Ultrasound Image Review pearls with Patrick Ockerse, MD.

Published: July 17, 2019, 9:55 a.m.

This week, we had the pleasure of sitting down with Patrick Ockerse, MD at Bendfest 2019, a 3 day ultrasound event in Bend, Oregon.\xa0 Dr. Ockerse is the ultrasound director at the University of Utah in Salt Lake City, Utah and part of his job is to review ultrasound images performed in his emergency department. Mike was formerly the ultrasound director in Utah and Jacob has a very similar job as the ultrasound director at the University of Kentucky in Lexington, Ky.\xa0 This week, we sit down and talk about the errors we most commonly see when performing our image review sessions.\xa0 Here are some tips: Basics: Depth \u2013 Make sure that the image you\u2019re trying to see is as big as you can make it.\xa0 Don\u2019t have any wasted space in your clips or images. Gain \u2013 Make sure your image is bright enough.\xa0 But don\u2019t over gain! Exam type \u2013 If you\u2019re doing a FAST exam, don\u2019t scan in the \u201clung\u201d setting.\xa0 Video clips \u2013 Be conscientious of the clips and images you take.\xa0 Focus on the thing you want to record and record a long enough clip of it, but also don\u2019t record multiple clips of subpar exams. Specific exams: DVT \u2013 Make sure that the vein you\u2019re evaluating is actually a deep vein. Deep veins paired, while superficial veins may be solitary.\xa0 Also, don\u2019t confuse a lymph node for a DVT. FAST exam \u2013 Slow sweeps of the regions your evaluating.\xa0 Fast sweeps can miss subtle fluid collections. Don\u2019t forget to look at the inferior pole of the kidney/caudal tip of the liver interface on the right side.\xa0 Be careful with the seminal vesicles in the pelvis. Intrauterine pregnancy (IUP) \u2013 Make sure that gestational sac is actually inside the uterus. Thorax \u2013 Make sure to... Read More