Delia and Creagh travel to Houston, Texas to regale audience members of the American College of Osteopathic Emergency Physicians (ACOEP) Scientific Assembly with their tales of ultrasound literature misadventures. https://www.ultrasoundgel.org/170

Mike chats with Arun Nogdave, an ED physician at Highland Hospital, and Andrew Goldsmith, an ED physician at Leahy Hospital, both leaders in ultrasound-guided nerve blocks. They delve into the mission of the BlockHeads group, emphasizing collaboration and innovation in emergency pain management. The discussion highlights advancements in nerve block techniques, especially for anticoagulated patients, and the impactful role of steroids in enhancing pain relief. They also stress the importance of patient education and addressing training challenges for clinicians.

Explore the complexities of bronchiolitis and the surge in respiratory illnesses following COVID. Learn how lung ultrasound can enhance diagnosis and management in pediatric emergency care. Discover insights from an analysis of a recent study on bronchiolitis, focusing on viral testing and respiratory support needs. Delve into the challenges of using lung ultrasound in time-sensitive emergency settings, and the importance of careful interpretation in clinical decision-making. Benefits and cautions are discussed for better patient outcomes.

It's bubble time! This fascinating paper investigates counting the number of seconds that bubbles can be seen in right side of the heart after a flush as a means to diagnose right heart failure. https://www.ultrasoundgel.org/167 https://pubmed.ncbi.nlm.nih.gov/38597847/

This discussion brings the excitement of new ultrasound leaders from the Society of Clinical Ultrasound Fellowships. From innovative pain management strategies, including a superhero-themed talk on visceral pain, to insights on the thoracic paravertebral block, the creativity is palpable. Participants share inspiring experiences, like the evolution of the Puerto Rico Sonofest and implementing POCUS in underserved areas. Additionally, the importance of echocardiography in critical care and the prestigious FAMOUS fellowship are highlighted.

Creagh, an expert in biplane technology, Mike, who delves into needle guidance discussions, and Jailyn, involved in central venous catheter research, explore the advantages of biplane needle guidance. They examine a study comparing biplane and single-plane techniques for central venous catheterization, noting enhanced accuracy and higher success rates with biplane methods. The trio discusses challenges and personal experiences, highlighting the need for further research and improved techniques in ultrasound procedures.

In this Bonus Cut author interview, Zack and Mike go off the rails by interviewing the author of a case series describing a fascinating and mysterious procedure - the transgluteal hydrodissection! Guest Gabe Rose gives us the low down of how this nerve block alternative might be the way to go to help a radicu-lous amount of patients. https://www.ultrasoundgel.org/164 https://pubmed.ncbi.nlm.nih.gov/36933988/

The GEL Jr team strikes back with a fascinating topic - using POCUS to guide response in the treatment of Crohn's disease! Join the gang as they peristalse their way through an article describing this inflammatory idea. https://www.ultrasoundgel.org/163  https://pubmed.ncbi.nlm.nih.gov/32453126/

Mike interviews his experienced general surgeon father about the utility of point-of-care ultrasound in general surgery, discussing its applications in abdominal pathologies, hernias, and critical care situations. They also explore adjuvants for surgery blocks and diverse ultrasound applications in enhancing local anesthesia effects, diagnosing conditions, and aiding in surgical procedures.

Ross Prager, an international friend to POCUS researchers, discusses the evolution of point-of-care ultrasound research, the significance of VEXUS in diagnosing organ dysfunction, challenges in implementing holistic POCUS in clinical settings, and the impact of CPR compression location on return of circulation. He also shares insights into innovative research projects and the anticipation of a significant trial's outcomes.