Discover and read the best of Twitter Threads about #POCUS

Most recents (6)

#POCUS in a gentleman with LUQ tenderness after blunt abdominal trauma 1 week ago. What is seen caudal to the spleen?
Perisplenic hematoma was suspected - and CT was performed
This is a normal anatomical variant of elongated left liver lobe - so called "Beaver tail liver"
Read 5 tweets
[THREAD] Our tips on small bore chest tube placement for pleural effusion! Performed by a resident @BostonCityEM supervised by fellows @BUPulmonary. We'd love your input! Not a comprehensive guide. Made with written patient authorization. #meded #FOAMcc #pulmcc
For new large unilateral effusions such as this, we place a chest tube if fluid pH <7.2, glucose <60. Without fluid studies, we place a tube empirically if effusion is large, loculated, infected, or likely to reaccumulate- except CHF/fluid overload.
First step: ultrasound. We position the probe with marker to the head, as lateral as possible. Intercostals tend to sag as you move towards the midline, so you could hit them when going above the rib. Lateral access is safest.
Read 24 tweets
Good morning everyone! For my first session of day 2, I’ve decided to come and learn all about vasculitis in the ICU - being presented by Marlies Ostermann from @GSTT_ICU #lives2018
Marlies starts with a couple of case histories:

Middle aged women, presenting with undifferentiated pulmonary and renal failure, raised inflammatory markers, Nonspecific chest X-ray changes...

But which one has vasculitis? #lives2018
The answers are surprising...

(And it looks like you should #POCUS everyone with suspected vasculitis 😁😜) #lives2018
Read 22 tweets
Now debating “endpoints of fluid resuscitation” featuring @Manu_Malbrain and @PrXaMonnet #lives2018

Up first: Manu!

Follow him @Fluid_Academy and check his work…
Magder Shelton: cardiac output is the key component of determining fluid requirements. Stop once CO adequate… #lives2018
Read 19 tweets
Male/37. Fever 39 with cough and runny nose. Wheezy, HR 124, RR 30, sat 88% on air. Comments? ( the "season" has started! ) #POCUS…
"Figure 8: Transverse thin-section CT scan at the level of the bronchus intermedius in a patient with influenza A virus shows ill-defined centrilobular nodules (arrows). Peripheral subpleural consolidation in the apical segment of left lower lobe"
Absence of consolidation (“hepatization” with air bronchograms) with #POCUS showing sub pleural consolidation supports diagnosis of viral pneumonia
Read 4 tweets
Curious about how #POCUS is taught? This #Tweetorial is for U
#Preview for #ASEchoJC 🔜9/4 8pm EST

Point-of-Care Cardiac Ultrasound POCUS: State-of-the-Art in Medical School Education by @amerjohri

#POCUS not 🐇🎩, not short #TTE
2/ Current #goals #Cardiac #POCUS #MedEd

(1) introduce concepts of ultrasound- common imaging views, correlate with anatomy, & physical examination skills

(2) develop scanning techniques➡️ basic competence

(3) recognize & differentiate b/w normal anatomy & basic pathology
3/ When Do We Start? Prerequisite knowledge for #POCUS teaching

"priming effect" of preclinical education

Big machine 1st over handheld Martinez et al @UMMC

Start 1st year @Hoppmann et al @UofSCSOM
Read 10 tweets

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