Ultrasound GEL

Duration of IVC Collapse

What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids?

https://www.ultrasoundgel.org/132
https://pubmed.ncbi.nlm.nih.gov/32530838/

The POCUS Manifesto Part 2

Part 2 of this Special Edition episode with Larry Istrail, author of the POCUS Manifesto. More great talk about POCUS, the physical exam, and ultrasound research.

https://www.ultrasoundgel.org/131

The POCUS Manifesto Part 1

In this Special Edition episode, Mike and Creagh interview physician, entrepreneur, and author Larry Istrail discussing his recent book The POCUS Manifesto! Awesome discussion of the ups and downs of implementing, teaching, and researching POCUS. Part 1 of 2.

https://www.ultrasoundgel.org/130

Neonatal Central Line Positioning

If you take care of neonates, the last thing you need to worry about is vascular access! In this episode the GEL Jr. team discusses an article on using POCUS to confirm central catheter placement. Can it save these babies a few xrays?

https://www.ultrasoundgel.org/129
https://pubmed.ncbi.nlm.nih.gov/35152306/

Brief Echo in Cardiac Arrest

This clever study questions which cardiac view is best to obtain during a cardiac arrest. By using a simulated arrest scenario on living non-cardiac arrest patients, they compare the subxiphoid window and the parasternal long axis view in terms of speed and image quality.

https://www.ultrasoundgel.org/128
https://pubmed.ncbi.nlm.nih.gov/35065867/

Jugular Venous Pressure

Jugular venous distention (JVD) is a classic physical exam finding taught for ages, but assessing it can be a challenge. Can ultrasound do a better job and therefore offer a non-invasive evaluation of the patient’s right heart pressures? This goal has been the pursuit of many ultrasounds before. This time we have a new vessel to assess and a nice reference standard (right heart cath)!

https://www.ultrasoundgel.org/127

https://pubmed.ncbi.nlm.nih.gov/34958600/

Winner of Sonogames Round Zero

This is a Special Edition podcast which features the winner of a competition at the recent SAEM Sonogames! The challenge was to create the best infographic for a POCUS article of the team's choice. The winning team was from Boston Medical Center. This podcast is a brief discussion of the article and the graphic this talented team created.

https://www.ultrasoundgel.org/126
https://pubmed.ncbi.nlm.nih.gov/33795166/

Felipe Teran

In the first of our new series of author interviews, hosts Zach Risler and Mike Prats interview the illustrious Felipe Teran. They discuss Felipe's take on our coverage of the Quantitative LV Function in PEA article (ep 119) as well as thoughts on ultrasound and cardiac arrest research in general.

https://www.ultrasoundgel.org/125

US-Guided Arthrocentesis

In this episode, Mike and Jacob dive into an important intersection of musculoskeletal and procedural ultrasound - the ultrasound-guided arthrocentesis. People have been doing arthrocentesis without the help of ultrasound for a while, and most would agree it is feasible. BUT what about those smaller joints - like the wrist, elbow, and ankle? Perhaps that is where the greatest benefit would be in making sure your needle gets to the right place. These authors performed a randomized trial of this specific population to investigate this question.

https://www.ultrasoundgel.org/124
https://pubmed.ncbi.nlm.nih.gov/34608713/

Intussusception

Intussusception is a big deal and an area where POCUS can potentially make a difference. The literature has been promising, but there hasn't been any definitive studies...until now? The GEL Jr hosts dive into this impressive prospective, multicenter, non-inferiority study and (much like an air enema) they try to get to the bottom of this question to reduce our impacted uncertainty.

https://www.ultrasoundgel.org/123
https://pubmed.ncbi.nlm.nih.gov/34226072/