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Adnexal/ Gynecology (Non-Pregnancy) Videos Point-of-care ultrasound (POCUS) for non-pregnant gynecologic and adnexal evaluations quickly assesses the ovaries, fallopian tubes, and surrounding pelvic structures to identify functional cysts, pelvic inflammatory disease, torsion, or masses Click Here to Access Full Youtube page Female Pelvis Transvaginal Scanning Sequence This video reviews the basic scanning technique used to ultrasound the female pelvis via the transvaginal approach. Basic image anatomy and probe orientation will be reviewed. Female Pelvis Transabdominal Scanning Sequence This video reviews basic ultrasound scanning technique of the female pelvis. This technique is used to define the anatomy of the female pelvis which will lay the foundation of identifying location of early pregnancy, uterine pathology, and adnexal pathology. 1st Trimester Pregnancy - Case 5 - Complex Adnexal Mass In the video we will see she had a complex right adnexal mass that with large amount of pelvic free fluid. These are very concerning findings in a pregnant patient and could represent a ruptured ectopic pregnancy.

Ocular Videos Ocular point-of-care ultrasound (POCUS) is a fast, non-invasive bedside tool used to evaluate acute vision loss, trauma, and elevated intracranial pressure. Click Here to Access Full Youtube page Ocular Ultrasound Made Simple: Refined Technique and The Primary Questions Ocular ultrasound doesn’t need to be complicated—and it can definitely improve the evaluation of eye complaints

Trauma/FAST Exam Videos These videos focus on Focused Assessment with Sonography for Trauma (FAST), an emergency POCUS exam. In these examples, POCUS is quickly used to to check for internal bleeding and fluid around the heart, lungs, or abdomen after an injury. Click Here to Access Full Youtube page Extended Focused Assessment with Sonography in Trauma (EFAST) - Revised 2021 The Extended Focused Assessment with Sonography in Trauma, also known as the EFAST, is an ultrasound examination used to evaluate hypotensive and critical patients. Although this exam is typically used for trauma patients, this exam can also provide essential information in any critical patient. E FAST - Pitfalls Over the years I've seen some very common mistakes made when someone is interpreting the e-FAST exam. In this video those pitfalls are reviewed. After watching this you should be able to identify these pitfalls, avoid common mistakes, and recognize these subtleties on the e-FAST. Ejected Driver from Rollover at Highway Speeds - EFAST An intoxicated female driver was ejected from the car during a rollover accident at highway speeds and was brought to the ER by ambulance. Blood pressure 83/45. How do you use ultrasound to assist in her care? E-FAST - What are the Binary Questions? E-FAST (Focused Assessment with Sonography in Trauma) in a useful tool in the emergency department especially when used in the right clinical situations. This lecture discusses suggested algorithms for using the e-FAST in clinical care. This video explains the technique used to identify a lung point, which represents a pneumothorax, when performing thoracic/lung ultrasound. Lung Ultrasound: How to Diagnose a Pneumothorax Misdiagnosis of Pneumothorax In this case we will review a misdiagnosis of a pneumothorax by clinical ultrasound and will talk about the pitfalls that can lead to this misdiagnosis and how to avoid them. EFAST - Progression Free Fluid in the Right Upper Quadrant (RUQ) Often I hear people teach incorrectly that the hepatorenal space is where free fluid first develops in hemoperitoneum but this is incorrect. Free fluid will first accumulate at the inferior tip of the liver before filling that space. This video is a demonstration of that progression. The e-FAST exam is a widely used point of care ultrasound. In this video we will briefly discuss several discussion points on the e-FAST exam. POCUS E FAST Clinical Pearls Click Here to Access Full Youtube page Positive EFAST Exam with Hemopericardium An adult patient was involved in a high speed motor vehicle collision (MVC) and arrives to the emergency room via EMS. This video demonstrates the positive findings of an E-FAST exam for both hemoperitoneum and hemopericardium. Fall from Ladder with Lung Point and Pneumothorax A young adult patient fell off a ladder from a height of 8-10 feet. They presented with left chest wall pain and left upper quadrant abdominal pain. Vital signs showed borderline low blood pressure, mild tachycardia, and mild tachypnea. The patient reported shortness of breath and difficulty respiration. Positive E-FAST after MVC - Can You Identify All of the Findings? In this Extended Focused Assessment with Sonography in Trauma (E-FAST) there are many positive findings. Can you identify them? Positive E-FAST Exam The Extended Focused Assessment with Sonography in Trauma (E-FAST) exam is a critical bedside diagnostic tool used to assess patients who have experienced a traumatic injury. It plays a key role in identifying the cause of clinical instability, such as hypotension or tachycardia, helping to guide timely and effective intervention.

Thoracic/Lung Videos Thoracic and lung point-of-care ultrasound (POCUS) is a rapid, bedside imaging tool used to evaluate acute respiratory failure, dyspnea, and chest trauma. It often offers higher sensitivity than standard chest X-rays for conditions like pneumothorax and pleural effusion. Click Here to Access Full Youtube page Lung Ultrasound - Basic Anatomy and Lung Sliding - Updated - 2nd Edition Lung ultrasound is an essential skill for evaluating patients with shortness of breath, difficulty of breathing and in respiratory distress. Ultrasound is better at identifying lung pathology than the more utilized chest x-ray. With an understanding of lung ultrasound, diagnosis of many lung pathologies can be made earlier and with improved sensitivity and specificity compared to chest x-ray. Lung Ultrasound - Identifying B-lines Identifying interstitial lung (pulmonary) edema with ultrasound is a skill needed by anyone caring for a patient with shortness of breath. Lung ultrasound will identify diffuse and localized edema much sooner than chest X-ray with increased sensitivity and specificity. In this video we will review the focused goal of identifying B-Lines which can indicate the presence of interstitial pulmonary edema. Lung Ultrasound: How to Diagnose a Pneumothorax with Ultrasound This video explains the technique used to identify a lung point, which represents a pneumothorax, when performing thoracic/lung ultrasound. COVID Lung Ultrasound In this video the typical findings of lung ultrasound are described for critical patients with COVID infection. Lung Ultrasound: Understanding B Lines and Hepatization This brief video explains why B lines are present on lung ultrasound and what pathology it represents. Additionally hepatization is explained. Teaching Point - Ultrasound vs CXR in Pneumonia Chest X ray (CXR) is most often used to evaluate for lung pathology. Unfortunately it is not very sensitive or specific for many disease etiologies. Many times it cannot differentiate between two different etiologies. This video is a review the limitations of CXR to differentiate between pneumonia and pleural effusion compared to the superior capability of ultrasound to differentiate between the two. A young adult patient fell off a ladder from a height of 8-10 feet. They presented with left chest wall pain and left upper quadrant abdominal pain. Vital signs showed borderline low blood pressure, mild tachycardia, and mild tachypnea. The patient reported shortness of breath and difficulty respiration. Fall from Ladder with Lung Point and Pneumothorax When performing point-of-care ultrasound (POCUS) of the lungs it can be difficult to appropriately drape the patient, keeping breast tissue covered, and at the same time obtain adequate views of the lungs. In this video we will review basic draping of the chest while performing lung ultrasound. Special thanks to iEXCEL Advanced Human Simulation for their collaboration on this project. Patient Draping for Lung Ultrasound Click Here to Access Full Youtube page Lung Ultrasound Nuances - Not all B-Lines are Congestive Heart Failure Lung ultrasound is a valuable tool in patient evaluation, offering real-time insights at the bedside. While performing the exam is generally straightforward, interpreting the findings and understanding their clinical implications can be complex. Subtle nuances often influence what is seen on ultrasound, and similar patterns may represent a wide range of pathologies. In this case, we highlight an important point: not all B-lines indicate cardiogenic pulmonary edema—they may, in fact, reflect alternative diagnoses that require careful consideration.

Soft Tissue/ Musculoskeletal Videos Point-of-care ultrasound (POCUS) for soft tissue and musculoskeletal (MSK) applications is a rapid bedside tool used to evaluate localized pain, swelling, infections, and trauma. Click Here to Access Full Youtube page Evaluating for Shoulder Dislocation with Ultrasound In this video a technique for diagnosing shoulder dislocation using ultrasound is discussed. Shoulder Dislocation - Ultrasound Guided Analgesia In this video a technique for ultrasound guided analgesia is discussed for shoulder dislocations. Ultrasound Guided Distal Radius Fracture Reduction In this video we will review and underutilized POCUS skill and review the basics of POCUS to guide bedside fracture reduction and the benefits it provides. Author: Ryan Jorgenson MD Soft Tissue Ultrasound - Soft Tissue Edema Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the findings of soft tissue edema are reviewed. Soft Tissue Ultrasound - Cobblestoning Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the findings of soft tissue edema are reviewed. Soft Tissue Ultrasound - Abscess Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the common findings of an abscess will be discussed Soft Tissue Ultrasound - Subcutaneous Air Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the findings of soft tissue edema are reviewed. Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the findings for lymphadenopathy are reviewed. Soft Tissue - Lymphadenopathy Click Here to Access Full Youtube page Soft Tissue Ultrasound - Superficial Thrombophlebitis Soft tissue ultrasound has been shown to change the management of soft tissue pathologies in up to almost half of all cases. This series of videos discusses the basic technique related to soft tissue ultrasound and common normal and pathologic findings. In this video the findings of blood clot in a superficial vein are reviewed.

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Deep Vein Thrombosis (DVT) Videos Point-of-care ultrasound (POCUS) for lower extremity deep vein thrombosis (DVT) is a rapid, bedside compression exam targeting proximal veins. It is often used to rule in or rule out proximal leg clots. click here to access full youtube page Lower Extremity Deep Venous Thrombosis (DVT) - Updated Update video of DVT ultrasound -- In this video the basic anatomy and technique for point of care lower extremity DVT ultrasound is discussed. Right Lower Extremity Deep Venous Thrombosis (DVT) This video is a review of a point of care ultrasound showing DVT of the right leg. Lower Extremity - DVT Evaluation - Algorithm for the Low-Risk Patient Video #1 of 3 discussing the risk stratification and evaluation for lower extremity DVT based off of guidelines. This video focuses on the high-risk patient and incorporation of point of care ultrasound. Lower Extremity - DVT Evaluation - Algorithm for the Moderate-Risk Patient Video #2 of 3 discussing the risk stratification and evaluation for lower extremity DVT based off of guidelines. This video focuses on the high-risk patient and incorporation of point of care ultrasound. Video #3 of 3 discussing the risk stratification and evaluation for lower extremity DVT based off of guidelines. This video focuses on the high-risk patient and incorporation of point of care ultrasound. Lower Extremity - DVT Evaluation - Algorithm for the High-Risk Patient

Urinary Tract Videos Point-of-care ultrasound (POCUS) of the urinary tract is a non-invasive bedside tool used to evaluate acute flank pain, hematuria, acute kidney injury, and urinary retention. It primarily targets renal obstruction (hydronephrosis), kidney stones, and bladder volume Click Here to Access Full Youtube page Urinary Retention with Bilateral Severe Hydronephrosis Urinary retention is typically a very painful acute problem for a patient. It is, however, the development from a more chronic problem. This is more common in male patients and is most often due to an enlarged prostate. Ureterolithiasis at the Ureterovesical Junction (UVJ) with Twinkle Artifact In this brief video we see a patient with ureterolithiasis located at the ureterovesical junction which is a common area that passing stones becomes lodged. In addition to identifying the ureterolithiasis we can see twinkle artifact which a a reverberation artifact when color doppler is utilized. Basic Renal Ultrasound In this video the basic renal ultrasound is reviewed and binary questions are discussed. POCUS in Acute Renal Failure POCUS can be used in the acute setting to determine if obstruction is contributing to an acute episode of renal failure. In this video the causes of unilateral and bilateral obstruction, including the degrees of hydronephrosis, will be reviewed.

Pregnancy Videos One of the more typical association with ultrasound. It focuses on the health of the fetus, often including development/growth and detecting any medical concerns or complications. click here to access full youtube page Measuring Fetal Heart Rate with M-Mode Fetal heart rate can be measured using M-mode ultrasound. This video shows how this can be down and also some of the pitfalls 1st Trimester Pregnancy Case 1 In this case we review a patient who presented with vaginal bleeding and abdominal pain while pregnant in the first trimester. This video is the review of an early definitive intrauterine pregnancy (IUP). A yolk sac is visible with in the gestational sac on transvaginal ultrasound. 1st Trimester Pregnancy Case 2 In this study, the patient had an intrauterine pregnancy (IUP) at 6 weeks 1 day with a fetal heart rate (FHR) of 121 with subchorionic hemorrhage. This patient only required a transabdominal ultrasound since the findings could be docuemented with out a transvaginal ultrasound. 1st Trimester Pregnancy Case 3 - Twin Gestation 6w5d In this case we review a patient who presented with vaginal bleeding and abdominal pain while pregnant in the first trimester. We see in this study that the patient had a twin gestation intrauterine pregnancy (IUP) at 6 weeks 5 days with subchorionic hemorrhage. In this case we review a patient who presented with vaginal bleeding and abdominal pain while pregnant in the first trimester. We see in this study that the patient had a tubal ring that was diagnostic of an ectopic pregnancy. 1st Trimester Pregnancy Case 4 - Ectopic Pregnancy 1st Trimester Pregnancy - Case 5 - Complex Adnexal Mass In this particular case the patient expects to be about 7 weeks pregnant but developed acute onset of pelvic pain. In the video we will see she had a complex right adnexal mass that with large amount of pelvic free fluid. These are very concerning findings in a pregnant patient and could represent a ruptured ectopic pregnancy. Pregnancy of unknown location can be a diagnostic dilemma since this could represent a normal early pregnancy, miscarriage or an ectopic pregnancy or even other pathologies. Mindful workup of these patients is necessary to not miss a life threatening ectopic pregnancy either on initial visit or when subsequent visits are needed. 1st Trimester Pregnancy Case 6 - Pregnancy Unknown Location