5 minute sono

5 Minute Sono Blog

When is a Lung Point not a Lung Point?

I’ve been struggling with something recently.  When I first learned about the lung point, I was ecstatic! A finding that is 100% specific for a pneumothorax? Fantastic! Unfortunately, I think it’s too good to be true.  The two studies used … Read More

Gallbag Pearls

So you’ve started to use ultrasound in your assessments of RUQ pain and you’re feeling okay about it.  Here are some tips to help you feel amazing about them. There are at least 3 maneuvers you can do to help you see … Read More

FAST fails (Things that will mess up your FAST)

The FAST exam is an examination that is ubiquitous in emergency medicine, and the more I do them, the more I realize that their correct interpretation takes some training.  If you don’t know how to properly do a FAST exam, START HERE. The following … Read More

The Proper Way to Lung Point

Ultrasound has been proven to have superior sensitivity compared to chest x-ray in the diagnosis of pneumothorax (PTX) in supine trauma patients.1-4  However, sometimes there are issues with the specificity. Ever heard a patient with really bad COPD or asthma’s lungs? They have … Read More

Should we be using ultrasound to place central lines?

I read a post a few days ago by the prolific Ryan Radeki regarding a recent NEJM study that evaluated the complications of the three most commonly placed central lines. The study design is pretty good, and they have an impressive … Read More

Manual Beam Steering: Find your lost needle

The most important part of placing ultrasound-guided intravenous (USGIV) catheter or an ultrasound-guided central venous catheter (CVC) is visualization of the needle tip.  Sometimes, this can be difficult.  There are few techniques you can use to increase the visualization of … Read More

The Nuances of the Pneumothorax

There are three bedside tests we have to evaluate for pneumothorax: the physical exam, chest X-ray (CXR) and ultrasound (US).  The best one we have is undoubtedly US.  Learning the basics of this exam is fairly easy, with studies showing … Read More

Vascular Access Part 3

In the last 2 posts, we talked about the literature behind USGIV and what makes your USGIV more successful.  Now, we’re ready to perform the procedure: If you would rather watch a short video tutorial, click below and just stop … Read More

Vascular Access Part 2

Last week we spoke about the literature behind ultrasound-guided peripheral IV placement (USGIV) and now we’re going to talk about how to actually do it. (If you need to catch up, here’s the link to part 1) Which probe should … Read More