fellowship, check out www.ultrasoundleadershipacademy.com

Direct download: Resident_education_podcast_Risler_V3.m4a
Category:general -- posted at: 4:52am EDT

This week we keep our basics series up and running!

A few months ago I had the privilege of speaking at the Tennessee American College of Emergency Physicians Scientific Assembly and the talk I gave was entitled "Top Five Bedside Ultrasound Applications".  Instead of a traditional "Top Five", I gave the two most life altering (COPD vs CHF and aortic dissection), the two most important procedures (US-guided IV and nerve blocks), and my favorite exam (Pneumonia).  If you want to watch the video (and hear why I'm so out of breath at the beginning), go to https://www.coreultrasound.com/top-5-pocus-tips/

 

Direct download: top_5_podcast_V2.m4a
Category:general -- posted at: 4:24pm EDT

This week I share with you a conversation that Dr. Kat Ogle and I had on medical education with emphasis on bedside ultrasound teaching.  We recorded this on location in Cartagena, Colombia while doing some workshops for the Developing EM conference

This podcast will be the first in a series of podcasts on education since we are fortunate enough to have a fresh batch of new physicians in July!

Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy!

Direct download: Kat_interview_V3.m4a
Category:general -- posted at: 6:00am EDT

A few weeks ago Lindsay Reardon and Peter Weimersheimer talked to us about a case in which Lindsay uncovered an initially unsuspected tamponade (Click here for part 1 of the podcast). This week, we speak with the cardiologist (Joel Wolkowicz, MD) who took the case after the initial diagnosis. 

Direct download: Part_2_Tamponade_case_Joel_interview_combined_for_PODCAST.m4a
Category: -- posted at: 12:57pm EDT

This week, Drs. Lindsay Reardon and Peter Weimersheimer talk to us about a case of shortness of breath they had in their community shop that ended up being a life-threatening pathology that was caught early enough to avoid the patient decompensating. Next week, we're publish part 2 of the podcast where we speak with the cardiologist on the case. 

Interested in an online ultrasound fellowship?  Check out www.ultrasoundleadshipacademy.com!

Direct download: Tamponade_Peter_and_Lindsay_Part_1.m4a
Category:general -- posted at: 6:00am EDT

Pediatric patients with suspicion of congenital heart abnormalities can be very intimidating! In this week's podcast Jacob speaks with one of our pediatric POCUS experts regarding congenital heart abnormalities and how the average provider might be able to evaluate them.  Your point-of-care exam should never replace a cardiology-performed echo, but your exam can definitely help you in your work-up.  Here are Russ's tips:

  1. Hypoplastic left heart - Look for a small left ventricle
  2. Coarctation of the aorta - Look at the pulsed-wave Doppler waveform of the abdominal aorta
  3. Heart failure - Look at the lungs
Direct download: russ_congenital_heart_abnormality_tips.m4a
Category:general -- posted at: 11:22am EDT

It appears that there is a higher incidence of thrombotic events in COVID-19 patients, including upper and lower extremity DVT, MI, CVA and heart attacks.  While there are many ways to diagnose thrombotic disease, point of care ultrasound is definitely an option.  

For a summary of the available literature on COVID-associated thrombosis, check out www.coreultrasound.com/COVID_thrombosis

Listen to the podcast and let us know what you think.  

Direct download: Mallin_and_Avila_thrombosis.m4a
Category:general -- posted at: 6:00am EDT

Back in January 2020, I was in Vermont with Russ Horowitz. We had both been lecturing at Stowe EM and we got to talking about pediatric pneumonia. Russ told me about a case of a patient who was sent to his hospital with a radiographic diagnosis of pneumonia. Turns out the patient didn't have pneumonia, but had a thymus (which is a normal finding in neonates). Check out the podcast for more details!

If you want to see a tutorial on how to evaluate a patient for pneumonia,  check out https://www.coreultrasound.com/pneumonia/

Interested in an online ultrasound fellowship?  Check out http://www.ultrasoundleadershipacademy.com/

 

Direct download: Pediatric_thymus_PNA_case_full_V1.m4a
Category:general -- posted at: 6:00am EDT

Let's be honest: Musculoskeletal ultrasound is unlikely to save a patient's life.  However, it can dramatically change your patients disposition and may help diagnose your patients with abnormalities much faster than without POCUS.  This week, Jacob talks with Zachary Risler (@zrisler) about his thoughts on the sonographic evaluation of hip effusions.

 

If you want to see a tutorial on how to perform the exam and exactly what to look for, check out https://www.coreultrasound.com/hip-effusion/

Interested in an online ultrasound fellowship?  Check out http://www.ultrasoundleadershipacademy.com/

Direct download: Hip_podcast_-_Final.m4a
Category:general -- posted at: 6:00am EDT

In this video, Michael Prats, MD (guest host!) and Jacob Avila sit down with Yale Tung Chen and speak with him regarding his article, Results of a Prospective Study to Evaluate the Impact of Point-of-Care Ultrasound in the Enhancement of Gastrointestinal Bleeding Risk Scores. In this study, Dr. Chen showed that ultrasound was able to prognosticate hemodynamically stable patients for bad outcomes down the road.  Here's the link to the study.

Interested in an online ultrasound fellowship? Check out www.ultrasoundleadershipacademy.com

Direct download: podcast_intro_audio_only_FINAL.m4a
Category:general -- posted at: 6:00am EDT

This week, we talk with Dr Peter Weimersheimer and Dr. Lindsay Reardon regarding their experience using ultrasound in the era of COVID.  Listen to the podcast to hear their thoughts on machine protection and decontamination, using portable devices and how to teach ultrasound.

Interested in an online ultrasound fellowship?  Check out www.ultrasoundleadershipacademy.com 

Direct download: Vermont_COVID_flow.m4a
Category:general -- posted at: 10:52am EDT

We're (obviously) pro-ultrasound when it comes to diagnostic work-ups.  This is especially true when you consider the overwhelming COVID pandemic. When using POCUS to evaluate your patients, you definitely don't want the machines to be a potential source of infection for your next patient.  In this podcast, Mike and Jacob discuss their thoughts on how to adequately safeguard your machine and your patients amid this pandemic. 

Castlefest has officially been moved to the November 9-13th.  Check it out here 

Interested in an online ultrasound fellowship?  Check out www.ultrasoundleadershipacademy.com

 

 

Direct download: Outtro_covid_cleaning.m4a
Category:general -- posted at: 6:00am EDT

On March 10th we published part 1 of Cardiac Arrest Ultrasound with Cian McDermott.  We usually like to publish part 2 right after part 1, but instead we published a series of 'casts on COVID and lung ultrasound.  

But now, the wait is over! Check out PART 2 of Cardiac Arrest Ultrasound with Cian McDermott where we ask ourselves rapid-fire questions! 

If you are interested in some detailed show notes, check out Part 1 of the podcast on the www.Coreultrasound.com website. 

Announcements:

  • ULA (Ultrasound Leadership Academy) has graciously offered to put their lung modules online FOR FREE.  Link here
  • Castlefest 2020 is delayed until November 9th.  #COVID19
  • Interested in an online ultrasound fellowship?  Check out www.ultrasoundleadershipacademy.com  
Direct download: Cian_Cardiac_arrest_part_2_V2.m4a
Category:general -- posted at: 8:43am EDT

In this Podcast, Mike Mallin, Michael Prats and I speak with Marco Garrone (Twitter: @drmarcogarrone; Website: https://www.ultrasonica.net/), an Italian physician working on the front lines of Torino, Italy. Here, we talk specifics regarding COVID-19 and Ultrasound. Check out the podcast!

Interested in an online ultrasound fellowship? Check out www.ultrasoundleadershipacademy.com!

Direct download: Marco_COVID_Master_Video.m4a
Category:general -- posted at: 9:41am EDT

COVID-19 is taking the world by storm, and not in a good way.  As a medical community, we're scrambling trying to figure out how to best diagnose it and treat it.  In this podcast, Mike Mallin, Mike Stone, Michael Prats and I talk about the literature and our experiences with it thus far.  Check it out!

Interested in an online ultrasound fellowship? Check out www.ultrasoundleadershipacademy.com

Direct download: COVID_USP_FINAL.m4a
Category:general -- posted at: 9:09am EDT

This week we get to hear from Cian McDermott, ED physician extraordinaire on his approach to cardiac arrest.  In this podcast we discuss 1 vs 2 person POCUS, different ways to use it during arrest, and some of our favorite published protocols.  

If you want detailed show notes, check out www.coreultrasound.com, courtesy of Cian.  

If you're interested in coming and scanning with us LIVE in Lexington, Ky, check out www.castlefest2020.com

Interested in an online ultrasound fellowship?  Check out www.ultrasoundleadershipacademy.com  

Direct download: Cian_CA_Podcast_3.10.20.m4a
Category:general -- posted at: 10:41am EDT

This week our podcast features Claire Heslop (@RogueClaire), one of our Castlefest 2020 speakers and her amazing aorta and renal ultrasound talk she gave at Castlefest last year (2019).  Also, *an important announcement*! Ultrasound Podcast, 5 Minutes Sono and Ultrasound of the Week are combining forces into a NEW website: www.CoreUltrasound.com.  Check it out!

If you are interested in coming to Castlefest 2020, one of our ultrasound symposiums, go to www.castlefest2020.com

Direct download: claire_aorta_2020_-_CUS_announcement_YT.m4a
Category:general -- posted at: 6:00am EDT

This week Jacob interviews Mike Stone, an Emergency Physician that works out in Portland, Oregon.  Mike wears many hats, but the hat we’re going to be focusing on this week is that of an EM physician who is an expert on ultrasound-guided nerve blocks. In this wide-ranging conversation, we talk about tips on how to start doing nerve blocks if you’ve never done one before, LAST, needles and safety (among other great pearls). Check out the podcast for more! (If you want the video of the interview, check out our youtube channel here: https://www.youtube.com/watch?v=lYORkK-YC9I&feature=youtu.be

 

Come to Castlefest 2020 in Lexington, Ky for all you ultrasound conferences desires! - https://www.castlefest2020.com

 

Interested in an online ultrasound fellowship? Check out the Ultrasound Leadership Academy - http://www.ultrasoundleadershipacademy.com

Direct download: Mike_Stone_Interview_V1.m4a
Category:general -- posted at: 8:17am EDT

Last episode we revisited appendicitis ultrasound.  Let’s continue that visit.  What better way to keep visiting than with a case, right?
 
Luckily, Dave Kirschner….the Canadian, has an awesome case to share with us.  Dave is a brilliant ultrasound guru from up north who we met through The Ultrasound Leadership Academy, and now he teaches with us as much as we can convince him to.  
Direct download: Dave_Appy_case.mp4
Category:general -- posted at: 11:59am EDT

Last week we showed you how to be 22% more accurate in diagnosing Sepsis in 10 minutes based on this study: http://www.ncbi.nlm.nih.gov/pubmed/27236328

 
NOW, you’re not done!  You’re treating the source, but you also have to manage their fluid status.  Well, we figured since we’ve only done 87 episodes on fluid responsiveness we needed one more.  Seriously, sometimes it requires explaining in a few different ways to really get a complicated subject like that.  Let us explain……..
Direct download: Mallin_Fluid_Pod.m4v
Category:general -- posted at: 8:56am EDT

We all know that ultrasound helps us be more accurate and fast in making diagnosis and getting our sick patients appropriately treated.  Now we have proof!  THIS study proves just how much quicker we are with ultrasound.  Let’s discuss exactly how much of a difference it can make for you and your patients.

Direct download: Sepsis_pod3.m4v
Category:general -- posted at: 12:52pm EDT

Direct download: Airway_Pod_final.m4v
Category:general -- posted at: 12:40pm EDT

Direct download: PNA_Effusion_Part_2_pod.m4v
Category:general -- posted at: 3:12pm EDT

Direct download: Rib_Stern_Pod.m4v
Category:general -- posted at: 5:12pm EDT

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