Even time you use too much depth a kitten dies…. or you greatly reduce your image quality and image the bed instead of the patient. Not only does it shrink the size of what you’re looking at, but it also moves your structure of interest out of the focal zone (you know the area of highest image resolution in the mid field of the ultrasound screen). Plus it adds poor quality images to the patient’s chart with your name, so don’t do it and think of the kittens.
There are a few cases I could talk about… Ultrasound guided LPs have turned out to be a surprisingly useful skill. Lucky for you, I’ve restrained myself.
The first time I heard about ultrasound guided LPs was during a spectacular yearlong ultrasound elective in medical school. I was sitting in the doctor’s pod with THE ultrasound attending of ultrasound attendings. He casually asked “Have you ever heard of ultrasound guided LPs?” Never. “Do you want to see one?” Obviously. He explained how ultrasound guided LPs follow the principle of “Measure twice. Cut once.” He spent a minute (and I mean literally just one minute) visualizing the spinal landmarks and marking them on a somewhat altered, seriously chunky patient. He proceeded to get the LP in one stick! I remember thinking he was a wizard in that moment, a wizard who uses ultrasound to elevate patient care to another level; and that I want to be the badass attending that gets LPs on obese, altered patients in one stick. I had to learn this skill… Continue reading Getting to the Point of Ultrasound Assisted Lumbar Punctures→
The latest SonoMojo ultrasound cheat sheet has arrived! The Soft Tissue Ultrasound Cheat Sheet is a brief review of soft tissue ultrasound and it’s applications. Use it to quickly review the essentials before performing a scan or as an overview of soft tissue ultrasound before diving into the Soft Tissue Ultrasound Module.
In case you haven’t heard of “Ultrasound Cheat Sheets”… they’re all the basic info you need to review before performing (or teaching) a specific ultrasound scan. They are 1-2 pages long and consist of an brief check list of information on the application, image acquisition, and interpretation of a scan.
Hey sono enthusiasts! Exciting news! SonoMojo was recently featured on Critical Care Practioner Podcast! “Episode 37: How to Make Ultrasound Easier” features myself and the SonoMojo site in an episode discussing how to make learning ultrasound easier through #FOAMed resources and strategies for learning ultrasound. I’m so thrilled about the whole experience and getting to work with fellow FOAMer Jonathan Downham. Jonathan is a class act and he’s put together a great episode! Be sure to check it out!
That’s right! The Life in The eFAST Lane series is back!Last time we reviewed eFAST basics and half of the eFAST technique. Hopefully you’ve been practicing the heart, RUQ, and LUQ scans like my friend below. So without further adieu…. I give you eFAST Part Deux!
Figure 1 – An eFAST Rockstar in Action
How to Do I Perform an eFAST? (Continued from Part 1)
Pelvis
Probe position
Probe marker towards patient’s head (longitudinal view) or towards patient’s right (transverse view).
Place the probe just above the pubic symphysis and look for the bladder in men and both the bladder and uterus in women.
If it’s not awkward, it’s not right and you’re not low enough.
Once you’ve completed the longitudinal view, turn your probe 90° for the transverse view. Both views should be evaluated to avoid false positives.
This curriculum is entirely FOAMed based! That means that all the education provided by these links is free. These resources are from the best of the best in ultrasound, so the education is some of the highest quality available. The curriculum is broken down into sections (like cardiac or procedures) with modules containing a collection of resources for a particular scan. This is by far the most useful SonoMojo resource and my favorite part of the site, so please enjoy! And as always, feedback is welcome!