When assessing patients with difficult peripheral venous access it is often helpful to look in the medial upper arm. Here, the brachial artery (A) and veins (V) are predictably located between the biceps and brachialis muscles. The median nerve (N) resides there as well.
Here’s a plate from Grey’s Anatomy for some perspective:
So how can you tell which is which? Apply pressure slowly and watch for movement.
Bret Nelson and Felipe Teran took part in an incredible conference just outside of Stockholm, Sweden. Over one hundred participants and twenty faculty attended this sold-out conference at the Hasseludden Yasuragi Japanese spa . Among the luminaries were Matt Dawson and Mike Mallin (from the Ultrasound Podcast), lung ultrasound queen Vicki Noble, Mike Lambert and Joe Wood (directors of the first ultrasound program in the United States), and many, many others.
Videos from the conference are available here. Besides excellent lectures, there were hands-on sessions recorded. An incredible amount of practical information is conveyed during these hands-on sessions, so it is worth checking out some of these videos as well as the lectures. Bret Nelson’s session on aorta scanning is here,
The Mount SinaiÂ DepartmentÂ of Emergency Medicine hosted its annual ultrasound CME conference on April 25.Â Faculty, fellows, nurses and PAs from a number of institutions and specialties took part in our tenth annualÂ course.
The course was directed by Bret Nelson, MD who introducedÂ ultrasound physics and machine controls, followed by lectures on assessment ofÂ airway and breathing (Jim Tsung, MD, MPH), cardiovascular ultrasoundÂ (JenniferÂ Huang, DO), trauma evaluationÂ (Phil Andrus, MD) and procedure guidance (Amy Sanghvi, MD).
After lunch an intensive hands-on session with live models, task simulators and sim cases rounded out the experience.
Spectacular rounds this week lead by Sahar Ahmad of Stonybrook and hosted by Pierre at BI.
Sahar gave a great presentation on her didactic program for the critical care fellows at Stonybrook. Â She then presented a series of discussion inducing cases. Â Carl Kaplan (of Stonybrook not RUSH) presented an interesting case of ONSD ultrasound for hydrocephalus. Â Sam Parnia gave a presentation on the cardiopulmonary resuscitation research being done at Stonybrook on cerebral oximetry.
Some of the articles (with pmid and link) that came up in discussion were: