Anyone familiar with a good ultrasound course (Point of care) for residents with current Covid19 restrictions? Most of them are virtual and not sure the utility of them in real world situation.
So something I am very passionate about is point of care ultrasound. Long post ahead, but I just wanted to talk about what I have been working on:
Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology, with reasonable accuracy, we cannot effectively treat them and may even cause greater harm. On this topic let’s look back…. The year is 1816 and you are a physician evaluating a patient with shortness of breath. The common practice of the time was direct auscultation by placement of the practitioner’s ear on the patient’s chest. At the time, many criticized this technique as providing little insight in the patient’s condition as well being out of normal social standards. Secondary to these pressures, that year, French physician, Dr. Rene Laennec, invented the stethoscope, which dramatically improved the clarity of the auscultation exam. He spent the remainder of his career correlating how the stethoscope could detect various chest pathologies, and educating the utility of this technology on improving bedside assessment. The accumulation of his works resides in his text De l'Auscultation Médiate, which is one of the most widely translated medical texts in history.
Now, just over two-hundred years later, it is incredible to think that this technology has not been disrupted, especially when you compare the advances mankind has made in other areas. We have gone from the horse and carriage to cars that can practically drive themselves; from the notepad to the iPad, and can now communicate anywhere on the globe irrespective of language or distance. In healthcare as well, we have drastically altered our ability to monitor as well as treat our patients.
Yet despite all of our technologic advances, the stethoscope remains the primary tool used at the bedside for the physical exam. This is in spite of the widely known inaccuracies produced by the stethoscope guided physical exam. For example, studies have demonstrated dismal results regarding the ability of the stethoscope to detect common cardiac events with a reported accuracy of 20 to 40 percent.(1,2) Even amongst cardiologists the accuracy of the stethoscope is poor.(3)
Acceptance of this concept is key for us to innovate. One simply needs to ask themselves: how do you tell the difference between rhonchi or rales? What section of the lung did you hear diminished breath sounds? Or, where is that
... keep reading on reddit ➡Who does it?
What are the criteria/which device/are you past soley using it for a FAST exam?
Lobbying our medical director and director of ops in an urban, high trauma location. The program I am an educator for is also looking into adding this into curriculum.
I am looking to get an ultrasound device small enough to carry with me. It is for use in a GP office as well as ER and ward rounds. The most frequently used purposes will be: image-guided shoulder joint injections, assessing for rotator cuff tears, image-guided line placement, and supporting the intial assessment and management (NOT taking the place of proper diagnostic imaging studies) of pneumothorax, appy/gallstones/abdominal pathology, retinal tears etc. In other words to improve the procedures I am doing, and to guide me when there may be a delay getting an formal imaging study. I have zero experience but will learn.
I am looking at some of these devices or something similar: GE VScan Extend, Clarius, or other similar sized device. Reimursement does not enter into it, there will be no remuneration for these procedures and I figure on paying 10-20 thousand or similar range. Also I noticed some cheap ($2000.00) Chinese POCUS devices on EBay etc, and while probably they are to be avoided, I don't want to assume so, as my experience in other (non-medical) fields is sometimes the cheap Chinese electronic/tech type products are just as good as the Western brand-name products.
Any advice on this would be much appreciated. Not getting a machine is not an option, I need get good at ultrasound, we have a machine in our ER, but I won't get good at it unless I have my own device so I can practise again and again and again.
Please do not send me commerical links etc.
It looks like heart POCUS has slightly lower accuracy that other organs in the studies to date.
The Bottom Line on Point-of-Care Lung Ultrasound
By Segun Olusanya on November 14, 2016 at 01:00PM
A short introduction to beside lung ultrasound, with links to #FOAMed resource.
From The Bottom Line
Hi All,
We are very excited to announce that our e-book titled “Essentials of Point-of-Care Ultrasound” will be free on the iBooks Store during the WCU 2014 conference in Portland, Oct 9-13. The conference is dedicated to getting POCUS into the medical school curriculum.
Since 2001, The Emergency Department Echo Course and The EDE 2 Course have taught EDE (pronounced “Eddie”) to over 10,000 physicians worldwide, including over half of the Canadian emergency medicine workforce. The most distinctive aspect of the EDE courses has been the focus on image generation. When clinicians first began investigating the possibility of using ultrasound themselves, a big secret was concealed from them: image interpretation is easy. The real challenge is image generation: putting the image on the screen. Before the EDE courses, physicians learned image generation mostly by trial and error. EDE brought a rigorous methodology to the scanning of each area of the body, dramatically reducing the time needed to master this new skill.
“Essentials of Point-of-Care Ultrasound” combines the EDE course manuals which have been written and rewritten for over a decade to give health-care providers the clearest and most concise approach to bedside ultrasound. This “how-to” guide contains over 700 illustrations, photos, and ultrasound images, 40+ videos, slideshows, quizzes, reference hyperlinks to Pub Med, links to EDE blog content, an interactive glossary, chapter summaries, study cards and reader-defined notes.
Click here (http://edeblog.com/2014/05/we-are-now-available-on-ibooks/) for more information about the e-book on The EDE blog. Click here (https://itunes.apple.com/us/book/essentials-point-care-ultrasound/id841572764?mt=11) for more information about the e-book on iTunes. You can search my last name (Socransky) to easily find the e-book on the iBooks Store.
Please consider forwarding this to your fellow students, residents, other trainees, and faculty. We believe they will find our e-book useful. We will announce free updates (new chapters, added functionalities, etc.) on Twitter (@EDE_blog) and on our blog at http://edeblog.com/.
With kind regards,
Steve Socransky, MD, FRCPC, DABEM Course Director, The EDE 2 Course www.ede2course.com pocusbook@gmail.com
This is law in the state of Indiana (where I live) and I seriously cant understand why this law exists. Are we supposed to feel something during this time?
We’ve had my brother now since my child was 3 weeks old. We’ve been through so much, but It’s becoming overwhelming and it’s tearing apart my marriage.
He lies and steals from us, has anger problems that we can’t handle, has broken our door down, put holes in the walls in our house, has broken just about everything we’ve given him and just doesn’t care. We’re worried that he’s going to be a bad influence on our son. Not to mention that we can’t financially support him. Our bank account goes negative almost every paycheck just trying to have enough food for him And he eats it all before we can get paid again.
I’m very adamant about calling CPS this Friday because it’s come to “me or him” with my wife and I obviously choose my marriage. But what will actually happen with CPS? Or is there another way I can go about things. I hate it, but I just don’t want him in my home anymore. It’s nothing but chaos and trouble.
Note:his mom died when he was 2, and his dads solution is send him to a mental health hospital and forget about him.
Edit: I appreciate the help, from every. But it’s really to late to try to get help from CPS. My wife is done with him, and so am I.. also his fathers shitty excuse for not getting him is that his girlfriend will leave him if he took him back.
Edit 2: I’m located in Texas. His dad is In Pennsylvania. I’ve called the cops on him twice and they have no advice except “you’re doing what you can” because we don’t have actual legal custody. We have no court documents for financial backing or anything except PoA.
I see too many posts of women who have breast cancer say the doctor saw nothing on the ultrasound, but it actually ended up being cancer
This made me realize that I may have cancer even when the doctor said they saw nothing on ultrasound
>CopSonic is a technology that allows communication and interaction between two devices through sound waves. The secure transfer is achieved through microphones and speakers. Now and in the future, mobile, tablets and smart devices will be able to exchange information without compatibility issues unlike Bluetooth LE, NFC & Infrared.
This might a useful Unique Selling Point for Nano if we introduced this 15kbps link between phones and Point of Sale devices, as an addition to QR codes.
Maybe it's a little early to know if this technology will ever actually get adoption over and above NFC generally, but it's an interesting route to connect to the till.
It certainly offers more opportunities for the wallet to capture the merchant name/description/quantities of the purchased item to add to a purchase ledger.
From Amazon’s abhorrent treatment of its warehouse workers, to the giant trash pile in the pacific, to cutting down rainforests for palm oil to make chocolate nice and smooth, to political corruption… you read the news and listen to the podcasts and it’s all so depressing. Then I try to talk to other people about it and either get made fun of for trying to be so ‘woke’ or that the tiny choices I make each day aren’t really going to make a difference, or people just don’t want to know because they’re already so stressed out about their own lives they can’t handle the mental load of caring about these major global issues as well. How can we care about the big issues and raise awareness and try to make a difference?
So something I am very passionate about is perioperative point of care ultrasound. Long post ahead, but I just wanted to talk about what I have been working on:
Perhaps the most important aspect of a physician’s role is our diagnostic capabilities. Truly, if we cannot identify and diagnose a patient’s pathology, with reasonable accuracy, we cannot effectively treat them and may even cause greater harm. On this topic let’s look back…. The year is 1816 and you are a physician evaluating a patient with shortness of breath. The common practice of the time was direct auscultation by placement of the practitioner’s ear on the patient’s chest. At the time, many criticized this technique as providing little insight in the patient’s condition as well being out of normal social standards. Secondary to these pressures, that year, French physician, Dr. Rene Laennec, invented the stethoscope, which dramatically improved the clarity of the auscultation exam. He spent the remainder of his career correlating how the stethoscope could detect various chest pathologies, and educating the utility of this technology on improving bedside assessment. The accumulation of his works resides in his text De l'Auscultation Médiate, which is one of the most widely translated medical texts in history. Now, just over two-hundred years later, it is incredible to think that this technology has not been disrupted, especially when you compare the advances mankind has made in other areas. We have gone from the horse and carriage to cars that can practically drive themselves; from the notepad to the iPad, and can now communicate anywhere on the globe irrespective of language or distance. In healthcare as well, we have drastically altered our ability to monitor as well as treat our patients. Yet despite all of our technologic advances, the stethoscope remains the primary tool used at the bedside for the physical exam. This is in spite of the widely known inaccuracies produced by the stethoscope guided physical exam. For example, studies have demonstrated dismal results regarding the ability of the stethoscope to detect common cardiac events with a reported accuracy of 20 to 40 percent.(1,2) Even amongst cardiologists the accuracy of the stethoscope is poor.(3) Acceptance of this concept is key for us to innovate. One simply needs to ask themselves: how do you tell the difference between rhonchi or rales? What section of the lung did you hear diminished breath sounds? Or, where is that heart mu
... keep reading on reddit ➡The Bottom Line on Point-of-Care Ocular Ultrasound
By Segun Olusanya on November 18, 2016 at 01:00PM
A short introduction to beside ocular ultrasound, with links to #FOAMed resource.
From The Bottom Line
The Bottom Line on Point-of-Care Vascular Ultrasound
By Segun Olusanya on November 17, 2016 at 01:00PM
A short introduction to beside vascular ultrasound, with links to #FOAMed resource.
From The Bottom Line
Hi All,
We are very excited to announce that our e-book titled “Essentials of Point-of-Care Ultrasound” will be free on the iBooks Store during the first 2 weeks of September.
Since 2001, The Emergency Department Echo Course and The EDE 2 Course have taught EDE (pronounced “Eddie”) to over 10,000 physicians worldwide, including over half of the Canadian emergency medicine workforce. The most distinctive aspect of the EDE courses has been the focus on image generation. When clinicians first began investigating the possibility of using ultrasound themselves, a big secret was concealed from them: image interpretation is easy. The real challenge is image generation: putting the image on the screen. Before the EDE courses, physicians learned image generation mostly by trial and error. EDE brought a rigorous methodology to the scanning of each area of the body, dramatically reducing the time needed to master this new skill.
“Essentials of Point-of-Care Ultrasound” combines the EDE course manuals which have been written and rewritten for over a decade to give health-care providers the clearest and most concise approach to bedside ultrasound. This “how-to” guide contains over 700 illustrations, photos, and ultrasound images, 40+ videos, slideshows, quizzes, reference hyperlinks to Pub Med, links to EDE blog content, an interactive glossary, chapter summaries, study cards and reader-defined notes.
Click here for more information about the e-book on The EDE blog. Click here for more information about the e-book on iTunes.
Please consider forwarding this to your fellow students, residents, other trainees, and faculty. We believe they will find our e-book useful. We will announce free updates (new chapters, added functionalities, etc.) on Twitter (@EDE_blog) and on our blog at http://edeblog.com/.
With kind regards,
Steve Socransky, MD, FRCPC, DABEM
Course Director, The EDE 2 Course
www.ede2course.com
pocusbook@gmail.com
The Bottom Line on Point-of-Care Abdominal Ultrasound
By Adrian Wong on November 15, 2016 at 01:00PM
A short introduction to beside abdominal ultrasound, with links to #FOAMed resource.
From The Bottom Line
Hi All,
We are very excited to announce that our e-book titled “Essentials of Point-of-Care Ultrasound” will be free on the iBooks Store during the first 2 weeks of September.
Since 2001, The Emergency Department Echo Course and The EDE 2 Course have taught EDE (pronounced “Eddie”) to over 10,000 physicians worldwide, including over half of the Canadian emergency medicine workforce. The most distinctive aspect of the EDE courses has been the focus on image generation. When clinicians first began investigating the possibility of using ultrasound themselves, a big secret was concealed from them: image interpretation is easy. The real challenge is image generation: putting the image on the screen. Before the EDE courses, physicians learned image generation mostly by trial and error. EDE brought a rigorous methodology to the scanning of each area of the body, dramatically reducing the time needed to master this new skill.
“Essentials of Point-of-Care Ultrasound” combines the EDE course manuals which have been written and rewritten for over a decade to give health-care providers the clearest and most concise approach to bedside ultrasound. This “how-to” guide contains over 700 illustrations, photos, and ultrasound images, 40+ videos, slideshows, quizzes, reference hyperlinks to Pub Med, links to EDE blog content, an interactive glossary, chapter summaries, study cards and reader-defined notes.
Click here for more information about the e-book on The EDE blog. Click here for more information about the e-book on iTunes.
Please consider forwarding this to your fellow students, residents, other trainees, and faculty. We believe they will find our e-book useful. We will announce free updates (new chapters, added functionalities, etc.) on Twitter (@EDE_blog) and on our blog at http://edeblog.com/.
With kind regards,
Steve Socransky, MD, FRCPC, DABEM
Course Director, The EDE 2 Course
www.ede2course.com
pocusbook@gmail.com
