Zedu Weekly Wrap - 12 August 2022

Will make this one quick…

as we’re hitting the road and delivering workshops throughout regional Victoria this weekend. No rest for the wicked – I think this is the 20th straight day teaching. If you’re looking for a career that involves long nights and travel to far flung locations you can forget the rockstar pathway – try #POCUS educator! It may not pay as well as being in a band, but we certainly have fun.

The theme in the news this week seems to be echo and haemodynamic assessment. Of interest is research into lawsuits related to POCUS in the ED by Brian Russ, Jason Arthur, Zachary Lewis and Gregory Snead, which revisits a study first conducted by Michael Blaivas and Richard Pawl in 2011. After 10 years the results remain the same – nonperformance of ultrasound seems to convey the greatest medicolegal risk. Other highlights this week include a case from Sam Ghali (@EM_RESUS) and @yourICM articles on how ultrasound is saving lives in intensive care medicine. Well worth checking out.

And please drop in and join our POCUS Educators / Seed resource page and POCUS Educators / Seed Support Network on Facebook – it is growing rapidly with people logging in from all over the world. We’re dedicated to creating an education community to share resources and ideas – we’d love to see you there.

That’s all for now…see you next week

Suean and Mike

P.S. – The August coaching corner – covering the basics of breast #ultrasound – recording will be available on our website soon. Register & join our community of clever here…

Get the most out of your teaching moments – join our TRain the UltraSound Trainer (TRUST) course This isn’t a course on how to perform an ultrasound examination or use the technology – it’s designed to give you the teaching tools you’ll need to teach ultrasound on the run. In the words of a previous participant – it’s meta! We’re running this internationally recognised course in Australia for the first time in July and October – don’t miss out.

22 – 23 October

12 August

If you’re a fan of #POCUS and diagnostic reasoning, @CPSolvers have been doing POCUS Tuesdays. @rav7ks and I just did an interesting case this week expertly presented by @buckeye_sanjay. Check it out: https://t.co/uZ3snlHtGT https://t.co/Em6bI9ib4q

— Ria Dancel, MD (@ria_dancel) August 11, 2022

New in JMIR MedEdu: Patterns of Skills Acquisition in Anesthesiologists During Simulated Interscalene Block Training on a Soft Embalmed Thiel Cadaver: Cohort Study https://t.co/t7JXfVae3u pic.twitter.com/F22Krhccob

— JMIR Publications (@jmirpub) August 11, 2022

Interested in learning about the application of ultrasound for shock? Our current Rural POCUS Rounds webinar series is a great way for rural health-care providers to improve point-of-care skills and confidence.

Register now for the series: https://t.co/gCPKNqhD8S #POCUS pic.twitter.com/4NJZKH4XQ9

— UBC CPD (@UBCCPD) August 11, 2022

Radiology Case Reports

Mediastinal extraosseous chordoma in a teenager: Diagnosis by ultrasound-guided percutaneous biopsy

@PLOSOne

CTG-Net: Cross-task guided network for breast ultrasound diagnosis

11 August

New on the blog:

Can #pocus diagnose peptic ulcer disease?https://t.co/3YtIUyma1y #FOAMed #MedEd #cardiotwitter #pocusfoamed @NephroP @GIPocus @iceman_ex @Wilkinsonjonny @TaotePOCUS @PracticalPOCUS @POCUSpeek

— POCUS Med Ed (@pocusmeded) August 10, 2022

Do you use a bevel-up or down approach when inserting radial artery catheters❓

👉Bevel-down puncture + #ultrasound has higher success rates with fewer posterior arterial wall injuries

Read our review on @AccpmJ
🔗https://t.co/NOipSOVS8y #FOAMcc #FOAMicu #ICUnursing pic.twitter.com/4iEhSDZSzL

— Guglielmo Imbriacoᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠᅠ (@GuImbriaco) August 10, 2022

Strange recommendation from @Ilcor_org on #POCUS in cardiac arrest. They present a false dichotomy of *either* high quality CPR *or* POCUS for reversible causes. The answer is obvious: Aim to do BOTH!@TomJelic @ELalandeEM @laurieMcGillEM @FrankMyslik @OlszynskiP @PaulAtkinsonEM https://t.co/71TPDTU5H4

— Dan Kim (@dan___kim) August 10, 2022

@escardio

A concise history of echocardiography: timeline, pioneers, and landmark publications

@escardio

How to assess left ventricular filling pressures by echocardiography in clinical practice

10 August

#POCUS #ASRAPOCUS
“POCUS in Resource-Limited Environments” watch live @ASRA_Society on August 23, 8-9 pm EST. 👇
👉 https://t.co/BMTJhIfgXn
👉 https://t.co/gGA4Stimbu @NarouzeMD @shaskinsMD @dr_melissabyrne @HSSAnesthesia @ASALifeline @AbaPhysicians @Nadia_Hdz_MD @AFSRA10 pic.twitter.com/kL46LMIgh0

— Hari (హరి) 🩺 Kalagara 🇮🇳 (@KalagaraHari) August 9, 2022

One of our most popular (and practical!) entries: What to do when LMP doesn't match up with the ultrasound https://t.co/GqaSffDBno #sonograms #POCUS #womenshealth #meded

— The ObG Project (@TheObGProject) August 9, 2022

Today we had a massive PE patient with McConnel sign. I explained the pathophysiology of McConnel sign on this👇 glove. It’s all physics. #CardioTwitter #Echo pic.twitter.com/yNYeVypO6F

— Ugur Kucuk (@ugurkucuk) August 9, 2022

@yourICM

How can assessing hemodynamics help to assess volume status?

@emergencymedjc

Not so FAST? How a study on lung ultrasound got it wrong…

@eScholarship

Infant with Groin Swelling

9 August

Join us for our next ACEP/@SAEMAEUS Ultrasound Journal Club: Probing the Literature! Topic: Renal Ultrasound

📆Thurs, Aug 18 at 2p EST/11a PST

🔗Register: https://t.co/kcbRDK6z55

📄on EngagED#POCUS @MGottliebMD @EMSonoMama @NMDuggaNMD @DanMirsch @schnittkUSound @SLWerner_EM pic.twitter.com/v6PdGd5AqI

— ACEP Ultrasound (@ACEP_EUS) August 8, 2022

Super proud of @sonobrian @24MHzMagic Greg Snead & @UAMS_EM for seeing this project through! #POCUS https://t.co/zk6tdczeWs

— Jason Arthur (@jarthurEM) August 8, 2022

Here’s a video I made breaking down an important Echo recorded during cardiac arrest #FOAMed pic.twitter.com/ZzsEQ3hSAH

— Sam Ghali, M.D. (@EM_RESUS) August 8, 2022

If time's the enemy to #POCUS teaching, what management strategies can you put in place?

Here are 10 steps you can take to ease the pain

What are your tips? Come & share in our #ultrasound educators support networkhttps://t.co/wJYspGwwGz @johneicken @sonocurious pic.twitter.com/lBrCaedIAv

— Zedu Ultrasound Training @zedunow@med-mastodon.com (@zedunow) August 9, 2022

Young female presents with syncope and abdominal pain. She has not had a period for the past few months and is found to have significant abdominal pain. What is the diagnosis? What should you do next? Find out by working through the rest of this case at https://t.co/rQVX6pYy9J!!! pic.twitter.com/oJwiBHjdSK

— Ultrasound Box (@UltrasoundBox) August 8, 2022

@AIUMUltrasound @UltrasoundStuff

Where it Matters Most

Cardiovascular Ultrasound

Two-dimensional speckle tracking echocardiography in assessing the subclinical myocardial dysfunction in patients with gestational diabetes mellitus

@yourICM

Machines that save lives in the intensive care unit: the ultrasonography machine

Journal of Clinical Medicine @MDPIOpenAccess

Bariatric Surgery and Myocardial Mechanics: A Meta-Analysis of Speckle Tracking Echocardiographic Studies

8 August

@eScholarship @buskloper

Real-time Ultrasound-Guided Manual Testicular Detorsion: A Case Report

@PLOSONE

Acute coronary syndrome versus acute myocarditis in young adults–value of speckle tracking echocardiography

7 August

https://twitter.com/JACEPOpen/status/1555931708519862272?s=20&t=DBXV53Ky4fbWfYRDj3KdQw

@WFUMB

Comparison of the Diagnostic Accuracy of Percutaneous Fistula Contrast-Enhanced Ultrasound Combined with Transrectal 360° 3-D Imaging and Conventional Transrectal Ultrasound in Complex Anal Fistula

@CASEfromASE

Mitral Valve-in-Ring Leaflet Thrombosis: A Multimodality Imaging Primer

6 August

We have another treat for you #MedTwitter!

Please join us 8/9 at 12pm EST for a conversation with the brilliant @buckeye_sanjay in this POCUS specific VMR.

We can’t wait to see you!https://t.co/7jq32ui7bC pic.twitter.com/hGZzDNLGaT

— The Clinical Problem Solvers (@CPSolvers) August 5, 2022

As more medical schools incorporate #POCUS into their curricula, 1 question remains. How best to teach #ultrasound in #UGME? This study evaluated near peer teaching in POCUS education, where material is taught to students by their peers: https://t.co/Tr6IGmV9f9 #FOAMed #FOAMus pic.twitter.com/5c7yzn31it

— POCUS Journal (@POCUSJournal) August 5, 2022

IVUS Useful in Many Peripheral Intervention Scenarios, Consensus Document https://t.co/szgMX1wYht pic.twitter.com/P9QvmcFQPn

— TCTMD (@TCTMD) August 5, 2022

@AfJEM @gw_wanjiku

Feasibility of project ECHO telementoring to build capacity among non-specialist emergency care providers