Echoholics Anonymous

Jimmy and Brian are emergency physicians with a passion for both point of care echocardiography and point of care beer.

[Robert McNamara @RobertMcNamar12]

A blistering read on the state of EM. A noble specialty fallen from grace. Meanwhile the largest EM physician organization has not done a single thing to fight the corporate takeover. The patient suffers. @TakeMedBack @aaeminfo @ACEPNow

[Salim R. Rezaie, MD @srrezaie]

Rebellion21: 5 Reasons You Need TEE via @CriticalCareNow

https://t.co/iWwzispFon

#FOAMed #FOAMcc

[Echoholics Anonymous @EchoholicsAnon]

I think we should retire the word “strain” from POCUS vocabulary unless referring to speckle tracking measurements. Otherwise it’s confusing and nonspecific. Eg. RV dilation not strain. Thoughts? @CriticalCareNow @iceman_ex @UltrasoundMD @UltrasoundJelly @tsquaredmd @FTeranMD

[Echoholics Anonymous @EchoholicsAnon]

@SAlerhand You’re right. Common misconception but important distinction. I think people just don’t read the initial paper and are used to the full RVSP calculation

[Echoholics Anonymous @EchoholicsAnon]

@DGlaucomflecken @iceman_ex Before inserting a needle for any reason, “Don’t worry, this won’t hurt me a bit.”

[Echoholics Anonymous @EchoholicsAnon]

New favorite t shirt. Honored by the amazing residents @Utah_EM

[AnnalsofEM @AnnalsofEM]

TEE is associated with briefer pauses during pulse checks than TTE or no echo. https://t.co/f1SSWIF52R @echoholicsanon #VisualAbstract

[Echoholics Anonymous @EchoholicsAnon]

@LMSaxhaug One opinion

[Echoholics Anonymous @EchoholicsAnon]

@iceman_ex I boil it down to E/e' as best answering the POCUS clinical question of LA pressure. Find this study best represents the population I see in ED. E/e' ROC >0.9 while E/A only 0.76

[Echoholics Anonymous @EchoholicsAnon]

@khaycock2 @iceman_ex @DrDavidPalmer @icmteaching Agree completely. Often see E:A>>2:1 in healthy people with normal EF.

[Haney Mallemat @CriticalCareNow]

Looking to sharpen your critical care &resuscitation skills?Check out #ResusX course 9/30-10/2 w/optional advanced echo&TEE course. Design your own conference w/hands on workshops and talks from @emcrit @critcareguys @EMSwami @srrezaie @EMNerd_ & more https://t.co/7I6lBd4TwQ

[Echoholics Anonymous @EchoholicsAnon]

@EmergencyEcho @FTeranMD https://t.co/WYhcfilulH. Relevant new literature on this topic

[Echoholics Anonymous @EchoholicsAnon]

Attn emergency physicians, intensivists, and others doing POC echo: It looks like the National Board of Echocardiography now has a pathway for non-cardiologists to achieve board certification in echocardiography!

[Echoholics Anonymous @EchoholicsAnon]

@IBLOGINALLCAPS @UltrasoundMD Good question. This technique used to explore effusion and consolidation, not identify sliding or B lines

[Echoholics Anonymous @EchoholicsAnon]

Use curvilinear probe and sagittal plane for fast screening sweep in lung US. Home in on pathology with fanning in transverse plane to get between rib spaces. Pro tips from @UltrasoundMD at #Castlefest19

[Echoholics Anonymous @EchoholicsAnon]

@G2Disrupt @lzavorszky @iceman_ex @LMSaxhaug @JCHCheung @PittIMPOCUS @POCUS_Society @SonoInternist @DRsonosRD @ria_dancel @IM_POCUS @msenussiMD @trobertson8 @SteveFox432 @NsquaredPOCUS @HeyDrNik @Rchout @HungryHospMD @RabbleRouseED @bryanboling @Cometin007 @acrisol1 Agree, but with regards to diagnosing hemodynamically significant PE, echo findings of normal RV (size and function) can rule out submassive or massive PE as etiology of shock. Sometimes the only reason PE is considered is due to hypotension, so clinically useful.

[Resuscitative TEE Project @ResusTEEproject]

Hot off the press by our own @FTeranMD & team @Penn_CRS

Evaluation of Out-of-Hospital Cardiac Arrest using TEE in the Emergency Department

First prospective study #ResusTEE in ED

#OpenAccess for limited time in link: ➡️ https://t.co/rt5Dl9sMfC

#FOAMed #FOAMcc #Resuscitation

[AnnalsofEM @AnnalsofEM]

Hot off the Press: Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography https://t.co/cNe5dACS9e @JoeTonnaMD @michaelmallin

[Joseph Tonna @JoeTonnaMD]

Great work on resuscitative #tee #echo by my colleagues @EchoholicsAnon @ultrasoundpod @ScottYoungquist in @AnnalsofEM https://t.co/UG4Nbczyb1. Check it out. @JohnGreenwoodMD @FTeranMD @SHMcKellarMD @UofUSurgery @Utah_EM @bedsidesono @ResusTEEproject @edecmo

[Echoholics Anonymous @EchoholicsAnon]

Short pulse checks are good. TEE allows shortest pulse checks. Learn TEE. https://t.co/BtO7KceJhA #POCUS #foamed #foamus @ResusTEEproject