This is a nice thread on a common #pocus procedure. #foamed

This is pretty neat. Directly applies to pigtail placement. The rib is your first target. Not the space.

#Usg #thoracentesis #avoidinghemothorax #upperborderoflowerrib #safeentry

PRIME Procedural Research and Innovation Jamie Galen Michelle Fleshner Ria Dancel, MD @curlypocusmd @buckeye_sanjay Katie Wiskar Josephine Cool @ProcdocAU Irene Ma Gigi Liu Cameron Baston MD Gregory Mints Manpreet Malik Ernest Fischer, MD Agree 100%. I've been teaching a simple approach for tube thoracostomy using ultrasound. Published it in 2018. This seems like a great opportunity to share! sciencedirect.com/science/articl…

Ok team. Let's talk about this mysterious, pulsatile-appearing thing in the abdomen. Many of you were concerned that this was a massive AAA 😱😱😱 And, to be fair, that was my first split-second reaction when I scanned the patient as well. BUT!

#POCUS image of the day 📸 Classic example of rapid atrial swirl sign (RASS) - rapid opacification of right atrium after saline (preferably agitated but not necessary) injection. Positive test suggests correct placement of central venous catheter #MedTwitter #Nephpearls #FOAMcc

Ensure proper training and technique litfl.com/intraosseous-a…

Interesting RCT in NEJM about platelet transfusions prior to CVC placement in people w/ thrombocytopenia (Plt 10-50k): - higher rate of grade 2-4 bleeding w/o Plt transfusion: 11.9% vs 4.9% - difference driven by much more bleeding w/ subclavian lines nejm.org/doi/full/10.10… 1/

In patients *without cirrhosis* who have culture-negative neutrocytic ascites, I treat for peritonitis when