5 minute sono

5 Minute Sono Blog

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

Vascular Access Part 1

Ultrasound guided intravenous (UGIV) access is a relatively new application of bedside ultrasound that has reveled in soaring enthusiasm by emergency providers. Now one of the things I need to get out of the way early on is that UGIV … Read More

UGIV_Simulator

Vascular access is such an important component of the treatment of ED patients.  Our nurses, paramedics and techs do an amazing job placing IV’s, but sometimes there’s that “difficult stick”.  I’ve found ultrasound to be immensely beneficial in situations in … Read More

Right heart strain in PE, Part I

When most people think about ultrasound and pulmonary embolus (PE), they think about a specific echocardiographic finding called right heart strain (RHS).  RHS is defined as volume or pressure overload of the right ventricle causing hemodynamic compromise, and is detected … Read More

Subpleural Consolidations in PE

Pulmonary embolus is an important diagnosis to make, and of even more importance is to diagnose it with speed. Pulmonary embolus is the 3rd most common cause of death (behind stroke and MI)1, and two-thirds of the patients who will … Read More