Another cutting edge topic! These insatiable investigators propose to use doppler waveforms from the common femoral vein as a marker of right heart dysfunction in heart failure patients. Novel? Certainly. Useful? We shall see!  https://www.ultrasoundgel.org/148 https://pubmed.ncbi.nlm.nih.gov/37088380/

Another cutting edge topic! These insatiable investigators propose to use doppler waveforms from the common femoral vein as a marker of right heart dysfunction in heart failure patients. Novel? Certainly. Useful? We shall see! <a href="https://www.ultrasoundgel.org/148" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/148</a> <a href="https://pubmed.ncbi.nlm.nih.gov/37088380/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/37088380/</a>

Femoral Vein Doppler

What if I told you that you could use ultrasound to find traumatic injuries to the vertebral arteries? I am not telling you that...yet. The team has some thoughts on this novel idea.  https://www.ultrasoundgel.org/147 https://pubmed.ncbi.nlm.nih.gov/37087444/

What if I told you that you could use ultrasound to find traumatic injuries to the vertebral arteries? I am not telling you that...yet. The team has some thoughts on this novel idea. <a href="https://www.ultrasoundgel.org/147" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/147</a> <a href="https://pubmed.ncbi.nlm.nih.gov/37087444/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/37087444/</a>

Vertebral Artery Injury

The GEL Jr crew sets up shop at the 2023 P2 Convention in Washington, D.C. and interviews the leaders of this organization about its history, purpose, and future.  https://www.ultrasoundgel.org/146 https://p2network.com

The GEL Jr crew sets up shop at the 2023 P2 Convention in Washington, D.C. and interviews the leaders of this organization about its history, purpose, and future. <a href="https://www.ultrasoundgel.org/146" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/146</a> <a href="https://p2network.com" rel="nofollow" target="_blank">https://p2network.com</a>

The P2 Network

Hold onto your hats - the latest episode discusses an application for ultrasound that you have probably never even thought about doing! Ultrasound-guided trigger point injections - do they work?!  https://www.ultrasoundgel.org/145 https://pubmed.ncbi.nlm.nih.gov/36214230/

Hold onto your hats - the latest episode discusses an application for ultrasound that you have probably never even thought about doing! Ultrasound-guided trigger point injections - do they work?! <a href="https://www.ultrasoundgel.org/145" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/145</a> <a href="https://pubmed.ncbi.nlm.nih.gov/36214230/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/36214230/</a>

US-Guided Trigger Point Injections

Virtual reality ultrasound?! It is here, and it might be a valuable educational tool. Special host Shawn Sethi, usual but still somewhat special host Mike, and definitely special guest ultrasound educator Suean Pascoe discuss the available evidence and their own perspectives on this innovative technology.  https://www.ultrasoundgel.org/144

Virtual reality ultrasound?! It is here, and it might be a valuable educational tool. Special host Shawn Sethi, usual but still somewhat special host Mike, and definitely special guest ultrasound educator Suean Pascoe discuss the available evidence and their own perspectives on this innovative technology. <a href="https://www.ultrasoundgel.org/144" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/144</a>

Virtual Reality

Can looking at the diaphragm with ultrasound help us understand a patient's respiratory status? This is one of the first papers to look at this question in an emergency department population.  https://www.ultrasoundgel.org/143 https://pubmed.ncbi.nlm.nih.gov/36680779/

Can looking at the diaphragm with ultrasound help us understand a patient's respiratory status? This is one of the first papers to look at this question in an emergency department population. <a href="https://www.ultrasoundgel.org/143" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/143</a> <a href="https://pubmed.ncbi.nlm.nih.gov/36680779/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/36680779/</a>

Diaphragmatic Dysfunction

This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community. Guests Almaz Dessie and Javier Rosario lend their insights to the discussion of their articles and practical next steps.  https://www.ultrasoundgel.org/142

This is the second and final part of our episode on diversity, equity, and inclusion within the point-of-care ultrasound community. Guests Almaz Dessie and Javier Rosario lend their insights to the discussion of their articles and practical next steps. <a href="https://www.ultrasoundgel.org/142" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/142</a>

Inclusion in POCUS Part 2

Special guests Almaz Dessie and Javier Rosario join Mike, Creagh, and Jai to discuss diversity, equity, and inclusion specifically in the point-of-care ultrasound community. This is the first of a two part discussion that covers the recently published articles on this topic and what you can do to help these efforts.  https://www.ultrasoundgel.org/141

Special guests Almaz Dessie and Javier Rosario join Mike, Creagh, and Jai to discuss diversity, equity, and inclusion specifically in the point-of-care ultrasound community. This is the first of a two part discussion that covers the recently published articles on this topic and what you can do to help these efforts. <a href="https://www.ultrasoundgel.org/141" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/141</a>

Inclusion in POCUS Part 1

Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation? Is fasting itself a helpful way to empty the stomach??  https://www.ultrasoundgel.org/140 https://pubmed.ncbi.nlm.nih.gov/32769837/

Delia and Lianne take on the topic of pediatric gastric POCUS. Is it a helpful way to assess the effect of fasting prior to procedural sedation? Is fasting itself a helpful way to empty the stomach?? <a href="https://www.ultrasoundgel.org/140" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/140</a> <a href="https://pubmed.ncbi.nlm.nih.gov/32769837/" rel="nofollow" target="_blank">https://pubmed.ncbi.nlm.nih.gov/32769837/</a>

Gastric POCUS & Sedation

Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS.  https://www.ultrasoundgel.org/139

Vicki Noble is a veritable legend of point of care ultrasound. Zach and Mike are lucky enough to sit down with this proverbial fountain of wisdom and scoop some razor insights into the past, present and future of the field. We discuss Vicki's origin story, multi-disciplinary collaboration, hot takes on POCUS research, and the middle-age of POCUS. <a href="https://www.ultrasoundgel.org/139" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/139</a>

The State of POCUS

Review and discussion of recent literature in point of care ultrasound.

Did you know GEL stands for Gathering Evidence from Literature? That&#39;s exactly what this podcast are doing. Bringing that hometown flavor to some big issues! Great for medical and non medical people alike.

First Time Listener, Long Time Fan

Ultrasound GEL

Many ultrasound enthusiasts have been using point of care ultrasound to assist in the diagnosis of acute decompensated heart failure, but it has not been widely adopted. It has been shown by many studies that ultrasound can visualize pulmonary edema easily so that treatment can be started quickly. However, some still cling to their chest xrays and their natriuretic peptides, just hoping it won't lead them astray. Well this trial aims to prove the superior accuracy of lung ultrasound combined with clinical assessment over chest xray and pro-BNP (also combined with clinical assessment). Hold onto your hats, because there is a lot we can learn from this well done randomized controlled trial of over 500 patients!https://www.ncbi.nlm.nih.gov/pubmed/30690825

Many ultrasound enthusiasts have been using point of care ultrasound to assist in the diagnosis of acute decompensated heart failure, but it has not been widely adopted. It has been shown by many studies that ultrasound can visualize pulmonary edema easily so that treatment can be started quickly. However, some still cling to their chest xrays and their natriuretic peptides, just hoping it won't lead them astray. Well this trial aims to prove the superior accuracy of lung ultrasound combined with clinical assessment over chest xray and pro-BNP (also combined with clinical assessment). Hold onto your hats, because there is a lot we can learn from this well done randomized controlled trial of over 500 patients! <a href="https://www.ncbi.nlm.nih.gov/pubmed/30690825" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/30690825</a>

Integrated Lung Ultrasound for Acute Decompensated Heart Failure

Ultrasound was made for the diagnosis of small bowel obstruction. It loves when air filled things are turned into fluid filled things - its helps us see it better. When the bowel gets backed up and distends with digested cheeseburgers, ultrasound is there to save the day. As easy as this may seem, it has not been well studied. There are a few small studies that show it can be accurate compared to a CT, but without a large body of evidence - a lot of people are (quite reasonably) unwilling to put their faith in it. Well, we can't say this study is going to turn all that around, but its one more piece of the puzzle of figuring out how we can use POCUS for this diagnosis.

Small Bowel Obstruction

For peritonsillar abscesses, sometimes you need imaging to make the diagnosis clear. Many turn to CT, but ultrasound offers an appealing alternative. A transcervical approach can be used which is likely less uncomfortable than the intra-oral method. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population.https://www.ultrasoundgel.org/91 https://www.ncbi.nlm.nih.gov/pubmed/31713253

For peritonsillar abscesses, sometimes you need imaging to make the diagnosis clear. Many turn to CT, but ultrasound offers an appealing alternative. A transcervical approach can be used which is likely less uncomfortable than the intra-oral method. This study looks at the implementation of a transcervical ultrasound protocol in a pediatric emergency department to see if it helps this population. <a href="https://www.ultrasoundgel.org/91" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/91</a> <a href="https://www.ncbi.nlm.nih.gov/pubmed/31713253" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/31713253</a>

Pediatric Peritonsillar Abscess

We have reviewed a lot of POCUS articles on this podcast, but we don't often talk about the process of performing a research study. On this episode, we bring on world-class POCUS expert and researcher Michael Gottlieb to discuss the ins and outs of performing, publishing, and reviewing ultrasound research studies. This is Part 1 of 2.https://www.ultrasoundgel.org/92

We have reviewed a lot of POCUS articles on this podcast, but we don't often talk about the process of performing a research study. On this episode, we bring on world-class POCUS expert and researcher Michael Gottlieb to discuss the ins and outs of performing, publishing, and reviewing ultrasound research studies. This is Part 1 of 2. <a href="https://www.ultrasoundgel.org/92" rel="nofollow" target="_blank">https://www.ultrasoundgel.org/92</a>

How to Do POCUS Research - Part 1

Necrotizing fasciitis (NF) is a real bad deal. We usually rely on clinical exam (which can be misleading) or other imaging studies (which can take forever) to make the diagnosis. POCUS would be an awesome solution in helping to make this time-sensitive determination. We know it can pick up fascial fluid, air, subcutaneous changes...but really how good is it when it comes down to diagnosing this deadly disease?https://www.ncbi.nlm.nih.gov/pubmed/31031033

Necrotizing fasciitis (NF) is a real bad deal. We usually rely on clinical exam (which can be misleading) or other imaging studies (which can take forever) to make the diagnosis. POCUS would be an awesome solution in helping to make this time-sensitive determination. We know it can pick up fascial fluid, air, subcutaneous changes...but really how good is it when it comes down to diagnosing this deadly disease? <a href="https://www.ncbi.nlm.nih.gov/pubmed/31031033" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/31031033</a>

Necrotizing Fasciitis

There are many ways that TEE can help you in cardiac arrest. One of these is to monitor your chest compressions to make sure they are actually doing what you want. Although this makes sense intuitively and is supported by animal models, there has not been a lot of evidence to date. This article takes a step in that direction by showing some data on outcomes in humans.https://www.ncbi.nlm.nih.gov/pubmed/30825552

There are many ways that TEE can help you in cardiac arrest. One of these is to monitor your chest compressions to make sure they are actually doing what you want. Although this makes sense intuitively and is supported by animal models, there has not been a lot of evidence to date. This article takes a step in that direction by showing some data on outcomes in humans. <a href="https://www.ncbi.nlm.nih.gov/pubmed/30825552" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/30825552</a>

LVOT Opening in Cardiac Arrest

In part 2 (and the finale) of the series from the IAEM conference, the discussion heats up even more! The same star-studded international band of wisdom and wizardry tackles POCUS in cardiac arrest. They discuss the CASA exam and other pointers for using POCUS in the pulseless patient. A must listen!

CASA and POCUS in Cardiac Arrest

Resa and Mike team up to discuss important happening at SCUF 2019 Annual conference. Guest stars Nova Panebianco and Sara Damewood!

FemInEM and Ultrasound GEL Co-Podcast

The RUSH exam is a family favorite. It's a reliably easy to recall hypotensive protocol that uses ultrasound to help determine the etiology of a patient's shock. Well here's a new idea - trauma patient's can be in shock too, right? So maybe we should perform a full RUSH exam instead of just a measly EFAST? Well...hold your horses there kiddo, there may be more to think about with this one.

The RUSH Exam in Polytrauma

Point of care ultrasound can be used for a great many things, but I don't think many people grab for the probe when a patient comes in with suspected pre-eclampsia. However, we know that pre-eclampsia can lead to pathophysiology that is readily identified on ultrasound - things like interstitial edema, cardiac dysfunction, and increased intracranial pressure. This study takes the first step by examining patients in pre-eclampsia and determining how often you might find something if you go a lookin.https://www.ncbi.nlm.nih.gov/pubmed/30211771

Point of care ultrasound can be used for a great many things, but I don't think many people grab for the probe when a patient comes in with suspected pre-eclampsia. However, we know that pre-eclampsia can lead to pathophysiology that is readily identified on ultrasound - things like interstitial edema, cardiac dysfunction, and increased intracranial pressure. This study takes the first step by examining patients in pre-eclampsia and determining how often you might find something if you go a lookin. <a href="https://www.ncbi.nlm.nih.gov/pubmed/30211771" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/30211771</a>

POCUS in Preeclampsia

We know that the carotid arteries are easily seen on ultrasound, but usually we think of this scan in the context of comprehensive sonography. Certainly, it is not hard to believe that having increased atherosclerotic build up would put someone at increased risk for coronary artery disease, but what can we do with that in the acute setting? These authors had an idea - maybe measuring the Carotid Intima-Media Thickness (CIMT), could be a predictor of the outcomes of a cardiac stress test. Is this brilliance or craziness? Decide for yourself!https://www.ncbi.nlm.nih.gov/pubmed/30612781/

We know that the carotid arteries are easily seen on ultrasound, but usually we think of this scan in the context of comprehensive sonography. Certainly, it is not hard to believe that having increased atherosclerotic build up would put someone at increased risk for coronary artery disease, but what can we do with that in the acute setting? These authors had an idea - maybe measuring the Carotid Intima-Media Thickness (CIMT), could be a predictor of the outcomes of a cardiac stress test. Is this brilliance or craziness? Decide for yourself! <a href="https://www.ncbi.nlm.nih.gov/pubmed/30612781/" rel="nofollow" target="_blank">https://www.ncbi.nlm.nih.gov/pubmed/30612781/</a>

Carotid Intima-Media Thickening

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Best Multi-Part Documentaries

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