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.
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.
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.
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.
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.