We’re back, busting to go…

after a couple of weeks vacation. We hope you were all able to get some time off too. Here at Zedu HQ we’re hoping above hope that the Covid situation improves – for the sake of everyone. We’re still operating with appropriate safety measures in place, so be assured if you’re booked in for any form of training it is still going ahead. Of course, should circumstances change we’ll be in touch – our Covid policy remains in place.

This week’s weekly wrap is a bumper edition catching up with all the latest free ultrasound news since Christmas – while we were ‘off’ the learning never stops!

See you next week.

Mike and Suean

P.S. – We took a break from the Coaching Corner for January – but never fret we’ll e back in February. In the meantime review all the gems from 2021 and the back catalogue here.

14 January

Artificial Intelligence and Democratization of the Use of Lung Ultrasound in COVID-19: On the Feasibility of Automatic Calculation of Lung Ultrasound Score #COVID19 #POCUS #lunghttps://t.co/VqV4s8ZfTP #mdpiijtm @MDPIOpenAccess@usbiomat @unicomplutense @CSIC @MedInternaHUPDH

— Yale Tung Chen (@yaletung) January 13, 2022

You can now access it online on the @NicuPocus Website! It is truly great and quite practical. An #ultrasound #POCUS application that is accessible to most, if you have a #probe in your #nicu. https://t.co/7b4YSWCZLA

— NeoCardioLab (@CardioNeo) January 13, 2022

@PedCareonline

Interobserver Agreement of Inferior Vena Cava Ultrasound Collapse Duration and Correlated Outcomes in Children With Dehydration

13 January

Advanced practice providers proficiency-based model of #ultrasound training and practice in the ED#POCUS@JACEPOpen https://t.co/pzkMo5FYaj

— Zedu #wearamask 😷 (@zedunow) January 13, 2022

Awesome exercise & lot's of #POCUStalk

✨Fave pearl: EF might not be terrible in cardiogenic shock!

SHOCK trial https://t.co/gdm9YHifoO is probably our best evidence of this but also found an interesting abstract in support https://t.co/vumBKzTEmS #POCUS https://t.co/gU9nIOabKD

— Michael I. Prats (@PratsEM) January 12, 2022

Tele-#ultrasound in the era of COVID-19: A practical guide
Christopher Uschnig
Florian Recker
Michael Blaivas
Yi Dong
Christoph F. Dietrich@WFUMB https://t.co/7QhNPNfZmw#POCUS #POCUSforCOVID pic.twitter.com/XjERLwg8O3

— Zedu #wearamask 😷 (@zedunow) January 13, 2022

Venous Transcranial Doppler is potentially valuable but under-explored. In this study @JNeurosurgAnes, @chiara_robba & team assess differences & correlation in TCD-derived arterial & venous CBFV in volunteers & TBI patients. #NeuroTwitter #ultrasoundhttps://t.co/7LE1EUeSa5 pic.twitter.com/a1EOxaT71q

— Deepak Sharma (@deepak_neuro) January 12, 2022

Interested in the full case discussion from yesterday's Tweetorial? Check out the latest video from our Ultrasound Lecture Series by @mtabbut. https://t.co/zMmipXejDh#MetroEUS#FOAMed #FOAMus #POCUS #Ultrasound #EmergencyMedicine #OBGYN pic.twitter.com/iUy0HgRDvG

— MH_EMUltrasound (@MH_EMultrasound) January 12, 2022

@CASEfromASE

Congenital Left Ventricular Diverticulum Complicated by Cardioembolic Stroke

Radiology Case Reports

Prenatally diagnosed accessory scrotum: A case report and review of the literature on prenatal features

12 January

Spent the last few days working on my EchoTools for iOS reference app's first update for 2022 in addition to creating an app website. https://t.co/P8EkFzisAG #pocus #tee #tte #ultrasound #foamed pic.twitter.com/h7XMyilUSl

— Rishi Kumar, MD, FACC | RK.md (@rishikumarmd) January 11, 2022

Lung #POCUS based approach combining #LUS patterns of probability + clinical characteristics for early rule in/out #COVID19 pneumonia at bedside with high accuracy!
If you have missed this study, ⬇️ below 🧵 by author
Results #FOAMcc #FOAMus on @yourICM
🖇️ https://t.co/iwaXEBQKnT https://t.co/doSLTiplJS pic.twitter.com/iN9Szob6OQ

— Intensive Care Medicine (@yourICM) January 11, 2022

https://t.co/XWlY0awMNl
Thanks to everyone’s hard work in each trust across the UK who helped collecting data mid pandemic for the CORONA study. And thanks to all authors who helped with the paper. @icmteaching @ICUltrasonica @NHSmallwood

— Prashant Parulekar (@parulekar8550) January 11, 2022

Journal of Clinical Ultrasound

Three cases of hepatic epithelioid hemangioendothelioma evaluated using conventional and contrast-enhanced ultrasound: Case reports

@AIUMultrasound The Scan

COVID Life in the Prenatal Ultrasound Suite

11 January

Ahead of print, our MS finally out based on work with @samoagovt MoH demonstrating utility of nonexpert #POCUS @ButterflyNetInc for gallstone screening…https://t.co/lQZK4jkEkh pic.twitter.com/meWEZXH6FF

— Seth Ari Sim-Son Hoffman (@SethAHoffmanMD) January 11, 2022

Early pregnant patient with cramping and bleeding. #Ultrasound performed. What do you think? #FOAMed #FOAMus #POCUS #EmergencyMedicine #OBGYN pic.twitter.com/XZx7mYeIXT

— MH_EMUltrasound (@MH_EMultrasound) January 11, 2022

Hope we didn't need this anymore, but to speed up patients’ management during pandemics, LUS can be very useful
These are the results of our multicenter study on 1462 pts 🧵1/6@giovolpicelli @EduPOCUS @Dr_Cit @yourICM @LuigiVetrugnoMD @ramonnoguebou @francescorradi @TomasVillen pic.twitter.com/5SlzGby6v1

— Luna Gargani (@LunaGargani) January 11, 2022

Interested in learning how you can use lung #POCUS to evaluate your patient with undifferentiated dyspnea?

Check out my discussion with @EMSwami below 👇https://t.co/l5gm33egzx

— Shawn Sethi, DO (@shawn_sethi) January 12, 2022

@PedRadJournal

Current applications for measuring pediatric intima-media thickness 

@CasefromASE

Role of Echocardiography in Diagnosing Metastatic Testicular Carcinoma in a Young Patient Presenting as Right Heart Failure

10 January

@DovePress

Ultrasound Biomicroscopy Measurements of the Normal Thickness for the Ciliary Body and the Iris in a Middle East Population

Echocardiography

Percutaneous closure of congenital aortic–to–right atrial fistula

@WINFOCUS

Inter-rater reliability of optic nerve sheath diameter measurement using real-time ultrasonography 

The impact of lung ultrasound on clinical-decision making across departments: a systematic review 

Ultrasonographic evaluation of deep vein thrombosis related to the central catheter in hemodialytic patients

9 January

Despite its cheeky title ("Not so FAST"), this study on #ultrasound for traumatic PTX is of such poor methodologic quality that its conclusions are not valid.

1st it purports to report diagnostic accuracy. It's not designed as a study of diagnostic accuracy.

/1 https://t.co/AB6vvDvln5

— Dan Kim (@dan___kim) January 10, 2022

Sensitivity of CXR was 78% compared to 65% with US in CT-confirmed cases of traumatic pneumothorax. Use of chest US as the primary imaging modality in the initial evaluation of thoracic trauma should be used with caution. @JE_Santorelli https://t.co/GRIZhlgIIi #UCSDhealth #MedEd pic.twitter.com/yVjTWJW7dj

— Journal of Trauma and Acute Care Surgery (@JTraumAcuteSurg) January 8, 2022

@WFUMB

Tele-ultrasound in the era of COVID-19: A practical guide

Radiology Case Reports

A case of a small-sized cavernous hemangioma in the right ventricle – an incidental finding

8 January

Case: 73 y/o, shoulder pain & mass near shoulder blade. #POCUS revealed the mass deep to lat dorsi & above inferior scapula, leading to elastofibroma dorsi diagnosis. See POCUS applications for screening concerning masses & expediting diagnosis: https://t.co/FWm1bClYsi #FOAMed pic.twitter.com/Qded6pAZLl

— POCUS Journal (@POCUSJournal) January 7, 2022

New Year 💥
NEW you🙆
NEW #JASEPODCAST collaboration with @CSEchoCa live virtual journal club.

Listen to @mikepicardmd Dr Porter @MerriBremer moderate article on #CEUS in #CHF https://t.co/E5lhATBOLy@ASE360 @iamritu @ray_stainback @DocStrom @HeartDocSharon @DavidWienerMD

— Amer Johri (@amerjohri) January 7, 2022

Radiology Case Reports

High parasternal intercostal muscle thickening prior to intubation in COVID-19 infection

7 January

@BMJ_Open

Preoperative sonographic prediction of intra-abdominal adhesions using sliding sign at repeat caesarean section at the University of Maiduguri Teaching Hospital, Nigeria: a prospective observational study

Radiology Case Reports

Vertebral and carotid artery aneurysms and polyarthritis in a patient with Takayasu arteritis: A case report

6 January

Sharing our study published in @ATSScholar https://t.co/pqGxiBdFKV that I am extremely proud off. We are the first to describe exclusive online curriculum + online expert feedback can achieve quantitative diaphragm assessment with excellent repeatability and relatability pic.twitter.com/x9Tp1X76rX

— Siddharth Dugar (@siddharth_dugar) January 5, 2022

Conditions in which an echocardiogram is unlikely to affect patient management pic.twitter.com/JDuEW7n9H9

— The Echo Lady (@The_echo_lady) January 5, 2022

Great narrative #review about lung Ultrasound in #pediatrics
🔹Indications,Limitations &Use of #POCUS in #children
🔹Scanning Protocol & Examination Position
🔹Imaging Findings
🔹Main fields of applications
Congrats @surf4children et al!https://t.co/o2rVoEHwlx#PedsICU #MedEd pic.twitter.com/PHBYNiKnOl

— Vanessa S. Lanziotti (@VSLanziotti) January 6, 2022

Echocardiography

Fetal case of rare association of hypoplastic left heart syndrome and absent atrial septum accompanied by mixed form of supracardiac total anomalous pulmonary venous connection

5 January

Empowering the willing: the feasibility of tele-mentored self-performed pleural #ultrasound assessment for the surveillance of lung health@IM_POCUS @lmelniker105 @WINFOCUS https://t.co/DdjgBxKcgG#POCUS #LUNGUS #impocus #foamus #medtwitter #FOAMed pic.twitter.com/bkNkM4hfIH

— Zedu #wearamask 😷 (@zedunow) January 5, 2022

Supraclavicular brachial plexus block by PGY1 for distal radius fracture. Worked perfectly. Unfortunately, have heard of a couple block failures. Would love to learn from each other. ED block blog….https://t.co/6E62UQcEEv @HGHED pic.twitter.com/EfKiPpyBlL

— Arun Nagdev (@NagdevArun) January 4, 2022

@ASE360

Safety of TEE in Patients with Cirrhosis and Esophageal Varices

4 January

3D bicuspid AV:
A: has two commissures (red *) with raphe (blue *)
B: has no raphe
C: shows a multibeat 3D color Doppler volume data set that can be used to quantify the regurgitant VC area
D. Coronary sinuses- Left, noncoronary, right https://t.co/5c3dKHS6vv @JournalASEcho pic.twitter.com/otBRcEKfp8

— Lucy (@LucySafi) January 4, 2022

Had to officially comment on this so-called #POCUS study (PMID: 34932107).
I'm glad they didn't turn it down though removed certain phrases.
I repeat, "POCUS is a component of physical examination. Do NOT expect putting #ultrasound probe on the body magically improves outcomes" pic.twitter.com/5tkytYa7GE

— NephroPOCUS (@NephroP) January 3, 2022

Hi #IMPOCUS peeps! Mini case to start 2022 and the beginning of a "would you tap that" series.

70 yo M w hx of metastatic cancer who presents with hypoxia, SOB, CXR w bilateral effusions.

Left posterior base: 1/ pic.twitter.com/q1hb5t5C69

— IM POCUS Focus (@IMPOCUSFocus) January 3, 2022

@EMNews

The Speed of Sound: Scan for the Barcode in Acute Dyspnea

@DovePress

Diaphragm Ultrasound is an Imaging Biomarker that Distinguishes Exacerbation Status from Stable Chronic Obstructive Pulmonary Disease

@CasefromASE

Novel Application of Milrinone in the Evaluation of Classical Low-Flow, Low-Gradient Aortic Stenosis

3 January

Some great New Years #pocus #foamus from @FTeranMD

The current state of play of resuscitative TEE/TOEhttps://t.co/m70xgQ5nzU

(Follow @ResusTEEproject if you don’t already) #FOAMed

— Segun Olusanya (He/Him) (@iceman_ex) January 3, 2022

BMC Medical Education

The unmet demand for point-of-care ultrasound among general pediatricians: a cross-sectional survey

@WINFOCUS

Point-of-care ultrasound in critically ill COVID-19 patients: questions derived from practice  

Empowering the willing: the feasibility of tele-mentored self-performed pleural ultrasound assessment for the surveillance of lung health

Performance of an automated ultrasound device in identifying and tracing the heart in porcine cardiac arrest

2 January

Number of attempts required by emergency physicians to achieve competency in diaphragmatic #ultrasound imaging#POCUS via Journal of Clinical Ultrasound https://t.co/uXMr4vfLOt pic.twitter.com/79Ws3e5o6F

— Zedu #wearamask 😷 (@zedunow) January 1, 2022

Good correlation/agreement between lung #POCUS & CT for evaluating pulmonary involvement in #COVID19 pneumonia. Lung #ultrasound might quantify involvement, detect changes in, & prognosticate@ICMexperimental #FOAMcc #FOAMus #echofirst 📖 https://t.co/DuAwa7Mx8K https://t.co/OFjAwgMpwX pic.twitter.com/sCTLrJNFh2

— M Velia Antonini (@FOAMecmo) January 1, 2022

@AAGLJMIG

Preoperative Imaging in Patients with Deep Infiltrating Endometriosis (DIE): An Important aid in Predicting Depth of Infiltration in Rectosigmoid Disease 

Radiology Case Reports

Ultrasound evaluation of inflammation in patients with chronic recurrent multifocal osteomyelitis involving the mandible: report of three cases

1 January

Tired of making CT scans to monitor #ARDS trajectory in #COVID-19? 🤔

🔊Try #ultrasound! It may become you #NewYear's friend!

👉Read more here:https://t.co/RoQoO9YEoB#ICMx #IntensiveCare #FOAMed #FOAMrad @ESICM @avkwong @FOAMecmo @LauretaPereta @EuroRespSoc @ELSOeducation pic.twitter.com/yDKeQKd7zA

— Intensive Care Medicine Experimental (@ICMexperimental) January 1, 2022

31 December

Right ventricle #RV longitudinal shortening fraction seems to be a valuable parameter to detect early RV systolic dysfunction in #COVID-19 related ARDS patients with acute cor pulmonale.https://t.co/zh1GmfftKL pic.twitter.com/Qc5fN2Cm1s

— Journal of Cardiothoracic and Vascular Anesthesia (@JCVAonline) December 30, 2021

@CasefromASE

Multimodality Imaging of Sinus Venosus Atrial Septal Defect: A Challenging Diagnosis in Adults 

Extrinsic Circumflex Coronary Artery Compression and Occlusion by Mycotic Aneurysm of Left Aortic Sinus

30 December

@CasefromASE

Late Presentation of Massive Aortic Aneurysm with Aortic Regurgitation

@DovePress

Comparison of Endoscopic Ultrasound-Guided Fine Needle Aspiration with 19-Gauge and 22-Gauge Needles for Solid Pancreatic Lesions

29 December

4th in the series of the Remote eFAST exam with @VTEMSONO – Subxiphoid Cardiac https://t.co/W0JqhZaoqH via @YouTube

Don't forget to hit a like and subscribe to the channel to keep up to date!#FOAMed #FOAMus #butterflyiq #medtwitter #ultrasound #eFAST #trauma #POCUS

— Nicolas Lim (@POCUSClub) December 28, 2021

28 December

Why the IVC fails when estimating right atrial pressures and how it can be improved. New on the blog:https://t.co/MtIJ5SKzAj#pocus #FOAMed #MedEd #CardioTwitter #Cardiology pic.twitter.com/eGcfLwGWtp

— POCUS Med Ed (@pocusmeded) December 27, 2021

@AfJEM

Ultrasound virtual skills based workshop: An African experience in the COVID era

@AIUMUltrasound

Impact of Ultrasound on Medical Imaging: 1967–2021

27 December

1/18 annotated @bsecho Minimum DataSet images for Level 1 BSE Echo @firstecho starters. Images from https://t.co/MbzantvbS7. Zoom for detailed annotations. @POCUS @IMPOCUSFocus @GeneralistUS @pocusfoamed #MedEd 1. PLAX Deep 2D pic.twitter.com/PPBuL1gDew

— POCUSpeek (@florina_stanley) December 26, 2021

@WFUMB

Ultrasound Imaging Acquisition Procedures for Evaluating the First Metatarsophalangeal Joint: A Scoping Review

26 December

@EJ_EmergencyMed

Assessing left ventricular systolic function by emergency physician using point of care echocardiography compared to expert: systematic review and meta-analysis

25 December

@BMJ_Open

Comparison of conventional, doppler and contrast-enhanced ultrasonography in differential diagnosis of ovarian masses: a systematic review and meta-analysis

Journal of Clinical Ultrasound

The hidden breast lesions: A case report of bilateral breast cancer

Echocardiography

Utility of contrast-enhanced echocardiography in the diagnosis and follow-up of a pseudoaneurysm of the aortic arch

@WFUMB

Validation of an Oscillation Test for the Sonographic Assessment of Fetal-Type Posterior Cerebral Artery Variants in Migraine Patients with Visual Aura

Radiology Case Reports

Case reports of shear-wave elastography (SWE) features of lymphoma involving the breast

Cardiovascular Ultrasound

Myocardial strain measured via two-dimensional speckle-tracking echocardiography in a family diagnosed with arrhythmogenic left ventricular cardiomyopathy

Arthritis Research & Therapy

Salivary gland ultrasonography in primary Sjögren’s syndrome from diagnosis to clinical stratification: a multicentre study

@EmergencyMedBMJ

Evidence base for point-of-care ultrasound (POCUS) for diagnosis of skull fractures in children: a systematic review and meta-analysis