If you need a quick refresher on the most basics of bedside ultrasound, here is a 2 minute video.
Does this patient have an intrauterine pregnancy?
With POCUS, you rule-out an ectopic pregnancy by ruling in an intrauterine pregnancy. In the absence of reproductive assistance (in-vitro, hormone therapy, etc), the likelihood of having an ectopic AND an IUP is very low. 2 minute video here.
Is there free fluid in Morison’s pouch?
Want a quick 2 minute refresher on looking for free fluid in Morison’s pouch – the first image of the FAST exam? If you have a hypotensive patient and you don’t see fluid here, odds are pretty good that the cause is something other than intraabdominal hemorrhage. 2 minute video here.
There is no better video on the internet anywhere than this one which shows how to perform an extended FAST exam AND SHOWS PATHOLOGY. 8 minute video here.
What is the post-void residual?
Before you order a foley catheter which is one of the more painful procedures in emergency medicine, first check to be sure that the bladder is distended. This is quick and can really help guide therapy – insert foley, replace foley, look for problems elsewhere if the bladder is empty. 2 minute video here.
Caring for a distal radius fracture with ultrasound.
Care of fractures with ultrasound is fun… and no fracture is easier than the distal radius fracture. Ultrasound can guide the hematoma block as well as the reduction. 2 minute video here.
This IV has found the name peripheral IJ. It is a peripheral IV catheter that is inserted in the INTERNAL jugular vein under ultrasound guidance with sterile but non-barrier technique. It is really nice in patients who need access for less than 72 hours when the nurses (and you) are having trouble getting a traditional peripheral IV. Be sure to use a longer 2.5 inch catheter. 5 minute video here.
How to place an ultrasound guided peripheral IV.
IV’s can be tough. Sometimes you have a nurse that is savvy with ultrasound but sometimes you don’t. Ultrasound can really help – both with just locating a vein but also with real-time guidance. It’s all covered here. 6 minute video.
Does this patient have gallstones?
The primary question with biliary ultrasound is that of gallstones – are they present? In the appropriate patient, the YES/NO answer to this can really help guide further care – pursue formal imaging or eliminate the GB from the differential. 2 minute video here.
Does this patient have pulmonary edema?
There are some aspects of lung ultrasound that are difficult. Looking for pulmonary edema is NOT one of them. This can really help in the acutely ill patient or the patient with undifferentiated dyspnea. 2 minute video here.