Point of Care Ultrasound - Probe Movements SWEEPING: Here we slide the probe along a slug trail of gel, quite crudely, across a wide area of the body. This is often used to ‘window shop’, for structures we can’t see at first. When they snap into view, we can fine-tune movements. Also allows view of larger organs. ROCKING: Classic example here is when we get an apical view of the heart. At first, the heart may not be in line with the scan field. We can ‘swing’ it into view, so it appears more square on the screen. Makes parallel measurements more accurate and things less off-axis. ROTATION: Great for conversion of the view from short axis, to long axis. Classic example is obtaining a SAX of a blood vessel, then rotation through 90 degrees to view it in LAX for in plane needling during IV access. We can do the same viewing nerves for blocks. COMPRESSION: E.g. applying gentle downward pressure around the umbilical level to displace bowel gas when we are looking at the abdominal aorta. Another; where we apply pressure when scanning vessels to accentuate the pulsatility of the artery/compress the vein. Dr. Jonny Wilkinson @Wilkinsonjonny #Probe #Movements #Motion #Ultrasound #POCUS #Nomenclature

The BLUE-protocol decision tree - performed on dyspneic patients who will be admitted to the ICU The BLUE-protocol combines signs, associates them with a location, resulting in seven profiles: - The A-profile associates anterior lung-sliding with A-lines. - The A’-profile is an A-profile with abolished lung-sliding. - The B-profile associates anterior lung-sliding with lung-rockets. - The B’-profile is a B-profile with abolished lung-sliding. - The C-profile indicates anterior lung consolidation, regardless of size and number. A thickened, irregular pleural line is an equivalent. - The A/B profile is a half A-profile at one lung, a half B-profile at another. Dr. Jonny Wilkinson @Wilkinsonjonny #BLUE #protocol #Algorithm #Dyspnea #CriticalCare #POCUS #Lung #Pulmonary #Ultrasound

Intubation Checklist for Suspected COVID-19 Patient #COVID19 #Intubation #Checklist #CriticalCare #Management

Gastric fullness on POCUS After he forced our kind model to down a pint of lager #Gastric #Fullness #POCUS #Clinical #Ultrasound #Stomach

Airway Ultrasound - POCUS Cheats #Airway #Ultrasound #POCUS #Cheats #Guide #Diagnosis #Windows #Views

Gastric Ultrasound - POCUS Cheats #Gastric #Ultrasound #POCUS #Cheats #Guide #Diagnosis

Diastology - Measuring Diastolic Dysfunction on POCUS #Diastology #Diastolic #Dysfunction #POCUS #Measurement #Cardiology #Diagnosis

The BLUE-protocol decision tree - performed on dyspneic patients who will be admitted to the ICU The BLUE-protocol combines signs, associates them with a location, resulting in seven profiles: - The A-profile associates anterior lung-sliding with A-lines. - The A’-profile is an A-profile with abolished lung-sliding. - The B-profile associates anterior lung-sliding with lung-rockets. - The B’-profile is a B-profile with abolished lung-sliding. - The C-profile indicates anterior lung consolidation, regardless of size and number. A thickened, irregular pleural line is an equivalent. - The A/B profile is a half A-profile at one lung, a half B-profile at another. Hi-Res .mp4 version here: https://www.grepmed.com/images/11924/dyspnea-criticalcare-pulmonary-algorithm-pocus

Coronary Artery Localization on ECG and POCUS #Coronary #Artery #Localization #ECG #EKG #Electrocardiogram #Echocardiogram #Diagnosis #Cardiology #Map #POCUS

The Abnormal Abdomen on POCUS - Ultrasound Cheats Dr. Jonny Wilkinson https://twitter.com/Wilkinsonjonny #Abnormal #Abdomen #POCUS #Ultrasound #Evaluation #Diagnosis