Future of Medical Education Part 2, a little bit of lung ultrasound…..and an all new ultrasound iBook! #Foamed

We know you all get really tired of “evidence” and “science”, so here is our unsolicited opinion about the future of medical education.

Actually, there is some evidence regarding these ideas and adult learners, but we’re really going to focus more on “how to”.  We want to try to lead the way and show you how to do this as best we can in a podcast format.
And just to be clear, we didn’t invent this stuff.  We’re collating from the great world of #FOAMED all the best practices we’ve found and adding what we do in our educational practices.  We’re not a Cadogan or Nickson, but we can try, can’t we?

Also, if you haven’t heard, Introduction to Bedside Ultrasound Volume 2 is now out.

If you already own Volume 1…..this is much better.  If you don’t yet own Volume 1….they’re equal…..get them both.

It’s actually ALL NEW content including things like TEE, MSK, Right Heart, EMS, Medical Education, Gallbladder, more Nerve Blocks, PIV, Soft Tissue, DVT, Appy, Peds, Diastology, and much more!  364 pages of interactive content, with HOURS of video demonstrations and tutorials.
Follow us @ultrasoundpod on twitter

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The Future or Medical Education…..and some lung ultrasound! #FOAMED

ere’s the thing, we think we can all do better when it comes to medical education.  We’ve sat through too many bad powerpoint presentations and watched too many professors bore audiences to sleep while teaching topics that could actually be life saving and super important!  And why exactly is the vast majority of our medical education structured around the classroom and “just-in-case learning”?  It’s outdated, and we’ve had enough!
This is part 1 of a talk we gave recently at St. Lukes Ultrasound Symposium where we blab on about how we think medical education can be delivered better.  Just to be clear, this is just our opinion, but we can’t hold it in any longer.  No more medical students or residents should suffer through the “old way”.  We think we have part of the solution, so here it is.  And we sprinkle in some lung ultrasound education along the way and challenge you to use some of these principles this weekend while you’re watching the FREE STREAM OF CASTLEFEST 2013 (keep an eye out on Google +).
Follow us @ultrasoundpod on twitter.
Get the app (and/or the Chinese version)

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Thoracentesis Microcast! Alaskafest! Chinese language app?

Yes, it’s all true.

We’ve been busy, and here’s what’s going on:
  • First off, we had a request not that long ago for a quick tutorial on thoracentesis, so here it is.  We aim to please!
  • Also, we’re heading north….way north in a few months and we wanted to invite you along if you’re interested.  It’ll be fun.
  • Lastly, if you speak Chinese or know anyone who does, then check out our Chinese language One Minute Ultrasound app.
We’re super busy with last minute Castlefest plans, so don’t forget to follow us on G+ to watch Castlefest live for FREE.  That’s right, in case you hadn’t heard: Weingart, Stone, Blaivas, Reid, Noble…..FREE!  Follow us on twitter @ultrasoundpod so you can tweet your live questions while you watch live.  And be sure and get “Introduction to Bedside Ultrasound” ahead of time to read and prepare.
See you there!

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Ultrasound of Radius Fracture! What? That’s right. Diagnose it and guide your reduction with US! #foamed

You know we haven’t had an MSK episode in a while, which is a shame really.  MSK ultrasound is really cool and we think grossly underutilized.  And of course when we talk about bone ultrasound we go straight to The Bone Boss, himself, Mark Goodman MD.  Mark is fellowship trained in both sports medicine and ultrasound……and super good looking (think Val Kilmer, the young version….iceman).
Also, there’s an announcement at the end of this podcast related to the Castlefest live stream.  Spoiler alert:  It may be on sale at up to 100% off.  Don’t believe me?  Listen for yourself!
Follow us on twitter: @ultrasoundpod

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Paracentesis – Not difficult, but like most things….better with ultrasound! #Foamed

Yeah, we know, you can do a paracentesis.

We’re not talking about a pericardiocentesis here.  The belly’s big, you’re not scared, so why not just do it?  Well, it turns out that your patients have less complications when you go ahead and take a look.  So don’t be “that guy” or “that girl”.  Don’t take a chance when it’s your patient.
As a bonus to this VERY short microcast we’re attaching a pdf of the paracentesis section (Click here) from the  ”Procedures Chapter” in Introduction to Bedside Ultrasound: Volume 2 coming out very soon.  This is a preliminary section that hasn’t been ran through the full editorial process yet, but it’s certainly a very valuable addition to the video here.  Just ignore any references to videos or images in the pdf.  Those will be inserted in the final chapter.  In the meantime be sure and get your copy of Introduction to Bedside Ultrasound Volume 1.  You want to be ready to move on to the advanced techniques coming out in Volume 2!
Follow Us:
Twitter:  @ultrasoundpod

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Ultrasound Guided Pericardiocentesis Microcast! #foamed Education Mainlined…..

OK, no funny, no cuteness, nothing.  Just straight echo guided procedural education.  We like to have fun and keep it light because we think that enhances your education and keeps you interested.  However, we’re talking about pericardiocentesis here.  Is there any procedure more “puckering” than sticking a needle in the pericardium of a crashing patient.  So just imagine yourself in that situation and ask yourself “Self, how prepared do I want to be for this?”, and then watch this episode.  (You can also watch the captioned version here: http://youtu.be/M4vHEr25yFk)
p.s. – If you appreciate the podcast, go on iTunes and give us a 5 star review and write something nice.  We REALLY appreciate it and it helps others discover the podcast.
Then email us your review and we’ll give you a free copy of “Introduction to Bedside Ultrasound“.
And if you don’t like the podcast….then why are you still reading this?  Send your complaints to: madeupemailaddress@gmail.com.
Thanks!

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Should I do an ultrasound fellowship and what’s the deal with all this IVC talk? #foamed

Wait!  Before you download this you should understand a few things.
1.  I hope you’re all enjoying SMACC!
2.  This is audio only.  There is no video in this one because it’s purely an interview.
3.  This is straight from Bob Stuntz from The EM Res Podcast, so it’s really not ours.  This is Bob interviewing us about ultrasound fellowships and other random ultrasound things.  There’s really no real ultrasound education except our “opinion” on the IVC debate.  This is really more for residents thinking about doing an ultrasound fellowship and real ultrasound geeks.
So listen to the interview from Bob and then check out his other work on The EM Res Podcast.  We’ll be coming at you soon with a “Pericardiocentesis Microcast”.
In the meantime follow us @ultrasoundpod on twitter and G+ and don’t forget to get the iBook and our free Smartphone App

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iBook Gift to you…from us. Inspired by @squartadoc #FOAMED

Recently we saw this tweet:

So this inspired us.

We realize that it’s a big problem that Introduction to Bedside Ultrasound is only available on the iPad.  We feel genuinely bad about this and are really going to work to get it available in other formats but we’re A LONG way from having it in other formats.  We haven’t been able to put it into other formats and still retain the interactivity that exists in it’s current form, which is what makes it really exceptional.
However, the authors have done such an incredible job on this text that we’ve decided to make somewhat of a compromise.  We want to give this to you in pdf form so anyone can at least read this.
We really agonized over this because well over half the education is really contained in the videos, demos, and interactive content that you can’t access in this pdf, but it’s all we can do right now.
Hopefully this is helpful to you.

 

Simply click (or right click and select Save Link As or Download Linked File) the image below or this link to download: Introduction to Bedside Ultrasound Volume 1

IBUS_cover

Click to view or right and select Save to download

 

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Lung Ultrasound with Mike Stone Part 2. The wait is over! #FOAMED

Have you been practicing your lung ultrasound after the last episode? Have you felt that there was just something missing…..just one more piece of the puzzle? If so, hopefully this does it for you. After 2 lung episodes by Mike Stone and a hangout partly about lungs, consider yourself “Stoned”. Luckily, there’s an ancient proverb that says “One can never get too much lung ultrasound or Mike Stone.” We think that applies in this case.

 

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SMACC Club Hangout: Virtually Unstoppable!

Yes, we know you’ve heard of the SMACC conference.  If not, stop what your’e doing and go here.  It’s gonna be off the hizzy (as the kids say), and we’re super disappointed that we can’t attend.  Thankfully, the brilliant organizers of SMACC care enough about all of us that they’ve created ways for us to get involved without actually being there in person.  So, here’s your chance.  Form a SMACC club team, watch this episode as an example of how do it, and enter your video.  More info on how to is here.
In this SMACC club Mike Stone, Mike Mallin, Laleh Gharahbaghian, and Matt Dawson discuss three articles, with some not so subtle imagery thrown in to try and impress the Aussie judges (yes, we know you’re not an Aussie, Chris).
If you can, download the articles prior to watching so you can follow along.  They are:
Also, don’t forget to follow us on twitter: @ultrasoundpod for daily #FOAMED nuggets and, of course, find us on Google +.

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Lung Ultrasound Part 1- YOU should be doing this! Your patients deserve it. #FOAMED

Last week Stone dropped some super hot innovation on you with the WIN episode.  This week, we’re going old school and talking lung ultrasound.  OK, so maybe lung ultrasound isn’t old school.  You may have never ultrasounded the lungs before other than pneumothorax, but that’s not due to lack of evidence.  If you’ve been following us on twitter (@ultrasoundpod), then you’ve seen some of the really cool Sonocloud.org lung clips of the day and a few lung ultrasound evidence links.  Now it’s time to take it to the next level and teach you how to produce these clips yourself!
Speaking of evidence and literature it pains us to admit how far ahead the French and Italians are in lung ultrasound, but we can’t ignore it any longer.  If you have any national pride, you’ll learn this and catch up with the Europeans!  Thankfully, they’ve already done the hard work and shown us this works.  So all we have to do is cheat off their work, read their studies, and apply it to our patients.  It’s not the easiest ultrasound ever…..but it’s also not the hardest.  Over the next few weeks we’re gonna convince you of that.  So open your mind and prepare to have it blown by Stone.
Also, don’t forget to follow us on twitter: @ultrasoundpod for daily #FOAMED nuggets.
And while you happen to be on the interweb why not go rate us on iTunes, download our app (and rate), swing by and get the iBook, and give it a nice review also.  And don’t forget to follow @sonocloud for daily clips and images.  We love your “virtual love”.

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Wire in Needle: A WIN for needle visualization! #FOAMed

After those last 3 microcasts I’m sure you’re all sticking needles in vessels under ultrasound guidance like crazy!  As you should.
Why would you blindly stick a needle in the body unless you don’t really care where it goes?  We’ve established that much.
Now, let’s take it to the next level.  In this episode we demonstrate to you a new technique to increase needle visualization.  To see all the evidence on this technique click here.

Ok, sorry, as you may have figured out, there is no evidence for this, but you’ve gotta admit, those were some cute cats.  This podcast is definitely opinion, so do with it what you will.  We’re just trying to share with you what we’re up to and what we think is cool.

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Microcast: Radial Arterial Line Insertion #FOAMED

I don’t know about you, but we just can’t get enough of sticking needles in vessels!  We’re running out of veins, though, so we’re moving on to the arteries.
Not everyone uses ultrasound for arterial lines, but that’s not because there isn’t pretty clear literature for it.  Instead, we think some people may have just not been shown.  So, we apologize for not showing you, and this is our attempt to remedy that problem.
Also, let us tell you about a couple things coming up soon.  It’s at the beginning of the podcast, so you don’t have to wait very long.
Follow us on Twitter @ultrasoundpod and Google+

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Microcast: Peripheral IV placement…..Ultrasound Guided of Course

Put down that central line kit!!
Now, sure, we were just showing you a couple days ago how to put in an ultrasound guided central line, but it’s usually not necessary.  At Thomas Jefferson they did a study where they tried an US guided PIV on every patient they couldn’t get access on just before placing a central line…….and they eliminated 85% of those central lines!  This is your chance to be a hero.  No one can get the IV, so you swoop in with your trusty ultrasound machine and save the day.
If you want lots more info on this check out our recent lectures we posted on youtube of an USGPIV course we put on.  Or if you want it in an even shorter form, then get the One Minute Ultrasound app where we demonstrate it in < 60 sec.
I promise, this is something you’re gonna love doing…..and your patients will love you as well.
Follow us on Twitter @ultrasoundpod and Google+

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Microcast: IJ placement

Do you like sticking needles in large veins?

Do you like watching the needle go into the vein and doing it safely?

 If so, then here you go.  No frills, just how to.

For some reason we’ve been mistaken as experts and asked to make some instructional videos for the Roberts & Hedges Online videos.  So we’re gonna release those to you as we finish them as “microcasts”.  Now why are we calling them “microcasts” instead of Little Itty Bitties?  No reason.  Mainly just to confuse you.  We may even change our mind partly through and start calling them ultrasmallsounds or FASTcasts.
No commentary from us or back and forth on these.  No wisecracks, nonsense, or other such horseplay.  You have to put up with that on all our other podcasts, so here’s your chance to just sit back, relax, and learn.  We’ll also post on youtube, GMEP, and as many other places as we can so you can find easily anytime and refer to if needed.
Follow us on Twitter @ultrasoundpod and Google+

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Episode 42 – Interview with Dean Richard Hoppmann: SUS who? SUSME!

Alright, so you’re almost ready to really push for ultrasound integration in your medical school, but you just wish that you could hear from someone who is the dean of a medical school that has done this for years and just happens to have founded an organization dedicated to ultrasound in medical education.
Well, we anticipated that you’d desire such a thing and have taken measures.
This podcast we have Dean Richard Hoppmann, founder of SUSME, and ultrasound champion on the podcast to discuss.  We’ll ask him about his experiences integrating ultrasound into the medical school curriculum in South Carolina, what SUSME has planned for 2013, and how to best potty train a house cat.
p.s. – Did you all hear that 2013 was “The Year of Ultrasound”?

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Episode 41 -Ultrasound in Medical Education: Part 2

We promised you “how”, so here it is.  After hearing about all the tremendous things you can do with ultrasound and how it helps medical students learn anatomy and the physical exam better we know what you’re thinking:  ”What if I don’t have ultrasound at my medical school?  Am I destined to be a horrible doctor?”  Well, probably.  I mean if you work really hard you’ve got about a 10-15% chance of making it up and not being a danger to your patients and a menace to society.  If you don’t want to take that chance, though, then here you go.  We’re gonna explore how to make it happen at your medical school by talking with someone who has actually already made it happen at their med school:  Chris Fox.  Viva La Fox……and ultrasound!

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Ultrasound in Medical Education

In case you didn’t notice, it’s now 2013:  The Year of Ultrasound!

We know what you’re thinking:  ”You guys made that up, didn’t you?”  Actually, no.
We wish we had, but this is straight from the top.  AIUM and SUSME are the co-organizers of the 2013: Year of Ultrasound initiative. So we wanted to do our part and talk about something we’ve wanted to talk about for a while:  ultrasound in medical education.  We’re pretty sure that being good at bedside ultrasound makes you a better doctor.  So why not teach it in medical school?  But don’t just take our word for it.  Listen to the podcasts this month and hear……well I guess pretty much our word…..but also some others as well.  We’ve got a couple sweet interviews with people much smarter than us to discuss this topic after we give you our opinion.
And don’t just listen.  If you agree with us, then forward this to the people at your University who make the decisions about ultrasound in medical education.  Remember, you’re gonna be the old geezer with flank pain soon.  Do you want the young whippersnapper doc taking care of you to be able to scan your aorta?

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Happy Holidays from The Ultrasound Podcast Family!

Happy Holidays from The Ultrasound Podcast Family!

We just want to say Thank You for listening.  Your commitment to your patients and willingness to put up with our nonsense in order to improve the care you deliver inspire us.
Thanks again!
p.s. – that beautiful bouncing baby boy that Mike Stone is holding is Jody, the dude behind the scenes who makes the podcasts watchable.

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Little Itty Bitty 3 – Supraclavicular

We swore it was coming, and here it is!

The famous pocket shot, described by the even more famous Mike Mallin.  Just one more ultrasound technique to stick in your procedural quiver.  Consider this our Christmas gift to you:  Making you the most skilled physician in the world!  I know what you’re thinking: “But I didn’t get you anything!”  Well, it’s not too late.  If you want to give us something go to iTunes and rate and review the podcastapp, and book.  We would also accept a new 15″ Macbook Pro with Retina display…..you’re choice really.
As always…or actually as usual (maybe not always) check out the subtitled version courtesy of Dr. Lakoff: http://youtu.be/0V0-MTDi-vk
Be sure and follow us on twitter @ultrasoundpod and Google Plus +ultrasoundpodcast

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Little Itty Bitty 2 – Ultrasound Guided Subclavian

Ultrasound guided subclavian.  Better than landmarks?  Only if you believe the studies/literature/science…..
We hope you enjoy this Little Itty Bitty on the ultrasound-guided infraclavicular approach to this line.  Of course, there’s a supraclavicular approach as well, and you can expect that little itty bitty in a few days.  We recorded these a while back and planned to do more with them, but then there was a really nice video on both approaches published recently, so we thought we’d just give you these as little itty bitties.  If you want to see a longer, well done video by Phil Perera on this topic go here: http://www.youtube.com/watch?v=I3Jqbxa1_Ts
Be sure and follow us on twitter @ultrasoundpod and rate the podcast, app, and book on iTunes.  Enjoy!
Looking for the closed captioned version?  Check it out here: http://youtu.be/n3SaUSjB-KU

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Episode 39 – More Airway and Cardiac Ultrasound!

Pour yourself a cup of eggnog, cuddle up next to the fire, and get ready for story time. We’ve got a couple stories from the community of someone actually performing an US guided cricothyrotomy, and also a couple of cases of cardiac disease with accompanying echoes and education. Oh yeah, remember to follow us @ultrasoundpod, rate the podcast on iTunes, rate the iBook on iTunes, and come see us at Castlefest!  Also, we’re now on Google Plus and it’s pretty awesome so follow us there as well.

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Introduction to Bedside Ultrasound: Volume 1 Book Update

We’ve been hard at work and now have the Introduction to Bedside Ultrasound: Volume 1 iBook optimized for the Retina display and iPad mini.

The numbering issue for the referenced images after chapter 5 has also been corrected as well.  The book is also now available in 50 countries!

How to get the update:

If you already have the iBook then just go to the ibook store and click on “update” when you pull up the ibook.
Enjoy!
p.s. – We’ve got some cardiac cases and ultrasound “stories” coming at you in a week or so…….

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Hip Ultrasound, Aspiration, and Injection

Seriously.

No really, we’re serious.  We understand that most of you practice in the ED and you may not be that excited about hip ultrasound, but trust us, this is pretty cool.  And if for no other reason, you should download because it’s Mark Goodman again.  Yeah, the guy that looks like Val Kilmer, but is way more smooth.  So go ahead…..expand your horizons.

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iBook update: numbering, retina, and iPad mini optimization!….soon

Yes, we know….the image numbering from chapter 6 on got screwed up during publication.  We submitted an update to fix this last week, but it still has not been pushed out by Apple yet.  It’s coming soon, though.  Even with that SNAFU you’ve given it 100% 5 star ratings in the U.S. iTunes store.  Thanks for focusing on the content, instead of minor typos!

There seem to be some glitches between iBooks Author finalization and publication, so please let us know if you find anything else.  There were also a couple typos such as calling something on the left right.  We never were good at telling our right from left (shouldn’t have skipped that day in Kindergarten).
Lastly, the update will also be optimized for the retina display and the iPad mini.  Again, we appreciate the amazing iTunes reviews.  Thank you!

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Airway Ultrasound Little Itty Bitty Transcribed

The People have spoken!  In a stunning show of bipartisanship agreement 94% of Americans agreed that The Ultrasound Podcast would be better if you could turn off Matt & Mike and just read the subtitles.  So here you go… subtitles.  Thanks to the stellar work of Daniel Lakoff, MD, of Mt. Sinai we have the airway ultrasound episode subtitled for your viewing pleasures.

WATCH IT HERE

In case you missed it…..

 Recently you may have heard The Master of the Critical Care Universe, Scott Weingart put out an episode on The Post Intubation Package.  In this episode he briefly mentions using ultrasound during your intubation and commented that he was sure we would post something on this.  Our first thought was, “Come on Scott!  We’re busy.  We’re “authors” now, not just some clowns you can suggest something to who will reflexively do it.”  Then we realized that we’re “authors” AND still clowns that you can just suggest something to who will reflexively do it.  So we decided to record our first Ultrasound Podcast Little Itty Bittytm (not to be confused with the EMCRIT Wee).  Same concept, just not similar enough for a copyright lawsuit:  very short instructional episode covering a focused topic.  But then we got excited and it ended up turning into pretty much a full episode close to 20 min.  We decided that we would still call it a “Little Itty Bitty”……mainly because it was easier than editing that part out of the podcast.  Look for future Little Itty Bitty’s in the future, though.

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Ultrasound-Guided Intubation

What could be more exciting than combining ultrasound and airway?!?!

Ok, ok, so you can think of a thousand things.  But if you don’t count anything related to sports, politics, sex, religion, music, poetry, or gangnam style music videos then there’s only a hundred or so.

Recently you may have heard The Master of the Critical Care Universe, Scott Weingart put out an episode on The Post Intubation Package.  In this episode he briefly mentions using ultrasound during your intubation and commented that he was sure we would post something on this.  Our first thought was, “Come on Scott!  We’re busy.  We’re “authors” now, not just some clowns you can suggest something to who will reflexively do it.”  Then we realized that we’re “authors” AND still clowns that you can just suggest something to who will reflexively do it.  So we decided to record our first Ultrasound Podcast Little Itty Bittytm (not to be confused with the EMCRIT Wee).  Same concept, just not similar enough for a copyright lawsuit:  very short instructional episode covering a focused topic.  But then we got excited and it ended up turning into pretty much a full episode close to 20 min.  We decided that we would still call it a “Little Itty Bitty”……mainly because it was easier than editing that part out of the podcast.  Look for future Little Itty Bitty’s in the future, though.

 

p.s. – not sure if we told you, but the iBook is out……

 

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