The Well-Tempered Sonographer

Have you ever had a patient's aortic intima and media peel off each other like the plastic casing from a cheap laptop and wish had more tools than just shipping them off to the CT scanner? Well, the D-dimer and the suprasternal aortic notch views may be a solution to your problems! This week's show notesAortic Dissection Detection Risk Score (ADD-RS) on MDCalcPOCUS 101 post on performing aortic ultrasoundADD-RS and D-dimer systematic review and meta-analysis by Ren et al in PLOS ONEPROFUNDUS paper by Morello et al in the European Journal of Internal MedicineSPEED protocol by Gibbons et al in AEMAnalysis of the SPEED protocol in EMA and SGEMYour questions and comments are welcome at welltemperedsonocast@gmail.com.The views expressed in this podcast are my own and do not necessarily reflect the views of the Department of Defense or U.S. Air Force.The theme music was adapted from the Prelude in C# major from J.S. Bach's Well-Tempered Clavier, volume II, as performed by Raymond Smullyan. It was used under a CC BY-SA 4.0 license.

This week's show notesIntegrating Pre-test Probability and Point-of-Care Ultrasound (POCUS) in the Emergency Department (ED) Diagnosis of Small Bowel Obstruction (SBO) - PMC - Paper #1Contrast‐enhanced point of care ultrasound for the evaluation of stable blunt abdominal trauma by the emergency physician: A prospective diagnostic study - PMC - Paper #2Diagnostic Performance of Ultrasonography for Identification of Small Bowel Obstruction; a Systematic Review and Meta-analysis - PMC - SR/MA on U/S performance on SBO evaluationLikelihood ratios: Clinical application in day-to-day practice - PMC - Review of likelihood ratiosUse of the D-dimer in detecting pulmonary embolism in the emergency department - D-dimer NLRIs it time to re-think FAST? A systematic review and meta-analysis of Contrast-Enhanced Ultrasound (CEUS) and conventional ultrasound for initial assessment of abdominal trauma - PMC - SR/MA of CEUS (general population)Contrast-enhanced ultrasound in pediatric blunt abdominal trauma: a systematic review - PMC - SR/MA of CEUS in pediatric populationHow to perform Contrast-Enhanced Ultrasound (CEUS) - PMC - Overview of CEUS procedureSafety With Echocardiographic Contrast Agents - Echo contrast safety profileDiagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis | Canadian Journal of Emergency Medicine | Cambridge Core - SR/MA evaluating the E-FAST examYour questions and comments are welcome at welltemperedsonocast@gmail.com.The views expressed in this podcast are my own and do not necessarily reflect the views of the Department of Defense or U.S. Air Force.The theme music was adapted from the Prelude in C# major from J.S. Bach's Well-Tempered Clavier, volume II, as performed by Raymond Smullyan. It was used under a CC BY-SA 4.0 license.

This week, we are embolizing information from my microphone straight into your ears, as I have a systematic review covering the accuracy of DVTs performed by EM providers and a trial looking at how well a new diagnostic measure called the RV bubble time does in looking for RV dysfunction. This week's script/show notesPaper 1: Hercz D, Mechanic OJ, Varella M, Fajardo F, Levine RL. Ultrasound Performed by Emergency Physicians for Deep Vein Thrombosis: A Systematic Review. West J Emerg Med. 2024 Mar;25(2):282-290. doi: 10.5811/westjem.18125. PMID: 38596931; PMCID: PMC11000565.Paper 2: Cohen A, Li T, Bielawa N, Nello A, Gold A, Gorlin M, Nelson M, Carlin E, Rolston D. Right Ventricular "Bubble Time" to Identify Patients With Right Ventricular Dysfunction. Ann Emerg Med. 2024 Apr 10:S0196-0644(24)00095-7. doi: 10.1016/j.annemergmed.2024.02.005. Epub ahead of print. PMID: 38597847.A primer on performing DVT studies from POCUS 101Dr. Sara Crager on Rescuing the Right VentricleYour questions and comments are welcome at welltemperedsonocast@gmail.com.Content review for this episode was done by Dr. Titus Chu, ultrasound faculty in the Wright State University Emergency Medicine program.The views expressed in this podcast are my own and do not necessarily reflect the views of the Department of Defense or U.S. Air Force. The theme music was adapted from the Prelude in C# major from J.S. Bach's Well-Tempered Clavier, volume II, as performed by Raymond Smullyan. It was used under a CC BY-SA 4.0 license.

On this episode, we cover two papers on the use of ultrasound hemodynamic findings in clinically evaluating blood loss: one in suspected upper GI bleeding to risk stratify patients into transfusion candidates vs not at the bedside, and the other covering an emerging use of wearable ultrasound to relate carotid Doppler findings with cardiac output.Show notes for paper 1 (Ayar et al)Citation: Ayar MS, Baydın A, Ustaoglu M, Caliskan F, Erenler AK. Inferior vena cava collapsibility index and stroke volume as predictors of blood transfusion in upper gastrointestinal bleeding in the emergency department. J Gastroenterol Hepatol. 2024 Feb 9. doi: 10.1111/jgh.16500. Epub ahead of print. PMID: 38334062.Show notes for paper 2 (Zhao et al)Citation: Zhao, X., Yuan, W., Wang, S. et al. Evaluation of hemorrhagic shock and fluid resuscitation in pigs using handless Doppler carotid artery ultrasound. Eur J Trauma Emerg Surg (2024). https://doi.org/10.1007/s00068-024-02481-3Your questions and comments are welcome at welltemperedsonocast@gmail.com.Content review for this episode was done by Dr. Titus Chu, ultrasound faculty in the Wright State University Emergency Medicine program.The views expressed in this podcast are my own and do not necessarily reflect the views of the Department of Defense or U.S. Air Force. The theme music was adapted from the Prelude in C# major from J.S. Bach's Well-Tempered Clavier, volume II, as performed by Raymond Smullyan. It was used under a CC BY-SA 4.0 license.