Giving a great talk

Lots of inspiring speakers at today’s academic retreat. I had ten minutes to give my opinion on how to give a great talk, and referred to a few great books to help: My opinion? Craft a powerful message and find the best tools at your disposal to convey it. Easy!Read more

Cxr Adequacy

CXR’s can be misleading, some common points to be aware of: Erect vs supine (fluid layering): AP view can magnify the heart (PA vs AP): Rotation – are the spinous processes centered between the medial edges of the clavicles? Note how heart width changes with rotation. Penetration – vertebral bodies should be just visible behindRead more

Nose Refresher

    A resident of ill-repute was minding his own business on the way to his shift when he was assaulted. He complains of nose pain and that conference is too early in the morning. The attending was anxiously awaiting the arrival of said tardy resident, and then was immediately seen as above. What isRead more

Having Trouble Finding That Gallbladder?

Try Bret’s expert tips to improve RUQ view and finding the GB using the sonographic rib spreader! more

Frostbite Review

Chilly day, time to review frostbite recommendations….  Read more

Improving left upper quadrant view

Many clinicians are challenged when evaluating patients for perisplenic fluid as part of the FAST or RUSH examination. Here are some common problems and how to fix them. Fix probe location Make sure you are holding the probe in a longitudinal view, probe marker towards the patient’s head. Place the probe just above the costal margin,Read more

SonoSweden 2015

Bret Nelson and Felipe Teran took part in an incredible conference just outside of Stockholm, Sweden. Over one hundred participants and twenty faculty attended this sold-out conference at the Hasseludden Yasuragi Japanese spa . Among the luminaries were Matt Dawson and Mike Mallin (from the Ultrasound Podcast), lung ultrasound queen Vicki Noble, Mike Lambert andRead more

Admit for Esbl Uti?

You have a patient sent by her PMD for a UTI. She had just received her culture results showing ESBL that is susceptible only to carbapenems. The PMD wants her admitted for IV antibiotics. She has no other symptoms. Is there a way to avoid this admission?Read more

Rob Rogers on Aortic Dissection

Rob Rogers gave a great lecture on aortic dissection at the NYU Med Ed conference yesterday. Here are the highlights: -not common, but it is a killer -classic presentation in 1/3 -aortic dissection can be subtle (isolated abdominal/extremity/back pain, syncope, hypotension, painless dissection) and you must think about the diagnosis -as per John Elefteriades (chiefRead more

Five Huge Pearls About Blood Transfusions (#4 Will Astound You!)

Thank you for going for our click bait! Approximately 41,000 blood transfusions are needed daily in the United States. While transfusions are largely safe and save countless lives, here are five pearls you should know. 1. The most common adverse reaction to transfusion is a fever and is treated with supportive care such as acetaminophen.Read more