When assessing patients with difficult peripheral venous access it is often helpful to look in the medial upper arm. Here, the brachial artery (A) and veins (V) are predictably located between the biceps and brachialis muscles. The median n…
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 lu…
With the proliferation of online educational modalities (blogs, educational websites, podcasts, twitter feeds) designed for rapid dissemination and translation of our basic Ultrasound knowledge to the bedsides around the globe, we must occa…
The Association of American Medical Colleges (AAMC) has written an article about ultrasound education at the medical school level. In the current edition of their widely distributed publication The Reporter, they describe programs at the Un…
Thoracic sonography is one of the most rapidly growing areas of emergency and critical care ultrasound. One very important emerging indication is to assess for lung consolidation. The characteristic appearance of consolidated lung is very s…
What’s abnormal in this image? Here’s a hint.  Here is an example of normal. When evaluating for possible elevation in intracranial pressure, it has been shown that optic nerve sheath diameter (ONSD) measureme…
This core didactic session recap is devoted to renal ultrasound. Point-of-care ultrasound uses focused clinical questions to guide management, and our didactic session use focused clinical questions to guide discussions of key literature. D…
A prior post discussed the optimal imaging angle for 2D scanning. Quick quiz: what is that angle? 45 degrees 90 degrees 180 degrees 360 degrees In this post we’ll illustrate the optimal imaging angle for Doppler evaluation. Let’…
Is ultrasound the stethoscope of the future? Is it an extension of the physical examination? Will it replace the physical exam? No. Point-of-care ultrasound is a diagnostic test. It is a rapid, bedside, noninvasive, accurate, diagnostic tes…
October is Medical Ultrasound Awareness Month! Medical Ultrasound Awareness Month is a joint effort of the American Institute of Ultrasound in Medicine (AIUM), American Registry for Diagnostic Medical Sonography (ARDMS), the American Societ…
Emergency physicians most frequently use pelvic ultrasound to confirm intrauterine pregnancy (IUP) in the setting of first trimester pregnancy complications. However estimation of gestational age is also described in ACEP’s ultrasou…
The normal gallbladder wall should measure less than 3-4mm. It is recommended that this measurement be taken through the anterior wall of the gallbladder, since posterior acoustic enhancement will often make posterior measurements inaccurat…
Ultrasound is quite sensitive in detecting even very small pleural effusions; it has been demonstrated to perform better than chest x-ray and nearly as well as CT scan. In order to assess for pleural fluid, the transducer should be directed…
In critically ill septic shock patients, assessments of hemodynamic function, fluid status and improvement of clinical status are challenging. Â As a consequence of critical illness and large volume administration of crystalloids as recomme…
Sweep through large AAA from Sinai EM Ultrasound on Vimeo. Abdominal aortic aneurysm (AAA) affects 5-10% of males age 65-79, and among males over 55 years of age represents the 14th leading cause of death. Ruptured aortic aneurysm is associ…
