We’re back on deck…

after a fabulous break, slowing down and generally having fun with family and friends. And fully re-energised we’re into teaching mode again, with a first busy week setting the scene for what looks like to be another exciting year. We’ve got ideas aplenty so watch this space for new developments.

With the Christmas break, this issue of the weekly wrap is a bumper edition. We’ve done our best to keep up with two weeks of news, views and information – seems that not even the holiday season slows the world of ultrasound.

Highlights include more additions to the ever growing ultrasound resources of Joseph Minardi (@jminardi21), an article from @accpshest that highlights a new lung ultrasound protocol (LUSext) that correlates with severity of CT findings of #COVID19 pneumonia while being practical for bedside use, and an Australian study that captures  the value and societal benefits that antenatal point-of-care ultrasound training workshops can deliver to rural/remote healthcare clinicians and their communities (@AmberBidner, @embzk, @nparange).

There’s something for everyone.

Here’s to the launch of another amazing year.

Se eyou next week

Suean and Mike

P.S. – follow us on Mastodon – https://med-mastodon.com/@zedunow

P.P.S. – Catch up with all 30 episodes of the Coaching Corner – covering a wide gamut of ultrasound topics – and always free 🙂 The next instalment will be Thursday 2 February see you in 2023! (Let us know if you want something specific covered…)

 

PS – 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!

6 – 7 May 2023 | 7 – 8 October 2023

13 January

Radiology Case Reports

Urothelial carcinoma in a urinary bladder diverticulum: A case report and review of the literature

12 January

The #POCUS educator/#SEED #USSEED support network is back! 🥳

Hope you had a great break & are reenergised to teach in 2023

This week we highlight research lead by @jeanstey
What tactics do you use to drive engagement?

Join the conversation…https://t.co/C12Lg9hh8E pic.twitter.com/T78wpTp1wi

— Zedu Ultrasound Training (@zedunow) January 12, 2023

Full text, read-only, shareable link to our peritonsillar abscess paper: https://t.co/6jfx1Zlk4M#ultrasound #POCUS

— Dan Kim (@dan___kim) January 11, 2023

11 January

Continuing on my series in cardiopulmonary #POCUS
Introduction to lung ultrasound #FOAMed #FOAMus #echofirst @WVUhealth @WVUMedSchool @WVUMedicine @WVU_Ultrasound @WVUEmergencyMed @wvuemeducation https://t.co/11PubOOxp8

— Joseph Minardi (@jminardi21) January 10, 2023

We hope the editorial captures our read of this and how it fits into the existing literature. I'm personally just excited at the chance to get to write with the always insightful @iceman_ex about how to advance this useful imaging modality. https://t.co/RzDZhI43WO

— Cameron Baston MD (@cameron_baston) January 10, 2023

Reminder – the presence of aberrant vessels may require an alternative approach when performing a block!

An aberrant artery was found in the supraclavicular fossa during a supraclavicular brachial plexus.#POCUS #RegionalAnaesthesia #FreeForAWeek

🔗 https://t.co/SipBYnTu88 pic.twitter.com/kbSyUGqLgy

— 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 𝘙𝘦𝘱𝘰𝘳𝘵𝘴 (@Anaes_Reports) January 11, 2023

Ultrasound for #intubation is CLUTCH for patients who need it.

Check out our latest YT video here: https://t.co/TaeyuvScdT #FOAMed #FOAMus #MedEd @EMSwami @CriticalCareNow @srrezaie pic.twitter.com/j7WNCmLWh8

— Jailyn/Ben (@coreultrasound) January 10, 2023

@CASEbyASE

Infective Endocarditis on the Left Side of the Crest of Intact Ventricular Septum and Melody Valve Leaflets: A Rare Complication

@MDPIOpenAccess

Diagnostic Value of Multi-Mode Ultrasonic Flow Imaging Examination in Solid Renal Tumors of Different Sizes

10 January

Here's a link to some resources for this afternoon's #POCUS club on echo basics. I imagine it might be awkward if you're tuning in to Teams on your mobile and a QRcode pops up so here’s a list. Some #POCUS stars on it (see next ‘page’)https://t.co/JM9XFtY9Ng

— Chris Yap (@casualtysrus) January 10, 2023

9 January

Added some videos and cleaned up the codebase in this update. Thank you all for your support! https://t.co/P8EkFzisAG #echofirst #medtwitter #pocus pic.twitter.com/cGslAnsyW3

— Rishi Kumar, MD | RK.MD (@rishikumarmd) January 8, 2023

New lung ultrasound protocol (LUSext) correlates with severity of CT findings of #COVID19 pneumonia while being practical for bedside use. Read the full original research in the January @journal_CHEST issue: https://t.co/JOwd0ZfND2#JournalCHEST #MedEd pic.twitter.com/6oJ9gVq6PK

— CHEST (@accpchest) January 9, 2023

@JCM_MDPI

Handheld Ultrasound or Conventional Ultrasound Devices in Patients Undergoing HCT: A Validation Study

8 January

@JCM_MDPI

The Advantage of Using an Optical See-Through Head-Mounted Display in Ultrasonography-Guided Needle Biopsy Procedures: A Prospective Randomized Study

7 January

6 January

We hope you had a great holiday season! We're getting back at it with the last video from 2022. Can RVOT VTI help differentiate Acute PE from Chronic PAH? Check out this discussion with @mtabbut and @ash71us!https://t.co/mOs4AwrxW8#MetroEUS #POCUS #Ultrasound pic.twitter.com/IUoegYRvmK

— MetroHealth Emergency Ultrasound (@MH_EMultrasound) January 6, 2023

@JCM_MDPI

Prevalence and Risk Factors of Abdominal Aortic Aneurysms Detected with Ultrasound in Korea and Belgium

5 January

We are starting 2023 with a tweetorial about a recent @CKJ paper by @tubulocentricreviewing Point-of-care ultrasound (#POCUS) in Nephrology with a focus on congestion! 💧💧

🧵 by @HDiniz_ 1/23 (7 min read)@AKronbichler @smirioglu https://t.co/MhycdBnZrI

— YNP of ERA (@ynptweets) January 4, 2023

@ASE360

Contribution of Ventricular Motion and Sampling Location to Discrepancies in 2D versus 3D Fetal Ventricular Strain Measures

4 January

@JAMANetworkOpen

Development of a Machine Learning Model for Sonographic Assessment of Gestational Age

@EMNews

The Speed of Sound: A Promising Tool for Evaluating Pregnancy (Even if You Don’t Have Transvaginal US)

3 January

Systemic Venous #POCUS in #HeartFailure @200julios

☠️Mortality
1️⃣Intrarenal monophasic (AUC 0.923)
2️⃣ #VExUS score 3 (AUC 0.885)
3️⃣Portal >50% (AUC 0.749)
4️⃣Needless repeat scan 🛌

🏥Readmission
1️⃣Intrarenal monophasic (AUC 0.834)
2️⃣IVC >2cm (AUC0.758)https://t.co/5IuIfcVqX3 pic.twitter.com/riL02s6LnO

— Yale Tung-Chen (@yaletung) January 3, 2023

My latest cardiopulmonary #POCUS video
Obvious pathology of the aortic root and emergent valvular findings
Check it out#FOAMed #FOAMus #echofirst @WVUMedSchool @WVUMedicine @wvuemeducation @WVUEmergencyMed @WVU_Ultrasound https://t.co/L0wFgWo4ie

— Joseph Minardi (@jminardi21) January 2, 2023

@ehj_ed

Can three-dimensional echocardiography change the game for the pulmonary valve?

@ISUOG

ISUOG Practice Guidelines (updated): performance of 11–14-week ultrasound scan

@CureusInc

Surgeon-Performed Point-of-Care Ultrasound in the Diagnosis of Acute Sigmoid Diverticulitis: A Pragmatic Prospective Multicenter Cohort Study

Echocardiography

The “airgap” and “swirling bubbles” signs in a patient with esophageal carcinoma

@AIUMUltrasound

Pick-Up-and-Go Block Bags for Fascia Ilaca Blocks

2 January

🚩 First RCT to compare diagnostic performance of POCUS to standard care without POCUS in undifferentiated hypotension

➡️3 EDs Canada & RSA
➡️270 pts
➡️similar specificity in determining underlying cardiogenic shock (POCUS 95.5% v Control 93.8%)https://t.co/Sp06oA6IDG pic.twitter.com/07fgn1u38q

— Critical Care Reviews (@CritCareReviews) January 1, 2023

As promised, and thanks to @jeffgadsden ‘s rapid editing…

Episode 3 of #BlockItLikeItsHot @BlockIt_Hot_Pod is out!!

“I “Kneed”to Know More”#RegionalAnaesthesia #RegionalAnesthesia #KneeArthroplasty #TKA

Spotify: https://t.co/dmICOFERwC

Apple: https://t.co/u2SPlgZHzs pic.twitter.com/W3vZ65laHs

— Dr Amit Pawa💉🎙️ (@amit_pawa) January 1, 2023

1 January

31 December

#POCUS is a valuable tool to expedite diagnosis of gallbladder disease. However, biliary POCUS may be complicated by structural mimics such as the duodenum, leading to erroneous conclusions. This case describes how to address this potential POCUS pitfall: https://t.co/SpUXUET8Em pic.twitter.com/FlaujQRWke

— POCUS Journal (@POCUSJournal) December 30, 2022

@MDPIOpenAccess

Uteroplacental–Cerebral Ratio: A Doppler Parameter for Prognostic Prediction of Late-Onset Fetal Growth Restriction: Single Center Prospective Cohort Study

30 December

What’s best for your #ribfracture patients?

Come and listen to my talk on 12th January at #WSM2023 @Assoc_Anaes in association with @RegionalAnaesUK 👇👇https://t.co/HZPeaKrG4J#FOAMed #FOAMcc #foamus #meded #medtwitter pic.twitter.com/wp2X3h67fm

— Jonny Wilkinson (@Wilkinsonjonny) December 29, 2022

Pediatric Cardiology

Hocus POCUS! Parental Quantification of Left-Ventricular Ejection Fraction Using Point of Care Ultrasound: Fiction or Reality?

@PLOSOne

Erector spinae plane block versus thoracic paravertebral block for the prevention of acute postsurgical pain in breast cancer surgery: A prospective observational study compared with a propensity score-matched historical cohort

@BioMedCentral

Evaluation of antenatal point-of-care ultrasound training workshops for rural/remote healthcare clinicians: a prospective single cohort study

@ASE360

Association of Right Ventricular Dilation on Echocardiogram with In-Hospital Mortality Among Patients Hospitalized with COVID-19 Compared with Bacterial Pneumonia

29 December

New video in my cardiopulmonary #POCUS series just dropped
Learn about RV dilation here#echofirst #FOAMed #FOAMus #pulmPOCUS @WVUMedicine @WVUMedSchool @WVUEmergencyMed @wvuemeducation @WVU_Ultrasound https://t.co/J2p95WZ8PC

— Joseph Minardi (@jminardi21) December 28, 2022

@CJEMonline Canadian Journal of Emergency Medicine

Does point-of-care ultrasonography improve diagnostic accuracy in emergency department patients with undifferentiated hypotension? An international randomized controlled trial from the SHOC-ED investigators

Ultraschall Med

Microvascular Imaging with Super-Resolution Ultrasound

28 December

#Ultrasound for the diagnosis of necrotizing fasciitis: A systematic review of the literature @amyem_md @DavenPatelMD @MGottliebMD, Tina Sundaram, Jordan Johnson#POCUS @RushEMSono https://t.co/o9zseDj16T

— Zedu Ultrasound Training (@zedunow) December 27, 2022

@PedRadJournal

Imaging urolithiasis: complications and interventions in children

27 December

Today's #SonoGames22 Round 0 Infographic comes from @CHS_LI EM Residency and summarizes a review of the #RUSH exam by @NYEmergency! pic.twitter.com/H4y09uXQ0G

— SAEM Academy of Emergency Ultrasound (AEUS) (@SAEMAEUS) December 26, 2022

26 December

How do you examine the lower extremity venous system when you look for deep vein thrombosis? What points do you check with the probe? Do you use Doppler? What are the recommended protocols? The Society of Radiologists in Ultrasound recommends a complete duplex ultrasound: pic.twitter.com/UQPIXDI006

— IMCrit (@IM_Crit_) December 26, 2022

25 December

Happy Holidays from all of us at #DukeRAP! (No elves were harmed in the making of this video) @ASRA_Society @ESRA_Society @amit_pawa @EMARIANOMD @GongGasGirl @fuzzymittens @AmyPearsonMD @James_Kim_MD @KalagaraHari @anesthesiadocmd @dr_rajgupta @dr_tgro https://t.co/oogyokhK0d

— Jeff Gadsden (@jeffgadsden) December 24, 2022

@BMJ_Open

Using thoracic ultrasound to detect interstitial lung disease in patients with rheumatoid arthritis: a protocol for the diagnostic test accuracy AURORA study

24 December

#FOAMus via @BMJ_Open

Using thoracic #ultrasound to detect interstitial lung disease in patients with rheumatoid arthritis: a protocol for the diagnostic test accuracy AURORA studyhttps://t.co/jpp56JImcU#FOAMus #MedTwitter #MedMastodon #POCUS pic.twitter.com/vwLCi4D9oa

— Zedu Ultrasound Training (@zedunow) December 23, 2022

#POCUS Journal Podcast Ep 6 is here! Dr. David McCreary @davemaca1yahoo1 joins #POCUSJournal editors Dr. Beryl Greywoode, @DrGalenMD & @ria_dancel to discuss his case report “A Rare Cause of Neck Lump in an Infant”. Listen on Apple, Google, & Spotify! https://t.co/ohqXpM45F1 pic.twitter.com/kTMnCKl6Co

— POCUS Journal (@POCUSJournal) December 23, 2022

New in JACEP Open from @NYEmergency: Endophthalmitis diagnosis supported by bedside ultrasound. #FOAM, #Opthalmology, #POCUS, #Diagnostics, #CaseReporthttps://t.co/MYozBOYwpT @EmergencyDocs @ACEPNow @WileyHealth @wileyinresearch pic.twitter.com/3d9Tfcjq9l

— JACEP Open (@JACEPOpen) December 23, 2022

Excited to share that our paper is out! We report cross sectional area and echo intensity measures of peripheral nerves at 46 sites. https://t.co/Xw8RwEC7eP #neuromsk #POCUS @OrthopaedicAPTA @AIUMultrasound @POCUSAcademy @APTAtweets @aamskus pic.twitter.com/nMHXzfjMws

— Dr. Mohini Rawat, DPT, ECS, OCS, RMSK (@mohinirawat) December 23, 2022

@WFUMB

Construct Validity and Reproducibility of Handheld Ultrasound Devices in Carotid Artery Diameter Measurement

23 December

This is what anatomy might look like on vascular patient that really needs working block. Here is ankle block on toe amputation pt with baseline intact sensation foot, EF 5-10% 🫀Case completed safely under block as primary anesthetic 💉🦶 pic.twitter.com/Pz2uyzPEwH

— Melody Anderson, MD (@anesthesiadocmd) December 22, 2022

@DrMikeChristian @docdgn @zedunow @casualtysrus #prehospital #MedTwitter #MedEd

Our poster at @LDN_TC was a 1 year follow up of prehospital #POCUS @LDNairamb which shows good inter-rater reliability pic.twitter.com/4aMgU3Qp6d

— Salman Naeem (@salmannaeem217) December 23, 2022

@aaeminfo Journal of Emergency Medicine

Negative Appendectomies – Evaluating Diagnostic Imaging Techniques at General Versus a Pediatric Emergency Department