hmpocus-nyc (@hmpocus) profile picture
Joined May 2018
Photo by hmpocus-nyc (@hmpocus)Photo by hmpocus-nyc (@hmpocus)Photo by hmpocus-nyc (@hmpocus)
Our monthly Cornell HM-POCUS case conference is back. All are welcome. You will need to register in advance (sorry, a CME requirement). Aug 4, 2020 05:30 PM EST weillcornell.zoom.us/meeting… #POCUS; #IMPOCUS;
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#jhmchat nurses are not doing swabs correctly
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#JHMChat cornell stopped all elective procedures
I think the biggest thing which needs to happen is training of hospitalists as intensivists light
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cornell cancelled all elective procedures. so not many consults
#jhmchat at cornell residents are taking care of pts
#pocus the pt is on her left side. the probe is parallel to the ribs in the left armpit
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The patient had an empyema and earlier in the day had chest tube placed. That introduced a tiny bit of air. What u see is a hydro-pneumothorax. This appearance has been termed a "hydropoint". Others have shared a link to Vopicelli's paper from 2013.
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Will wait to post the answer maybe a few more guesses from the community?
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#POCUSChat I think there are several components. But one sort of unique one is a need for "POCUS community". I think a regular inter-disciplinary POCUS conference is very very helpful.
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#POCUSChat A2. it really takes only 1 person: ER? ICU? anyone to make this work. As little as Q 1 month meetings to review your images
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#POCUSChat im still waiting for Gordy to come up with a dating up for POCUS mentors
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#POCUSChat I would say that w/o local or regional group support this is a virtually impossible task
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#POCUSchat A2. this is the absolute hardest thing. We started longitudinal curriculum open to outside faculty. Hard to do. little interest
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#POCUSchat but i want to caution against spending resources on residents. this can kill u
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#POCUSChat if there is a residency, a good start is incorporation of POCUS into resident reports. Just like they look at CXR and EKGs
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#POCUSchat We make a point to the non-pocus faculty: do not trust data point u dont understand!
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#POCUSchat someone mentioned lingo. a lot of times what happens is verbal pollution. words are said, but are devoid of any actual meaning. exposing this is a great teaching tool.
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#POCUSChat A1. short answer is: the same as with everything else. Hopsitalists need to know when residents cannot be trusted. Hint: ever
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#POCUSchat 1) Greg Mints from Cornell 2) no COI
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