Episode 32 – Lung Ultrasound with Vicki Noble Part 2

Ultrasound is BETTER than chest X-ray for pneumonia!!  I’m not sure if we’ve said that…..in the last day or so.  You’ve seen the studies, though, and now it’s time to get down to business!  In this episode Vicki Noble teaches us the super cool techniques of ultrasounding for pneumonia, ARDS, and more.  We don’t waste any time and let her get right to it.  WARNING:  You’re about to get your world rocked.

…and DON’T forget Part 1

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  • Casey

    July 22, 2012, 10:41 am

    2 questions –
    1) which probe exactly are you guys using for these lung scans? Looks like an ECHO probe? Or is it just a tiny curved array?

    2) at the 2:30 mark there is a text overlay “American or Australian 5th grader?”
    I asked my 2 year old what he thought – “he could pick the B lines. , though he thought the gain was turned a bit high”
    Smart ass kids- same the world over!

    Casey

    • mike

      July 23, 2012, 10:06 am

      Casey,
      Depends on who you ask. I usually use the linear for PTX detection and the curvilinear low frequency probe for B-lines and pneumonia. A lot of lung gurus use a curved high frequency probe- I don’t own one of those.
      Personally, doesn’t matter much.

      Funny your 2 year old noted the gain. My 11 month old was impressed by the degree of comet-tail artifacts created at that degree of pulse repetition frequency. She’s always showing off…… Matt’s girls already rerecorded the whole podcast with corrections and better images.

      mike

  • minh le cong

    August 1, 2012, 4:26 pm

    hey guys, watched these lung episodes on a flight to a remote clinic yesterday and laughed the whole way. very enjoyable and educational. I remember a few months ago, practising lung USS for pneumonia on a kid and one of my colleagues asking me what I was doing, with strange looks on her face. I quoted all the literature that Vicki cites and was met with an even more puzzled look. So I went back to ultrasounding the kid. Its part of my routine exam now for pneumonia as where I often work, there is no xray capability. Its not hard and you just have to practice. you folks promoting all this USS education for FREE, are helping us all become better doctors. thankyou from remote Australia!

    • matt

      August 1, 2012, 9:31 pm

      Thanks Minh! It all means nothing if practitioners like you aren’t actually doing it in practice. It’s super exciting to hear how you use ultrasound in your practice in remote environments and in retrieval in general.
      Matt

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