I had this block done before my ORIF on my left shoulder after I broke it, and it became severely displaced.
@ruhinaazruhinaaz70646 күн бұрын
Ie enlarged bladder
@domagojmusulin92006 күн бұрын
I think this is the most complete video about USG VA on internet! Greetings from Croatia 🇭🇷
@cfavalorofavaloro60537 күн бұрын
Thanks, this is awesome because I had this done before but never did get to see the charts or the results, only what my urologist told me…. It was a fluid build up and it went away thank goodness. I was having a slight pain in one and didn’t know why.
@ColleenHamilton-d4y9 күн бұрын
Gonzalez Daniel Hall Gary Thomas Charles
@stevenduhig710514 күн бұрын
Any way to connect with Dr. Gibson?
@drjamalkhan198015 күн бұрын
Aa aaa aaà aaa 😂
@illinoisjim19 күн бұрын
Very useful video. Clear, actionable information. Thanks!
@MetroHealthEmergencyUltrasound21 күн бұрын
Correction at 30:36 - The sensitivity and specificity of McConnell's sign is inverted. It should be 19% sens and 100% spec.
@marianneprescott149724 күн бұрын
I have had My-Thurners for quite a few years. The clot is in my abdomen.. I have extreme discoloration with the skin on my ankles to above my knees. They turn dark gray or black when my Legs are not elevated. I have three large circular wounds on my abdominal skin that can last for a year after treatment and they still return again and again. A lot of pain in my lower back from the clot. I went to a specialist in Boston he was just rude and dismissive to me after waiting 3 months for a appointment. His only comment was “I can put in a stent if you want, but I don’t recommend it”.
@gionata1conti48213 сағат бұрын
Hello, me too. Can I have your contact?
@MrGeorgewfАй бұрын
What about the large bowel? That could be obstructed. Do you check the large bowel to?
@MetroHealthEmergencyUltrasound21 күн бұрын
Great question. Yes, LBO can happen though significantly less common than SBO.
@FinansalköleАй бұрын
Thank you, do you give any medication ( for example midazolam) in emergency departmant before tee?
@MetroHealthEmergencyUltrasound21 күн бұрын
Our protocol requires patients to be intubated. So, they are already sedated for the intubation.
@OnyiaAbuchiАй бұрын
How is the caliper placed. Like how many cycles?
@MetroHealthEmergencyUltrasound21 күн бұрын
Caliper placed over the fetal heart. The number of cycles depends on the machine. Our machines are programmed to an every other beat cycle.
@user-un1kh6ue7iАй бұрын
Amazing
@zoozoospetals7264Ай бұрын
This needs to be added as addressed as a vital sign. My sister died of sepsis, multiple organ failure.
@josephmuhammad1025Ай бұрын
Thank you for sharing your knowledge and experience
@himoon1234Ай бұрын
Thanks Dr
@tagredmostafa15782 ай бұрын
الله لا اله الا هو الحي القيوم
@hanerdo4782 ай бұрын
Great lecture! However, at 30:40 the sensitivity and specificity of McConnell Sign should be changed positions. Am J Cardiol. 2002 Sep 1;90(5):507-11. "Sensitivity and specificity were 81% and 45% for "RV-pressure overload" signs, 25% and 94% for 60/60 sign, and 19% and 100% for McConnell sign."
@MetroHealthEmergencyUltrasound21 күн бұрын
Thanks for picking that up. Correction made in the comments.
@kstubs1082 ай бұрын
Well done...
@MetroHealthEmergencyUltrasound21 күн бұрын
Thanks
@NakibirangoRaihan2 ай бұрын
Hi
@laurabusby61672 ай бұрын
Had a nerve block prior to foot surgery. There was a painful shooting pain during the injection. Almost a 1 year later, I still have numbness and spasms in my foot. Hope it will resolve eventually.
@ferdaussarker13153 ай бұрын
Excellent
@MetroHealthEmergencyUltrasound2 ай бұрын
Thanks
@siddiquidadinaginashazia71463 ай бұрын
Description in writing
@linamed10933 ай бұрын
Amazingg
@MetroHealthEmergencyUltrasound21 күн бұрын
Thanks
@Susanna_Adeyemi3 ай бұрын
Good good
@kylecarvalho36233 ай бұрын
1) How do we know on a machine we've never used that u measure 1 or 2 cycles on M Mode? 2) at what week does CRL become phased out? I believe at week 12 from what I recall on most machines I've used. (General/vascular tech here that's done only vascular for the last 5 yrs)
@MetroHealthEmergencyUltrasound3 ай бұрын
Sometimes it tells you in the calculator. Otherwise you measure between peaks and see what number you get and see if it makes sense. If you measure every beat on a machine that does every beat, your rate will be 2x. Same and opposite if you measure every 2 beats on a machine that measures every beat.
@RonKollmorgen3 ай бұрын
Listening to replay in Kansas City.
@MetroHealthEmergencyUltrasound2 ай бұрын
Thanks Ron!
@avinashsuresh84713 ай бұрын
Hiii Can u make a video on transcranial ultrasound in adults?
@beckyvaughn66184 ай бұрын
Two yrs ago. I was standing on the back deck .A board broke ,I had no time to react .Fast forward I had a follow up with the orthopedic to see if I was going to be released for work .My job is very physical .The P.A walks in and says .I don't see why you wouldn't be able to return to work .I had a fluid pocket on my thigh .She never looked , dismissed my concerns and they don't treat hematomas . The very next night ,my leg had busted open .I didn't even realize it was ruptured until my flipflop was wet ..Long story !! Saturday Eve it ruptured Tues afternoon I was in the ER very sick !! Worst pain ever .Spent 19 days in the hospital .gases trapped , debridement twice !! And I have a non healed wound . Devastating injury .Lots of times patients are misdiagnose.just a disheartening injury
@user-td3sl7wj9v4 ай бұрын
Hi doc, I hope you'll notice, Do musculoskeletal ultrasound will show muscle tissue damage? Thank you
@MetroHealthEmergencyUltrasound21 күн бұрын
It can depending on the injury. It will often appear as a disruption of the normal fibular architecture of the muscle. Often combined with change in echogenicity, thickening and fluid.
@user-td3sl7wj9v4 ай бұрын
Hi doc, I hope you'll notice do MSK ultrasound will show muscle injury? Thank you doc
@mirani184 ай бұрын
I think given the findings of prophy-vap trial, ed physician can quickly scan the acute brain insult patient who had an rsi and if there is full stomach, confidently give emperical antibiotics to prevent downstream VAP. What are your thoughts?
@MetroHealthEmergencyUltrasound4 ай бұрын
Great question, but probably a highly nuanced answer. The prophy-vap study is an interesting idea but a reasonably small study. While there may be some signal here, we probably need more studies for it to be accepted as mainstream. As for gastric POCUS first to determine if we should give antibiotics - if the prophy-vap outcomes hold up, further studying which patients benefit most (+/- POCUS) would be an interesting area of study.
@alaskaface71474 ай бұрын
This is fasciianating
@user-td3sl7wj9v4 ай бұрын
Hi doc, I hope you'll notice, may I ask what's the difference between MSK Ultrasound ang General Ultrasound? Thank you
@MetroHealthEmergencyUltrasound4 ай бұрын
The thing being evaluated. Both rely on basic ultrasound principles. But MSK ultrasound focuses on muscle/tendon/bone.
@user-wr9ks3tf4n4 ай бұрын
hello doc, very thank you for this lecture!!! May I wish that you make a video of POCUS of peripheral arterial occlusion disease at the future? thank you!
@sarahpage42435 ай бұрын
This is the best video I have seen so far. The way he explained the fibrous encapsulation helped me a lot. I was hit by a car 14 years ago. I developed a large morel lesion. After the original event I had to have fluid removed. Years later there is no longer fluid, but the large mass is still there. The ultrasound suggested fluid accumulation, but nothing came back during aspiration. The doctor told me there was nothing they could do because there was no fliud to remove. They didnt explain why the mass is still there. Thanks for the video.
@Elzhen5 ай бұрын
great tutorial 💯
@MetroHealthEmergencyUltrasound21 күн бұрын
Appreciate it
@amitonashow5 ай бұрын
Beautiful video Sir.👍
@MetroHealthEmergencyUltrasound21 күн бұрын
Thank you
@user-wr9ks3tf4n5 ай бұрын
really grateful and excited to see this topic! thank you
@MetroHealthEmergencyUltrasound4 ай бұрын
You're so welcome!
@user-td3sl7wj9v5 ай бұрын
Hi doc, is it possible that hematoma will take for a year to resolve? Thank you
@user-td3sl7wj9v5 ай бұрын
Hi doc, may I ask? why doctors recommend aspiration for hematoma and why some says not recommended to do aspiration? Thank you
@haitianhearts5 ай бұрын
Your wisdom, even beyond ultrasound, is appreciated!
@udayakumarramachandran95515 ай бұрын
Also want to know if we can angle correct CW dopppler sampling in eccentric TR jets to get a close to true TR velocity
@udayakumarramachandran95515 ай бұрын
Excellent discussion and teaching. Congratulations. My questions: Can we do angle correction in pulsed doppler to assess mitral E velocity?. I notice that the LV imflow is sometimes at an angle and such correction will give the true E velocity
@yuehhanlin5 ай бұрын
Thanks that was very comprehensive. Any suggestions about applying traction for loose skin. Sometimes i run into issues puncturing the vein on older patients.
@MetroHealthEmergencyUltrasound5 ай бұрын
Thank you. Loose skin is less important with ultrasound. Once you get under the skin, follow the ultrasound to guide the needle to the vein. Rolling veins can be a problem. When you get the needle tip over the vein where you can see some tenting of the vein wall, give the needle a sharp pop and you can usually get the needle tip in the vein.