Appendicitis ultrasound part 2 with @mud5hark & @chrismuhr

Appendicitis
In the last podcast we went over some literature and had a jolly ole time discussing appendicitis ultrasound in general.  Doesn’t do you much good, though, if you we don’t show you how, right?  So, let’s remedy that.
In this episode we’ll show you how we do it, and then we’ll get a true expert to demonstrate.  We’ve done a lot of these, but not nearly as many as Jesper Danielson.  We met Jesper at Sonosweden last year, and we were blown away by his bowel ultrasound skills.  So we’ve convinced him to share those skills with you.  You’re welcome.
Speaking of Sonosweden, remember, we’re all doing it (and by “it” we mean learning ultrasound in a Japanese Spa) again.  And if you want to join us in Norway right afterwards for a cruise up the Norwegian coastline under the Northern Lights to learn some advance ultrasound, we’ll be there as well.
Register for Sonosweden
Register for Sononorway
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Appendicitis Remix: Part 1.  #foamed. Ultrasound in a spa & on a cruise!

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I’m sure you don’t remember, but our first episode ever was on ultrasound for appendicitis.  But that was a long time ago…..like 3 years.  So it’s time to revisit.  There’s new data, and there’s room for improvement.  In this episode we do something a little different than normal.  Instead of giving you a “great save” story, we’re gonna talk about how it can go wrong.  What we don’t want to do is scare you away from doing this exam.  However, it’s important to inject some humility occasionally, especially when we’re talking about an advanced scan.  This can be screwed up if you don’t know exactly how to perform it and exactly how to apply it clinically to your patient.
We’re also SUPER excited to tell you about Sonosweden and Sononorway.  Now last year, Sonosweden was sold out within about a week of talking about it on the podcast, so a lot of people missed out.  Don’t miss out this year.  It’s bigger and better, and if ultrasounding in a Japanese Spa while wearing a robe isn’t enough for you, we’re moving the whole party to a cruise ship in Norway after the Spa course ends this year.  Listen to the podcast for more info.
Lastly, we’ll be bringing you more of the exact “how to” part very soon.  Stay tuned.
Last reminder:  If you haven’t commented on or rated the podcast, please do, but only if it’s positive and you can give us 5 stars.  Email us if you can’t give us a 5 and we’ll try to do better.  It takes you <60sec and REALLY helps us.  DO IT NOW.
Thanks!
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Lung Ultrasound Journal Club part 2 with @nobleultrasound, @aliteplo, @poppaspearls, and author Christian Laursen.  #foamed

We know it’s been an agonizing several days waiting for part 2, but the wait is over!  The conclusion to the longest journal club ever is here.  You thought we couldn’t drag it out any more didn’t you!
Yes, these are a bit longer than the normal 20 minute podcasts, but it’s worth it.  We’ve got some really smart people here, and we think you should hear what they have to say.
If you missed the first episode, STOP what you’re doing.  Check out Lung Ultrasound Journal Club Part 1 here.  And if you’re totally lost, we’re talking about this article:
Coming up next, we’re getting in the way back machine and going back to the first podcast we ever did, appendicitis.  A lot has changed in the 3+ years (wow, we’ve been doing this for 3+ years!) since we did that first podcast.  Plus, we’ve met lots of people much smarter than us to talk about and demonstrate how to do it.  So we’re taking advantage.  Chris Muhr, Jesper Danielson, and Martin Bergman, the Super Swedes from……..well, Sweden, will be joining us.  See you then!
Another reminder:  If you haven’t commented on or rated the podcast, please do, but only if it’s positive and you can give us 5 stars.  Email us if you can’t give us a 5 and we’ll try to do better.  It takes you <60sec and REALLY helps us.  DO IT NOW.
Thanks!
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Lung US Journal Club Part 1 with @nobleultrasound and @aliteplo.  #foamed.  Lancet article discussed with first author, Christian Laursen. 

The title is a mouth full and when you read it it’s definitely a brain full.  This is an incredible study with some incredible results.  If you just read the abstract you see that the correct diagnosis is made 88% of the time within 4 hours with ultrasound used and only 63% without ultrasound.  BIG WIN!
However, when you read the paper, you notice some very head-scratching things.  There may be trends towards more diagnostic testing, more treatment, and possibly increased mortality and morbidity when ultrasound is used.  So a lot of people have talked about this and wondered if it was real.
Well, we wanted to dive even deeper and talk with the author of the paper.  Let’s dissect the paper and discuss what wasn’t in it.  What are we missing?
Luckily, Vicki Noble and Andrew Liteplo have helped us out.  Here is the fruit of our labor……actually the first part of the fruit of our labor.  We’ll harvest the rest of the fruit for you in just a few days.  Patience…..
One other reminder.  If you haven’t commented on or rated the podcast, please do, but only if it’s positive and you can give us 5 stars.  Email us if you can’t give us a 5 and we’ll try to do better.  It takes you <60sec and REALLY helps us.  DO IT NOW.
Thanks!
iTunes versions if you prefer the iBooks Textbook format:

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Intussusception part 2 with @pemedpocast.  Also, more info on www.yellowstoneultrasound.com.  #foamed 

Have you been scanning some little bellies for turducken?  We sure hope so.  If you’ve waiting to hear from the man, Andy Sloas, before diving in, then the wait’s over.  Here he is for Intussusception Part 2.  He does this all the time and is a scanning maniac.  Like Russ, he knows his stuff.
Last week we mentioned in the show notes that we’d be doing some teaching the week before SMACC in one of the most beautiful places on earth, Jackson Hole, WY.  We’ll tell you a little more about it in this podcast.  People are already registered, though, so you better get on it.  Register NOW.  While you’re at it, go ahead and register for SMACC also……actually, I just noticed registration for that isn’t open until November.  Well, put it on your to do list.  They’re both going to be amazing educational experiences.
Lastly, we told you about our Course in a Box concept last week on the podcast, but we didn’t mention where that was.  You can find a link on the homepage of the podcast now, so go check it out.
Next podcast:  Lung ultrasound.  Does it lead to over-testing or is it an absolute must for anyone with respiratory distress.  We’ll hash that out with some super smart people.
Follow us:  @ultrasoundpod
Register:  Castlefest 2015 and/or Yellowstone Course
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Intuss with Russ!  Let’s talk about ultrasound for intussusception.  Also, want to learn ultrasound in Yellowstone?  #foamed

You’ve got a little bugger with belly pain and they may have intussusception…..or they could just have gastro.  How to know?  Well, this isn’t the xray podcast.  Of course, you’re going to ultrasound them.  Or if you’re not, watch this and hopefully you will afterwards.

Turns out ultrasound for intussusception isn’t that difficult.  There’s pretty good research on point of care providers doing it, and we’ve got Russ Horowitz from the University of Chicago on to show you how.

Also, we’re teaming up with Rich Levitan in Jackson Hole, WY at Jackson Lake Lodge next year to put on an ultrasound course at the same time as his airway course.  It’s an incredible place, and it’ll be an incredible course!  Register and find out at www.yellowstoneultrasound.com.  It’s the week before SMACC next year, so a perfect bonus course if you happen to be over here anyway.  Of course, if you’re a member of the Ultrasound Leadership Academy, this course is included in the Academy.  See you there!

Follow us:  @ultrasoundpod

Learn with us:  www.ultrasoundleadershipacademy.com

Register:  Castlefest 2015 or Yellowstone Course

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