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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.

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

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.

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