Butterfly IQ - image quality?
Question for people experienced with the Butterfly IQ ultrasound. I am looking at purchasing a unit to allow for easier access than using the department X-porte. How does image quality compare? My most common uses are central and peripheral line placement, DVT, FAST, RUSH, basic cardiac, pulmonary, IVC, abscesses and biliary. I would like to expand to using it for nerve blocks and more MSK indications.
Thoughts? Is this device ready for prime time? I have previously used Sonosite X-Porte...
Butterfly IQ - image quality? (Source: Student Doctor Network)
Source: Student Doctor Network - May 30, 2019 Category: Universities & Medical Training Authors: MechEDoc Tags: Emergency Medicine Source Type: forums
Topicalizing for A-Lines
Do you guys routinely topicalize with lidocaine prior to placing awake A-Lines?
I’ve had attendings tell me different things but in my mind - if I’m using ultrasound, im most likely going to get it in the first stick and so why torture the patient with lidocaine infiltration? (I’ve gotten lidocaine before a finger lac stitch once and it hurt like a B****!) We don’t topicalize for placing 20G IVs so why are A-Lines different? (Source: Student Doctor Network)
Source: Student Doctor Network - May 28, 2019 Category: Universities & Medical Training Authors: wolfpackMD Tags: Anesthesiology Source Type: forums
BSc Medical Ultrasound Degree Review - Birmingham
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BSc Medical Ultrasound Degree Review - Birmingham
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Source: The Student Room - May 18, 2019 Category: Universities & Medical Training Authors: MaliSilver Tags: Medicine Source Type: forums
Avoiding the brachial plexus when placing axillary a-lines
Recently I've been doing more axillary arterial lines in the ICU. They are much easier to place than radials, have more collateral circulation than brachials, and last way longer than either so it means torturing your patients less.
However, one thing that still bugs me about them is that I feel that there is no guaranteed way to avoid the brachial plexus. You can often see the nerve bundles around the artery with ultrasound, but not always that well. And, sometimes, the only way to get to...
Avoiding the brachial plexus when placing axillary a-lines (Source: Student Doctor Network)
Source: Student Doctor Network - May 13, 2019 Category: Universities & Medical Training Authors: combatwombat Tags: Anesthesiology Source Type: forums
Device Interrogation billing
For those of you who staff CT ICU we are often called upon to do a turn down examination under ultrasound guidance for BiVAD/ RVAD or optimization of LVAD speeds, or ECMO turndown examinations. Or Repositioning of impella alarming devices.
Do you guys first of all document this as a procedure or have a mechanism for coding this under ultrasound tte guidence procedure. It not as straight forward as "yup looks good." Any pointers to improve reimbursement? (Source: Student Doctor Network)
Source: Student Doctor Network - May 5, 2019 Category: Universities & Medical Training Authors: Modanq Tags: Anesthesiology Source Type: forums
Will video laryngoscopes become standard of care? Should they?
Read a recent article regarding ultrasound-guided central lines leading to lower complications, and it got me thinking: 1) why the hell are people still studying this since it seems so obvious to me what the results will be, and 2) will I be thinking the same thing about video laryngoscopy in 20 years when costs come down and they have potential to be in every OR/ICU in the country?
Thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - April 24, 2019 Category: Universities & Medical Training Authors: Urzuz Tags: Anesthesiology Source Type: forums
Ohio State vs. Drexel
I am super excited to have a couple acceptances to choose from, but I am having a hard time deciding between the two: Ohio State vs. Drexel. Thank you!
Ohio State pros:
I did my undergrad at Ohio State and am very familiar with the school and surrounding area
In-state tuition, ~30K
I loved the sound of their curriculum and they offer some pretty cool things, such as learning ultrasound
The medical school seems to be very well structured and supportive of students
...
Ohio State vs. Drexel (Source: Student Doctor Network)
Source: Student Doctor Network - April 10, 2019 Category: Universities & Medical Training Authors: Spl251 Tags: Help Me Decide: X vs Y Medical School Source Type: forums
UKCAT Situational Judgement Help?
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UKCAT Situational Judgement Help?
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Source: The Student Room - August 24, 2018 Category: Universities & Medical Training Authors: Minerva Tags: Medicine Source Type: forums
Should training in point of care ultrasound be part of the new UK internal medicine curriculum?
(Source: BMJ Comments)
Source: BMJ Comments - July 6, 2018 Category: General Medicine Source Type: forums
Oral boards questions
Hi guys,
I have the oral boards exam in a couple weeks and had a few questions for recent test-takers, if they are comfortable answering:
For the triple case, do you get three sheets of paper?
How much space does the stick figure take up on a page? I have an algorithm with boxes that I like to draw to keep me organized and just want to make sure I'll have enough space.
Besides the short training ABEM has on their website, any suggestions for the e-cases? Are the ultrasound images pretty...
Oral boards questions (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2018 Category: Universities & Medical Training Authors: msgsk Source Type: forums
US S1 Tfesi No go.
Descriptive Cadaveric Study Comparing the Accuracy of Ultrasound Versus Fluoroscopic Guidance for First Sacral Transforaminal Injections: A Comparison Study
Bradley F. Thompson
, MD
...
US S1 Tfesi No go. (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2018 Category: Universities & Medical Training Authors: lobelsteve Source Type: forums
How much radiology to know if working in rural or community setting?
If there's no radio in the hospital, how much should one know in order to practice with maximal competency? Chest xray reading + fractures on xray I'm assuming is a given. CTs (stroke)? And ultrasound as a nice bonus skill? (Source: Student Doctor Network)
Source: Student Doctor Network - April 7, 2018 Category: Universities & Medical Training Authors: MedicineZ0Z Source Type: forums
Most cost effective prostate ultrasound set up.
I work in a small community practice and would like to start inserting SpaceOARs in my prostate patients. The problem is we do not have a ton of money to throw at the latest and greatest prostate ultrasound and stepper unit. It is a touch sell to administration as SpaceOARs do not reimburse well (yet)... Eventually, we would like to use the ultrasound and stepper for prostate brachy as well.
Is there an aftermarket for these things? If not, what have you purchased (with cost in mind)?...
Most cost effective prostate ultrasound set up. (Source: Student Doctor Network)
Source: Student Doctor Network - March 29, 2018 Category: Universities & Medical Training Authors: johnbeck Source Type: forums
Rotations during interview months
I am applying for emergency medicine audition rotations and already have July, August, and September filled. There are still a couple of places I would really love to rotate at, but I realize that the rest of the fall months are usually busy because of interviews. Would it be a really bad idea to try to get another emergency medicine rotation during October, November or December? Would it be better if I did an emergency medicine "elective" (like ultrasound, research, peds) during those...
Rotations during interview months (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2018 Category: Universities & Medical Training Authors: GatorsKW14 Source Type: forums
Diagnostic Ultrasound for Rheumatology?
I'm a rheum fellow nearing graduation. Currently being trained (not certified) in diagnostic ultrasound.
Has anyone out there found it useful to implement in their practice? Has anyone used this in place of getting xrays on some of your patients?
It seems to be the one procedure that rheumatologists can do that has reasonable reimbursement (unlike ultrasound guided joint injections.) Just wanted to get a sense of its clinical utility in day to day practice. (Source: Student Doctor Network)
Source: Student Doctor Network - March 6, 2018 Category: Universities & Medical Training Authors: drk310 Source Type: forums
