Pulmonary-POCUS

What is the short clip challenge? Check out this clip from our 2024 @IUSMDeptMed Grand Rounds. Are you ready to take the challenge? sign up here-->pulmonarypocus.com/contact-us @NephroP @IUPCCM @OSUPCCM_Fellows @accpchest @POCUSJournal

You have placed the guidewire for a CVC, you view the vessel below and see the wire in the lumen, How did this occur and what is your next step? Take the full challenge here-->pulmonarypocus.com/short-clip-cha… @NephroP

@alex1708ander Are you doing A lines like this? Seems reasonable if it's ok for LHC

I’m honored to have my video on end-inspiratory transalveolar pressures selected as a finalist for the ATS Teaching Competition. Congrats to Dr. Wang for winning the competition! I’ll do my next post on end-inspiratory transalveolar pressures to bring some of the video to X!

@DanRozenbaum Can't wait to see this

🏆 Huge congratulations to Mitchell Holland from ISUM School of Medicine, our winner for Short Clip Challenge Week #103! Enjoy a $5 Starbucks coffee on us! ☕ We received 89 responses this week! The correct answers were 1) Aorta 2) Aortic Dissection. An aortic dissection occurs when there is bleeding within the medial layer of the aorta, most commonly due to intimal tearing and separation. Click here for full explanations: pulmonarypocus.com/short-clip-exp…

KEY CONCEPTS: Why does auto-PEEP lead to failed trigger events and why does raising set PEEP treats it? In the pictures below, raising PEEP from 5 (left) to 10 (right) abolished the failed trigger events. Let's truly understand why!

Calling all POCUS enthusiasts! 🩺🎥 Join our weekly Short Clip Challenge released every Tuesday at 7:00 AM. Watch a brief ultrasound clip, answer two questions, and the first to get both right wins a $5 Starbucks gift card! ☕ You also earn 0.25 AMA PRA Category 1 CME credits for each quiz! Q# 1 what vessel is the arrow pointing towards? Test your skills here 👇Select week # 103 pulmonarypocus.com/short-clip-cha… #POCUS #Ultrasound #MedEd #ShortClipChallenge #MedTwitter

Which DYSSYNCHRONY do you see here? Please find a detailed waveform analysis below.

2/2 Q#2:Given the ultrasound findings and discrepancy with the bladder scan, what is the most likely explanation for the patient’s decreased urine output? A#2 Ascites falsely elevating bladder scan volume See the explanation here--->pulmonarypocus.com/short-clip-exp…

1/1: Congratulations to this week's SCC winner Tanner Course from IUSM IM-Peds Congratulations Tanner, enjoy a cup of coffee on use Here is a look at this weeks metrics We have 122 responses Q#1 You are performing a suprapubic ultrasound to evaluate decreased urine output in a cirrhotic patient with an indwelling Foley catheter. A nursing bladder scan estimates ~300 mL of urine. What is the white arrow pointing to? A#1: Ascitic fluid

KEY TO UNDERSTAND DYSSYNCHRONIES: How do you recognize inspiratory effort on waveforms? This time looking at modes where vent controls pressure (see quoted post for when flow is the control variable).

@alex1708ander @OungSavly @iamritu Ohhh I like this!

On the 10T-D Micro Multi-Plane pediatric TEE Probe the multiplane rotation control is assigned to the smaller upper wheel, which feels different if you are used to standard adult TEE probes where the larger lower wheel often dominates hand motion #echofirst @OungSavly @iamritu

Short Clip Week 101 You are performing a suprapubic ultrasound to evaluate decreased urine output in a cirrhotic patient with an indwelling Foley catheter. A nursing bladder scan estimates ~300 mL of urine. What is the white arrow pointing to? Click here to take the challenge pulmonarypocus.com/short-clip-cha… @NephroP

Senior seminar done! ✅ Covered updated ARDS definitions and its implications, a 20-year look at landmark studies, and where the field is headed next. Grateful to @Edwin_J_Jr for the mentorship and support. @IUMedSchool #PCCM

2/2 Key Points What you’re seeing? These are calcified granulomas they show up as bright (hyperechoic) punctate foci in the spleen, sometimes with posterior shadowing if large enough. Why they happen: This is healed infection most commonly Histoplasmosis (especially in the Midwest) or Tuberculosis. The body walls off prior microabscesses → they calcify over time. What it means clinically: Typically these are benign, incidental findings. In an asymptomatic patient, this does NOT need further workup it’s just a marker of prior exposure, not active disease. Additional causes of splenic calcifications include. #F5A" target="_blank" rel="nofollow noopener">ajronline.org/doi/10.2214/AJ…

1/2 Congratulations to this week's short clip challenge winner Thom Fretz from IU Internal Medicine Residency. Congratulations Thom, enjoy a cup of coffee on us! Here's a quick recap of last week's metrics: We received 88 responses. Question 1: You are scanning the left retroperitoneum using abdominal ultrasound. What organ is the white arrow pointing toward? A1: Spleen Question 2: How would you describe the echogenic findings in the spleen? A2: Splenic calcifications (granulomas) @NephroP

Key concept: Can you make a diagnosis just looking at this waveform in Volume Control?

Are we on the same page #echofirst ? How would you report this? Two patients, one pediatric 👶and one adult 👩, with remarkably similar echo findings (seen on TTE & TEE). LV myocardial hypertrophy and LV wall thickening are closely related, but they are not exactly the same.

Check out this week's Trial bites! Trial Bites is a weekly newsletter covering a key clinical trial in critical care. This month we will be focusing on trials about vasopressors. pulmonarypocus.com/trial-bites-bl…. Subscribe to trial bites here pulmonarypocus.com/trial-bites-bl…

Short Clip Week # 100. You are scanning the left retroperitoneum using abdominal ultrasound. What organ is the white arrow pointing toward? Take the challenge here: pulmonarypocus.com/short-clip-cha…