5 minute sono

5 Minute Sono Blog

Quick dispo with bedside nerve blocks

Have you ever had a busy emergency department? Have you ever had a patient with a fracture that you needed to sedate and you wish you didn’t have to? Well, wish no further and do a nerve block. This week … Read More

Linear probe in Early Pregnancy

Hey all, Due to the gap between posts as of late, I wanted to do a high-yield/short topic. I also have an extremely special guest, Matt Dawson! I’ve been increasingly using a trans-abdominal linear probe in early pregnancy, and have … Read More

The Sonographic Air Bronchogram

Air bronchograms are something that many of us, even if we don’t know ultrasound, have heard before. They refer to a consolidated lung that surrounds small airways.  This finding can easily be seen on ultrasound and is highly specific for … Read More

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