Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together thread on beginner mistakes in echo. #tweetorial #POCUS #FUSIC #askpocus Before the specifics, the basics (which I won't go into too much detail about):
- Optimise depth and gain
- Position your patient if possible
- Hold the probe low and rest some part of your hand on the patient for stability
- If in doubt more jelly and press a little harder

So what does a #POCUS guided fluid assessment look like? #tweetorial #askpocus @IMPOCUSFocus @DRsonosRD @KalagaraHari @SonoSerious @tsquaredmd @jaffa_md @nick_wroe @EM_RESUS @coreultrasound @kyliebaker888 Let’s start of the with the lungs! Normal dry lungs are represented by an A line profile. These are horizontal lines that are equidistant from each other and are reverberations artefacts of the pleural line.

Train the eye - part 4. McConnell’s sign! #askpocus #echofirst #pocus @NephroP @Wilkinsonjonny @icmteaching @IMPOCUSFocus @dr_benoy_n_shah @cianmcdermott @EmergencyEcho @KalagaraHari @RJonesSonoEM @DRsonosRD @SonoSerious @iceman_ex @daniel_opazo

https://twitter.com/manoj_wickram/status/1329361665113067521

So what actually is McConnells sign?

https://twitter.com/sijunkimcv/status/1244707721120751619?s=21

#askpocus case. Indigestion type chest pain with some pleuritic nature. Troponin ++. Lateral TWI. Initially suspected ACS but CTPA showed PE so treated accordingly. @askpocus @daniel_opazo @NephroP @Wilkinsonjonny @iceman_ex @cianmcdermott @nick_wroe @IMPOCUSFocus @The_echo_lady So why was troponin so raised? Bedside echo! Not the greatest of views but enough to comment. PLAX...

Train the eye - part 3. Cardiac tamponade! #askpocus #echofirst #pocus @NephroP @Wilkinsonjonny @icmteaching @IMPOCUSFocus @dr_benoy_n_shah @cianmcdermott @EmergencyEcho @KalagaraHari @RJonesSonoEM @DRsonosRD @SonoSerious @iceman_ex @daniel_opazo

https://twitter.com/eabramsmd/status/935510082875478016?s=21

There are several sonographic signs of cardiac tamponade...

https://twitter.com/emedicalacademy/status/1229784920198991874?s=21

Another train the eye thread. This time - Takutsubos cardiomyopathy 🐙! #POCUS #askpocus #echofirst @iceman_ex @cianmcdermott @icmteaching @load_dependent @daniel_opazo @KalagaraHari @DRsonosRD @tsquaredmd @coreultrasound @IMPOCUSFocus @nick_wroe @askpocus @The_echo_lady Also known as stress induced cardiomyopathy/takutsubos syndrome/broken heart syndrome

https://twitter.com/manoj_wickram/status/1344939071798390784