New Free Lecture! “A Case for POCUS TCCD” 1. How to obtain and optimize the transtemporal acoustic window 2. Identifying MCA flow and waveform patterns 3. Recognizing signs of cerebral circulatory arrest and elevated ICP 4. Integrating TCCD into POCUS protocols for

Congrats to Megan Moseley, PA-C, on being named a 2025–26 AAPA-PAEA Research Fellow! She’s the first PA from @WashUmedicine to earn this honor & will develop a scalable POCUS curriculum for APPs in critical care.

A 69-years-old woman, in chronic hemodialysis, routine control. No symptoms. #echofirst

1/ Anaesthetic challenge. Patient turns up at a district general hospital for urgent (cancer) surgery. 2 months earlier TTE showed this pericardial effusion considered to be neoplastic in origin. Colchicine and steroids had been prescribed. A repeat echo the day before surgery

(1/x) In fellowship, I managed a peri-arrest patient in the middle of the night who changed my understanding and appreciation for hemodynamics, ultrasound, and TEE. I've seen similar cases dozens of times now, yet this commonly gets missed, even at top institutions worldwide.

(4/x) Immediately after intubating I inserted the TEE probe. The anatomy and physiology was immediately obvious --> severe dynamic LVOT obstruction with SAAM. The epinephrine was killing them, not helping. I bolused phenylephrine, vasopressin, and started fluid boluses...

Great visual showing how LVOT VTI increases with inotropic support! #POCUS #FOAMed #Nephpearls

Hear about Martin's inspirational journey of living without the excruciating pain associated with sickle cell disease and receiving a breakthrough gene therapy thanks to @washumedicine and @STLChildrens @WashUOncology

I have created this simple guide on the use of vasopressors and inotropes in patients with cardiogenic shock, combining both European and American guidelines. I look forward to your kind opinion and feedback.

If you’re measuring LVOT diameter, be careful, any small error gets squared in the πr² equation. One workaround? Grab the diameter from a previous echo report. And if you’re just assessing fluid responsiveness, you don’t even need the diameter, just track VTI changes before and

My selected echo of today. A 40 yo woman with a ischemic stroke. No other CV history. #echofirst

Fantastic Grand Rounds from Dr. Staton and her teams journal in injury prevention as an implementation scientist. Thanks for sharing your many wins & inspiring us during our 22nd Annual Allen P. Klippel Honorary Lecture. @WUSTL_EM @TheTechDoc @TeddyDanielz @dukeemergency

Continuing the formula infographics... Estimating aortic valve area by continuity equation. #POCUS #echofirst #Nephpearls #FOAMed LVOT = left ventricular outflow tract VTI = velocity time integral PWD = pulsed wave Doppler - because you want VTI at a specific location (LVOT) CWD

Are routine chest radiographs still indicated after central line insertion in the era of #POCUS? 🔗 https://t.co/dXCvfzBEVn

YES!!! #DRAUP @WashUEM @WashUanesthesia @TeddyDanielz @EricaBlusteinMD

Another one - pinball thrombus (TEE image) #POCUS #FOAMed #FOAMcc 🔗JACC Case Rep. 2024;29(24):102928. doi: 10.1016/j.jaccas.2024.102928.

#TEE views for #POCUS folks #FOAMed #FOAMcc Courtesy: RadiologyKey

Echocardiographic assessment of the right ventricle

Congratulations to our #WashUanesthesiology residents and fellows who recently graduated! 🎉🎓 We are so proud of you and can't wait to see how you all continue to excel. Learn more about their achievements and celebrations:

1/6 On the skepticism surrounding ultrasound-guided infraclavicular subclavian vein access: Lack of familiarity should not be mistaken for impossibility — this is a learnable and teachable technique, supported by anatomy and evidence.