seth koenig

[seth koenig @KoenigSethmd]

#pulmcc Thank you all for the commentary, this is what keeps it alive, ultrasound rules......

[seth koenig @KoenigSethmd]

#ccpulm Ultrasound is safe, easy to learn, effective for the critically ill, and people should not be afraid of it

[seth koenig @KoenigSethmd]

#pulmcc Rebecca i could not agree more, H and P first, ultrasound second, we round in the ICU with our ultrasonic stethascope

[seth koenig @KoenigSethmd]

#pulmcc Do we document the lame P/E and stethascope findings.....Normal BS....Yeah you document your US findings, they are more specific

[seth koenig @KoenigSethmd]

#pulmcc Adrian the US does NOT make you a great clinician, it removes the clinical and time dissociation seen with waiting for other tests

[seth koenig @KoenigSethmd]

#pulmcc what other piece of equipment allows you to do in real time an echo, thoracic exam, DVT study, FAST exam, and therapeutic procedures

[seth koenig @KoenigSethmd]

#pulmcc We all need to agree that ultrasound needs to be part of the training and use in the ICU, we will debate how to implement later.

[seth koenig @KoenigSethmd]

#pulmcc So far i have heard no good reasons NOT to have ultrasound, learn ultrasound and use ultrasound for each and every ICU patient

[seth koenig @KoenigSethmd]

#pulmcc You can be a chihuahua if you want but i would rather be a Rottweiler

[seth koenig @KoenigSethmd]

All ICUs should have an ultrasound, period! They are inexpesive all things considered, and helps in both diagnosis and therapeutics

[seth koenig @KoenigSethmd]

#pulmcc Yes we know it has to be phased in, but it has too

[seth koenig @KoenigSethmd]

#pulmcc Ultrasound is just an extension of the P/E, why would you not use it?

[seth koenig @KoenigSethmd]

Ultrasound is just an extension of the physical exam, why would you not!

[seth koenig @KoenigSethmd]

Amen Adrian, but you dont lose your skills at vents, central lines, ect, its credentialing that needs to be worked out

[seth koenig @KoenigSethmd]

#ccpulm We need better argument than cost prohibitive for http://t.co/WuHQZSN1I8 need to be in the fellowships

[seth koenig @KoenigSethmd]

#pulmcc Rajesh when was the last time you verified that residents/fellows/attendings know what they are listening to with stethascope?

[seth koenig @KoenigSethmd]

#pulmcc Rads/Cards great at what they do, but they are NOT taking care of the patient

[seth koenig @KoenigSethmd]

#pulmcc Not enough data from studies in kids, our peds ICU looked at her fellows number of sticks with and without US-Better with

[seth koenig @KoenigSethmd]

#pulmcc Yes! you need training! Are you all afraid of new technology. We must move on to the next P/E platform, a paradigm shift

[seth koenig @KoenigSethmd]

#pulmcc Cards and rads do not do our focused exams answering a specific question, would not want them if they were available