Pulmonary and Critical Care Medicine Point Of Care Ultrasound (POCUS) education by @Edwin_J_Jr. RDCS & NBE CCE & ccTEE Diplomate
Indianapolis, IN
Joined May 2022
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What is the short clip challenge? Check out this clip from our 2024 @IUSMDeptMed Grand Rounds. Are you ready to take the challenge? sign up here-->pulmonarypocus.com/contact-u…
@NephroP @IUPCCM @OSUPCCM_Fellows @accpchest @POCUSJournal
Pulmonary-POCUS retweeted
Patient with severe shock, what is the regionality of LV dysfunction shown here?
Welcome to Short Clip Challenge week #117 What dynamic abnormality of the anterior mitral valve leaflet is shown obstructing the left ventricular outflow tract (LVOT) during systole? Click here to take the challenge pulmonarypocus.com/short-cli…
Check out this awesome vent education!
Pulmonary-POCUS retweeted
IRV on VC
You have a morbidly obese profoundly hypoxic patient on VC. You want to prolong inspiration to increase mean Paw.
What do you do?
See answer with a case below!
35%Add an insp pause
52%Increase itime
13%Decrease insp flows
54 votes • Final results Pulmonary-POCUS retweeted
What is the dyssynchrony present in the picture? Poll and treatment options below!
Pulmonary-POCUS retweeted
Can the plateau pressure be higher than the peak?
The answer may surprise you! Check it below!
52%Yes
48%No
280 votes • Final results Pulmonary-POCUS retweeted
You have a pt with a balloon pump on PSV. You notice this fast sequence of breaths that are marked by the ventilator as being patient-triggered (arrowheads under Paw waveform). What do you do next?
POLL BELOW
Short Clip Challenge week 109
You’re evaluating a cardiac M-mode tracing through the mitral valve. During early diastole, the anterior leaflet moves maximally toward the interventricular septum.
What is the specific peak highlighted at the green arrow?
Extra credit what cardiac view was used?
Take the full week 109 challenge here pulmonarypocus.com/short-cli…
Pulmonary-POCUS retweeted
The pulmonary valve isn’t called the “neglected valve” for nothing.
In this sexagenarian with a BAV, it’s easy to focus all your attention on the aortic valve - and miss the pulmonary valve pathology.
Don’t forget to look beyond the obvious. #echofirst
🕵️♂️ intraop TEE
Pulmonary-POCUS retweeted
One of my ICU rules:
Venous access saves lives. Arterial line gives data
I have never seen a patient die because an arterial catheter wasn't placed promptly. I have seen plenty of patients getting hurt (or die) because reliable venous access came too late (or never)
Place the venous catheter first. Sweat about the arterial line later
And yes. I place a lot of arterial lines and I was not pleased with how many people interpreted the EVERDAC trial
(NEJM 2025; 393: 1875-88 -
DOI: 10.1056/NEJMoa2502136)
Pulmonary-POCUS retweeted
#JADEL
We've heard about atrial septal pouches.
We may have even seen one.
But, did you ever think you'd see a thrombus-in-situ within an atrial pouch?
CASE reports help expand our understanding of uncommon events.
New in CASE @CASEfromASE
@ASE360
A huge thank you to everyone who participated in the #ShortClipChallenge this year. It has been incredible to see the enthusiasm, engagement, and commitment to improving bedside ultrasound skills week after week.
After tallying the results, I'm excited to announce our 2025-2026 champions:
🥇 Pulmonary POCUS Champion: Dr. Joseph Vroegop (IUSM Internal Medicine)
🏆 5 weekly wins (Weeks 84, 82, 70, 67, and 64)
🎁 $100 Gift Card + Certificate of Excellence
🥈 Runner-Up: Dr. Lauren Pavlik (IUSM Pulmonary & Critical Care Medicine)
🏆 4 weekly wins (Weeks 91, 71, 58, and 52)
🎁 $50 Gift Card
Congratulations to both on an outstanding achievement.
One of the best parts of these challenges is the discussion, clinical reasoning, and learning that emerges from each case. Thank you to everyone who participated and helped make this community both educational and fun.
Think you can beat this year's champions? Test yourself here:
pulmonarypocus.com/short-cli…
The Short Clip Challenge returns for the 2026-2027 academic year on July 14th.
#POCUS #CriticalCare #MedEd #FOAMed #Ultrasound #PulmonaryPOCUS #MedicalEducation #InternalMedicine #PCCM
Pulmonary-POCUS retweeted
When performing TEE, don’t chase the multiplane angle (rotation sign). Chase the anatomy. Identify the landmarks that define the target view and use probe manipulation to bring those structures into the imaging plane. The angle displayed on the screen is only a guide #echofirst
Pulmonary-POCUS retweeted
Waveform analysis case:
You admit a pt after esophagectomy complicated by inadvertent tracheal injury due to the tumor being plastered into it. Pt has a chest tube with active leak (see video).
How can you tell by looking at these waveforms that this patient has a leak?
Pulmonary-POCUS retweeted
Thanks for having me!
EMCrit 427 - Advancing Concepts in Shock Physiology. As an intro to a 3-part series, I go over two papers discussing new ways to assess and understand shock hemodynamics.
(@emnerd, @thinkingcc, @saracrager)
[#MembersOnly]
emcrit.org/427
Pulmonary-POCUS retweeted
@DanRozenbaum
Curious on what you think. I thought this was early cycle dyssynchrony. Tried to increase I time but did not help. Increased opioid infusions but did not help.
Pulmonary-POCUS retweeted
What an honor to receive the Golden Lung Teaching Award from our graduating Indiana University PCCM/CCM fellows!
Teaching mechanical ventilation and critical care to this incredible group has been an absolute privilege. Thank you for this recognition!
Congratulations to this week's short clip challenge winner Maya Haouili, from IU IM residency! Congratulations Maya, enjoy a cup of coffee on us!
Here's a quick recap of last week's metrics:
We received 97 responses.
Question 1: You are visualizing a pleural effusion. Looking at the footprint of the probe, which transducer is being used?
Answer 2 The correct answer is the phased array transducer. 40% of respondents answered this question correctly.
Question 2: What structure is the white arrow pointing towards?
Answer 2: The correct answer is the diaphragm. 98 % of respondents answered this question correctly.
Key points:
See all Key points here—> pulmonarypocus.com/short-cli…
Pulmonary-POCUS retweeted
Interesting and scary #echofirst image (TEE)
A case of infective endocarditis caused by Tropheryma whipplei.
#POCUS #FOAMed
From 🔗 IDCases. 2023;32:e01800. doi: 10.1016/j.idcr.2023.e01800.
Pulmonary-POCUS retweeted
Hepatic vein Doppler waveform components explained.
#POCUS #VExUS #Nephpearls
🔗youtu.be/7KII6btTGJ8?si=YsnK…