Making Metacognition Work for You

Making Metacognition Work for You

Metacognition is a person’s ability to understand their thought patterns and how they come to their conclusions. It is a critically important skill for health care providers as it has the ability to both hinder and help their medical decision making. In this podcast episode, Dr. Samantha Wood describes the dual process theory of thinking as well as seven metacognition hacks that you can use on your next shift.

Read More

Echo Extravaganza Part 3: The 5 E’s of Echocardiography

Echo Extravaganza Part 3: The 5 E’s of Echocardiography

Here’s comes another heaping helping of ultrasound highlights from our winter symposium’s echo extravaganza! In this serving, Dr. Heidi Kimberly teaches us how to identify and characterize the 5 E’s of echocardiography: effusion, ejection fraction, equality of the right and left ventricle, exit (aortic root) and entrance (IVC).

Read More

The Subclavian Line: The Resuscitation Line of Champions

The Subclavian Line: The Resuscitation Line of Champions

Which central venous catheter (CVC) is best for our patients? Is it the internal jugular (IJ), subclavian, or femoral? We all have our go-to, which I would argue for most, is the ultrasound (US) guided IJ. But is that what is best? Is it recommended by our medical societies? To answer this question we dive into the literature . . . I think you’ll be surprised by what we find. (Hint: it’s the Subclavian!!)

Read More

Echo Extravaganza Part 2: Unlocking the Apical Four Chamber view

Echo Extravaganza Part 2:  Unlocking the Apical Four Chamber view

The apical four chamber view is a key window in obtaining the bedside echo as it helps assess both the size and function of the atria, and ventricles. Window shopping for this view can be tricky, however, as there are specific requirements for probe orientation. In this blog post and video, Dr. Christina Wilson helps us understand the subtleties of this window and how to troubleshoot for the perfect four chamber view.

Read More

Feature Film - Window to the Heart- Point of Care Echocardiography

Feature Film - Window to the Heart- Point of Care Echocardiography

We apologize that it has been so long since our last blog post . . . we were busy preparing for our annual Winter Symposium. What a fantastic year it was! It included an amazing point of care echocardiography extravaganza by the course’s ultrasound faculty. We covered core content, the 5 E’s of echocardiography, mastering the suprasternal notch, unlocking the apical four chamber view and tricuspid annular plane systolic excursion … phew! We are excited to roll out this content to you over the coming weeks, starting with Dr. Kring’s core content on point of care echocardiography.

Read More

ARE YOU POSITIVE . . . OR FALSE POSITIVE? IMPROVING YOUR INTERPRETATION OF THE EFAST EXAM

ARE YOU POSITIVE . . .  OR FALSE POSITIVE? IMPROVING YOUR INTERPRETATION OF THE EFAST EXAM

The EFAST exam is an integral component of an emergency provider’s trauma evaluation. In the right hands, it has a specificity > 90% for intra-abdominal free fluid. There are some pitfalls, however, that can trick the provider into thinking a false positive represents free fluid. In this post, Dr. Gill and Dr. Kring help us improve our EFAST interpretation and recognize these “fake-outs.”

Read More