Zedu Weekly Wrap - 7 October 2022

When October hits it means two things…

first, it’s Medical Ultrasound Awareness Month (MUAM) – a time to celebrate our sonographer friends adn colleagues. Second, it’s Blocktober – where our pal Jeff Gadsden provides us with a daily hit of blocks – front, back, top and tail!

This means our news stream is absolutely chokka block (see what I did there) with the best in the latest and greatest POCUS and ultrasound developments – and a great deal for free! You have to love this global community.

Highlights this week include the many block posts from Jeff Gadsden (@jeffgadsden), research from Michael Gottlieb (@MGottliebMD) on the diagnostic accuracy of ultrasound to confirm endotracheal tube depth and Matt Tabbut’s (@mtabbut) video on advanced spectral Doppler. Plenty to keep you busy this weekend.

We also had a fun Coaching Corner last night discussing how to choose the right ultrasound machine – the recording will be out ASAP.

Have a great weekend and wishing a happy MUAM to the team and all our readers.

Suean and Mike

Join the POCUS Educators / Seed Support Network on Facebook – a safe space to share education tips, resources and issues. People from around the world are joining in so come on down.

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

7 October

🤩1,000,000 POCUS Atlas pageviews?!

🙏Honored to be one of your go-to free #POCUS resources, thanks for all of your contributions and support!

🧵A quick thread on our history and what we are about! pic.twitter.com/EQlOTTykbu

— TPA (@thepocusatlas) October 6, 2022

Artrocentesis de Rodilla Ecofacilitada

1️⃣Indicada en búsqueda etiológica (infección, artritis, cristales…)
2️⃣Infiltración de medicación

3️⃣Evitar en infección de piel, artrocentesis y anticoagulación terapéutica/diátesis#artrocentesis #ecografia #pocus #rodilla #msk #artritis pic.twitter.com/y04flLdRcq

— Yale Tung-Chen (@yaletung) October 6, 2022

Delighted to share my article published in prestigious @journal_CHEST October 2022 .Amidst routine clinics, academic research and publication gives more satisfaction .#Pulmosonogram #PulmonaryAlveolarMicrolithiasis #LungUltrasound #echofirst #POCUS https://t.co/XTUqXJoNzK pic.twitter.com/t86TIpfQny

— Sivaraja Subramaniam (@Sivapulmo) October 6, 2022

Hot off the press in @CureusInc – #POCUS literature primer, our top 5 papers on FAST and E-FAST with @colinrbell @TomJelic @GillianSheppar9 @laurieMcGillEM @TRRBB @POCUS_Toronto @ELalandeEM @HirsuteMD @PaulAtkinsonEM @rajivthava @RogueClaire @e_med_doc https://t.co/GzhzxaxTXR pic.twitter.com/Y78duZyfSU

— Dan Kim (@dan___kim) October 6, 2022

Unashamedly biased 4 this post but I thought I'd showcase #RCEMasc posters with #POCUS themes. Lots of governance, education and supervision related posters which is fantastic to see intermingled with clinical applications. Apologies if I've missed anyone out. Well done everyone! pic.twitter.com/Qk6y8ZrrU2

— Chris Yap (@casualtysrus) October 6, 2022

Cardiac Output by VTI!
Summary slides from our next lecture, broken into 5 steps⤵️@MGH_PCCM @HarvardPulm @MGHHCICU

1⃣ Overview & approach – and why you care. CO adds significant detail and nuance to LV function assessment#POCUS #Medtwitter #PCCMtwitter #echofirst pic.twitter.com/Yd6PEAQYjT

— Jonah Rubin MD, FCCP (@JonahRubinMD) October 6, 2022

Is it realistic to add point-of-care ultrasound training to the curriculum of entry-level PA programs or should this be taught in a CME, post-graduate, or fellowship setting? #ultrasoundtraining https://t.co/KYqw6UitlU pic.twitter.com/FKQJszuDFS

— Clinical Advisor (@ClinicalAdvisor) October 6, 2022

It's the 6th of #Blocktober22 and it's ALSO #ThrowbackThursday !! ICYMI, we've discussed a number of chest wall blocks in prior #blocktober seasons…what's your fave? Follow the 🧵below to chime in! #DukeRAP @ASRA_Society @ESRA_Society @ASALifeline @LasraAnestesia @AoraIndia pic.twitter.com/d6bmAaMfou

— Jeff Gadsden (@jeffgadsden) October 6, 2022

@PLOSOne

Manual and semi-automatic determination of elbow angle-independent parameters for a model of the biceps brachii distal tendon based on ultrasonic imaging

@PLOSOne

Correlations between B-mode ultrasound image texture features and tissue temperatures in hyperthermia

Ultraschall in der Medizin

Digital Training Formats in Ultrasound Diagnostics for physicians: What options are available and how can they be successfully integrated into current DEGUM certified course concepts?

6 October

So you've run a course have new #POCUS users – then what?

In this article of the week the authors propose a standardised scoring tool to assess #ultrasound image quality – POCUS IQ – of the lung

What do you think? Join the discussion…https://t.co/tVxx2Dpfow pic.twitter.com/5U8Xyxg9rZ

— Zedu Ultrasound Training (@zedunow) October 6, 2022

More from the @ACEP_EUS critical care subcommittee advanced echo cards (@lataylor1218 & @EDechographer)

How to distinguish pericardial effusion from pleural effusion on #echo #pocus https://t.co/LhO8RuPS26 pic.twitter.com/Jeddc4Gz9s

— Dan Kim (@dan___kim) October 5, 2022

Be cautious using #POCUS as measure of volume status: lessons learnt from #LVAD.
🖥 https://t.co/YYrh5b18Hl

& do not miss signs of chronic disease using LV dimensions to predict FR!
🖥 https://t.co/EkENKLhHdu

Reply
🖥 https://t.co/GTBHWaGZxU

Refer to
🖥 https://t.co/YkBRoVhSBT pic.twitter.com/19YeVdHFVi

— Intensive Care Medicine (@yourICM) October 5, 2022

.@casualtysrus
You asked, we delivered 😁
We've added vascular access resources to the #POCUS educator / #USSEED #SEED support network

What reference material do you value?
What tips/tricks do you use?

Join the crew, learn & sharehttps://t.co/wJYspGftEz #ultrasound #MedTwitter pic.twitter.com/xu7KPl03Mu

— Zedu Ultrasound Training (@zedunow) October 5, 2022

5 October

Hey #Blocktober friends! It's Day 5 and today we'll talk about a technique that is over 100 years old, but still has a lot of utility in today's RA practice…follow the 🧵 below for more… #DukeRAP @ASRA_Society @ESRA_Society @LasraAnestesia @AFSRAsociety @Duke_Anesthesia pic.twitter.com/30CxrnmZxE

— Jeff Gadsden (@jeffgadsden) October 5, 2022

https://twitter.com/jmrsjournal/status/1577394082154188800?s=20&t=mPuZ7l0-4WQSGigq-a_9HQ

Great to attend @RCEMevents #RCEMasc conference in Belfast today and another chance to highlight our #PoCUS work over the last 12 months as posters 🙌 @ncollum @setrust @dobbin1977 @mneil02 pic.twitter.com/eVMTSdZR4F

— MGWMac (@mattymac1188) October 4, 2022

@Crit_Care

Doppler study of portal vein and renal venous velocity predict the appropriate fluid response to diuretic in ICU: a prospective observational echocardiographic evaluation

@JCM_MDPI

A Rare Case of Tricuspid Valve Libman–Sacks Endocarditis in a Pregnant Woman with Primary Antiphospholipid Syndrome

4 October

Yo yo it's #Blocktober the 4th! Today we're going to shift to the lower limb with a personal fave of many…follow the 🧵 to join in! @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @AFSRA10 @ASALifeline @amit_pawa @EMARIANOMD @KalagaraHari @HoltzMaggie @rljohnsonmd pic.twitter.com/qCHFqwyuh8

— Jeff Gadsden (@jeffgadsden) October 4, 2022

Stop by our poster on impact of prrhospital #POCUS on diagnosis of traumatic pericardial tamponade@LDNairamb @RCollEM @casualtysrus @emccdoc #RCEMasc pic.twitter.com/OrHPBzoFNC

— Salman Naeem (@salmannaeem217) October 4, 2022

How good is #POCUS for confirming endotracheal tube depth…?

Check out this new OPEN ACCESS study in AJEM.

FREE LINK: https://t.co/v6XDhbOpqw

Spoiler Alert:
-Overall: 83% sens, 92% spec
-BUT…lots of operator variability in accuracy#FOAMed pic.twitter.com/ECUrTr7xoW

— Michael Gottlieb (@MGottliebMD) October 3, 2022

https://twitter.com/OlszynskiP/status/1576935915771301888?s=20&t=0O-PdBYtygDSufRRvmvV9g

@EMAJournal ft @Sierra_Beck

Accuracy and clinical use of biliary point-of-care ultrasound: A retrospective cohort study

@AIUMultrasound

Functional Transcranial Doppler Ultrasound

@PLOSOne

Evaluation of right ventricular function during liver transplantation with transesophageal echocardiography

@PLOSOne

Relationship between anxiety and internet searches before percutaneous ultrasound-guided diagnostic procedures: A prospective cohort study

@BioMedCentral

Musculoskeletal imaging authority, levels of training, attitude, competence, and utilisation among clinical physiotherapists in Nigeria: a cross-sectional survey

3 October

Hey hey! It's the 3rd of #Blocktober22 and today we're going to focus on a core block for pediatrics–check out the 🧵 below! @ASRA_Society @ESRA_Society @LasraAnestesia @AoraIndia @ASALifeline @Duke_Anesthesia @AFSRA10 @PediAnesthesia @PedsPainMed @PedsAnesthesia #DukeRAP pic.twitter.com/wykxU4umNk

— Jeff Gadsden (@jeffgadsden) October 3, 2022

US Probe: POCUS for the Shoulder by @jonthewookie #FOAMed #FOAMus #MSK #SportsMed @MPrizzleER @SAlerhand https://t.co/YITYwuCEzh

— emDOCs Team (@emdocsdotnet) October 3, 2022

Next steps, working together with provides and vendors to improve workflow in #POCUS #ACEP22 ⁦@ACEP_EUS⁩ https://t.co/nHiQctWWg8

— Jason T Nomura MD (@Takeokun) October 2, 2022

Advanced echo teaching in critical care
Topic = Infective Endocarditis of Native Mitral Valve
Presenter = Dr. Emma Bowcock, Intensive Care, Nepean Hospital, Sydney
Link = https://t.co/yh6ZjTaemW #echofirst

— echo@nepean (@echonepean) October 3, 2022

@Crit_Care

Right ventricular outflow tract Doppler flow analysis and pulmonary arterial coupling by transthoracic echocardiography in sepsis: a retrospective exploratory study

@BMJ_Open

Volume sweep imaging lung teleultrasound for detection of COVID-19 in Peru: a multicentre pilot study

Radiology Case Reports

Duplication of the gallbladder: Case report of a rare biliary malformation

Radiology Case Reports

Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound

@eScholarship

Ultrasound-guided Posterior Tibial Nerve Block for Frostbite of the Plantar Surfaces

@eScholarship

Point-of-care Ultrasound Diagnosis of Tetralogy of Fallot Causing Cyanosis: A Case Report

@eScholarship

Recurrent Infantile Hypertrophic Pyloric Stenosis in the Emergency Department: A Case Report

@eScholarship

19-Year-Old with Sudden Onset Left Testicular Pain

2 October

It's Day 2 of #Blocktober22 ! Hope you're having a relaxing Sunday! Check out today's 🧵 and join in with your thoughts and experiences using today's block! 👇 👇 #DukeRAP @Duke_Anesthesia @ASRA_Society @ESRA_Society @AoraIndia @LasraAnestesia @ASALifeline @AFSRA10 pic.twitter.com/aUmK9z5rMO

— Jeff Gadsden (@jeffgadsden) October 2, 2022

1 October

Happy 1st of #Blocktober to all you blockstars out there!! It's SOOO great to be back and looking forward to all the fun interaction and engagement with the RA community!!! Check out today's block and more in the 🧵 below #DukeRAP @Duke_Anesthesia @ASRA_Society @ESRA_Society pic.twitter.com/A8Er29aFe1

— Jeff Gadsden (@jeffgadsden) October 1, 2022

Check out the latest video from our Ultrasound Grand Rounds: Advanced Spectral Doppler by @mtabbut https://t.co/NjioFEQBJt #MetroEUS #Ultrasound #POCUS #ECHOfirst #FOAMus pic.twitter.com/NTsqSU3O87

— MetroHealth Emergency Ultrasound (@MH_EMultrasound) September 30, 2022

The Suprainguinal Fascia Iliac Block in the ED. Here's my take on it. I'm well aware there are many experts out there (many are good friends) and so there's definitely a sense of 'imposter syndrome' here. Pls do share your top tips!#SIFI #emergencydepartmentprocedures #hipblocks pic.twitter.com/8ENBscV3oN

— Chris Yap (@casualtysrus) October 1, 2022

IDEA Series: Ultrasound-capable, 3D-printed central line trainer – up'ing your game in building simulation tools by @flyfischer4428 with peer review by Dr. @maryhaasmd .https://t.co/UuvCddW32Q pic.twitter.com/V9PZ9FBXAm

— Academic Life in EM (@ALiEMteam) September 30, 2022

https://twitter.com/WBeaubien/status/1575960726685900800?s=20&t=IpsGGEHrXBvxGC6iChzAFQ

@of_aic

Comparison of ultrasound-guided internal jugular vein and supraclavicular subclavian vein catheterization in critically ill patients: a prospective, randomized clinical trial