Best ultrasound needle?
I'm looking at Havel's needles, which is best for MSK, non-spine injection?
It looks like the MSK has about 4 echogenic sites and the PTC30 is microlaser etched with many ecogenic sites. (Source: Student Doctor Network)
Source: Student Doctor Network - June 22, 2017 Category: Universities & Medical Training Authors: SpineBound Source Type: forums
U/S guided regional anestheisa in the ED by ED docs
Wondering if I could have your input.
I have been asked to speak to our ER dept about regional anesthesia. The dept uses a lot of ultrasound and are interested in nerve blocks. My plan is to teach them as I feel it is in their scope of practice but I will do so with a word of caution as they should not be taken lightly.
Also they need to check with their malpractice, hosptial privledges, and dept befor starting the blocks
What do you guys think? I did find a few artlces suggesting...
U/S guided regional anestheisa in the ED by ED docs (Source: Student Doctor Network)
Source: Student Doctor Network - June 22, 2017 Category: Universities & Medical Training Authors: turnupthevapor Source Type: forums
When you suspect kidney stones
When do you get a CT scan? I've heard and seen everything from: always, first time they've had stone, systemically ill, hydronephrosis on bedside ultrasound. I've also seen people with mild hydro and suspected stone go home.
The practice pattern varies wildly and I'm trying to gain a better understanding of what is important and what is not. What do you look for, what are your red flags, when do you scan? (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2017 Category: Universities & Medical Training Authors: iaskdumbquestions Source Type: forums
GPO Recommendations: need group purchasing organization
I have access to the Peds Pal GPO via ISIS, but wondering if there are better ones out there to belong to for an interventional pain practice. In particular, I'm hoping to find one with discounts on ultrasound machines (long shot probably). (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2017 Category: Universities & Medical Training Authors: Ligament Source Type: forums
Prp
PRP
My practice has asked me to integrate PRP into my practice.
Who of you are doing this? What is your set up. What body parts... Are you using ultrasound and do you need it really with these injections on low body weight athletes? Obviously anatomic localization not too hard on these folks but what is your experience. PM me regarding billing. We are not looking at this as a big profit center but rather to offer a service to our sports patients rather than being sent out....
Prp (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2017 Category: Universities & Medical Training Authors: murphles Source Type: forums
Ultrasound guided LP
Watched an LP today that was difficult. I found myself wondering "Why can't this be done with US guidance." A quick Google search showed me it definitely can. Is this common and how many of you use US routinely in practice? Do you use an US probe separately to scout the anatomy and plan trajectory or do some probes have ports for the needle and show trajectory on the screen (I've seen this for some US guided biopsy)?
My patient ended up getting a flouro guided LP with rads. Why can't a...
Ultrasound guided LP (Source: Student Doctor Network)
Source: Student Doctor Network - April 22, 2017 Category: Universities & Medical Training Authors: NWwildcat2013 Source Type: forums
MFM Fellowship Advice
I'm a PGY-2 from a community program, considering MFM fellowship. Any advice on how to prepare? Aside from research/publications, anything I can do to improve my CV? Should I start getting ultrasound certifications? What is the timeline for applying?
I have an elective rotation next year, any advice on what I should do? I thought about an away, but I talked to some people who said I wouldn't get to do much than observe.
I've already read through the Fellowship sticky on this forum, SMFM...
MFM Fellowship Advice (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2017 Category: Universities & Medical Training Authors: obgyny Source Type: forums
Re: Low intensity pulsed ultrasound (LIPUS) for bone healing: a clinical practice guideline
(Source: BMJ Comments)
Source: BMJ Comments - March 28, 2017 Category: Journals (General) Source Type: forums
Reinvigorate your career, cure burn out - Rural Emergency Medicine job opportunity
, magical Driftless Region of Southwest Wisconsin.
One patient per hour with 25% admit / transfer rate. Progressive critical access ED, well funded, new ED summer of 2018. Point of care ultrasound friendly. Cordial and responsive medical staff, consultants.
Outstanding tertiary care a short ambulance/HEMS trip away.
EM Board certified medical director, supportive administration. Outstanding nurses. Low...
Reinvigorate your career, cure burn out - Rural Emergency Medicine job opportunity (Source: Student Doctor Network)
Source: Student Doctor Network - March 12, 2017 Category: Universities & Medical Training Authors: sawboned Source Type: forums
55-yo, awaiting transplant, suspect renal neoplasm, next step?
MKSAP 16 question:
55-yo awaiting kidney transplant (ESRD per lupus). Kidney ultrasound reveals a complex-appearing mass suspicious for a renal neoplasm in the right kidney.
Which of the following is the most appropriate imaging study to perform next?
A) CT with contrast (51%) [correct answer]
B) Intravenous pyelography
C) MRI with gadolinium
D) Positron emission tomography (30%) [wrong answer that I chose]
So I understand that CT is the better radiological modality to characterize said...
55-yo, awaiting transplant, suspect renal neoplasm, next step? (Source: Student Doctor Network)
Source: Student Doctor Network - March 7, 2017 Category: Universities & Medical Training Authors: DrMetal Source Type: forums
Medical ultrasound Imperial 2017
Forum: Imperial College
Posted By: Mengzzy
Post Time: 05-03-2017 at 00:43 (Source: The Student Room)
Source: The Student Room - March 5, 2017 Category: Universities & Medical Training Source Type: forums
Tips and Tricks
Everyone has their own little semi-secret tricks. Let's hear what yours are. Maybe this thread will suck, and maybe it'll be great. We'll see.
I'll throw 2 out there.
1) Your pt has very crappy veins, and you need a reasonable IV? Got an ultrasound, found a nice juicy target but it's pretty deep?
The Arrow a-line kit is your friend. You can enter the vein at a pretty steep angle, thread the built-in wire, and voila, 20g IV. Because it's kink-resistant, it'll stay good despite the angle....
Tips and Tricks (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2017 Category: Universities & Medical Training Authors: Hawaiian Bruin Source Type: forums
ultrasound in chronic pain
If starting a new practice , typical private practice set up (would count towards my overhead) would you recommend renting an old ultrasound machine for a few abdominal pain (ilioinguinal) blocks, stellates, occipital rds, etc procedures? Hate to lose those patients to another provider who would do those just bc I don't have ultrasound (Source: Student Doctor Network)
Source: Student Doctor Network - February 17, 2017 Category: Universities & Medical Training Authors: painfree23 Source Type: forums
Critical care ultrasound
There's a few critical care ultrasound courses out there including ones from SCCM and CHEST. Would any of these help towards a formal certification ?(i.e advantageous when comparing the aspects included in these courses)
I am going into a CCM fellowship and have some basic understanding of critical care echo as a resident. However wondering if training acquired during fellowship in terms of the critical care ultrasound component is standardized and comparable across the country ? (Source: Student Doctor Network)
Source: Student Doctor Network - February 9, 2017 Category: Universities & Medical Training Authors: sevodex1 Source Type: forums
Fatties and anesthesia
So I don't do anesthesia much on really really big people....I know that is standard for many of you.
But I have a question for those that do.
I did a laprscopic case (weight loss surgery) yesterday. BMI 53. The patient was persistently hypoxia (84 to 89%) which I am 99% sure the shunting was from decreased FRC and atelecasis. I know this because I was stressed at the beginning - confirmed tube placement above carina, ruled out pneumo with ultrasound, and the kicker was when we put...
Fatties and anesthesia (Source: Student Doctor Network)
Source: Student Doctor Network - January 20, 2017 Category: Universities & Medical Training Authors: epidural man Source Type: forums
