Right off the heels of dasSMACC, I got Ben Smith (@ultrasoundjelly) to give us a 5minsono on the 60/60 sign for PE. This echocardiographic sign was found to have 94% specificity in patients with suspected PE (Reference)
Come hang out with us in Versailles, Kentucky at Castlefest 2018!
Do you feel like Versailes, Kentucky not beachy enough? Come to Cabofest instead! Offer code "5MINSONO10" gets you 10% off!
Figuring out if your patient will benefit from more IV fluid is paramount. The ultrasound assessment of volume responsiveness is a topic that is always full of controversy. Here, I talk about one of the many techniques: LVOT VTI.
When I'm eavesdropping on other peoples conversations at ultrasound courses, I often hear people talk about compressing the vessel you want to cannulate to make sure its a vein and not an artery (if you happen to be placing a peripheral IV). Here's the thing: Peripheral arteries and veins can both be compressible.
I suggest looking for pulsitility instead of compressibility when trying to differentiate between the two. Check out the podcast for more deets.
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.
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:
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.
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!
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!
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.
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!
