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POCUS Quick Start

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Free US Learning Resources

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Resource

Description

Topics

Professional

Cost

YouTube channel with comprehensive and practical 5-20 min videos, ranging from beginner (e.g. liver) to advance applications (e.g. pulse wave doppler). Videos range from quick limited topic videos to long lecture-like videos.

General (ED scope, including OB/gyn)

Jared T. Marx, MD, AEMUS, FPD

Ultrasound Director, UNMC Department of Emergency Medicine

University of Nebraska Medical Center

Free

YouTube channel that correlates well with their own website online course and book. The website is very easy to bookmark and reference on the go and at the bedside (e.g. cardiac views). UMass folks recommended this resource to us all.

General (ED scope, including OB/gyn)

Vi Dinh, MD FACEP RDMS RDCS

Professor of Emergency Medicine, Internal Medicine, and Critical Care Ultrasound Director and Fellowship Director

Loma Linda School of Medicine

Free

(Book is $135 on amazon)

5-minute videos of various topics and procedures, image review videos, and longer podcast videos. Has some good GI-related videos which is unique (e.g. hernia).

General (ED scope)

Jailyn Avila MD

Associate Ultrasound Director and the Director of Faculty Development

UHS SoCal MEC Emergency Medicine Residency in Temecula, California

Free

YouTube channel with 5-minute quick videos (e.g. supraspinatus) and longer lecture-like full joint assessment (1 hour) videos for MSK (e.g. shoulder). Very good for nuances and practical tips for MSK scanning. Good for beginners and good for deep learning.

MSK

Professional group of Radiologists and Sonographers from Australia

Free

Free Video Courses & Online Resources

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Resource

Description

Topics

Professional

Cost

YouTube channel with more than a hundred videos of an intelligent soft-spoken radiologist showing side-by-side examples of pathological US scans comparing them to normal. Labeled images. Many OB/GYN topics covered (e.g. abnormal pregnancy).

General (but not ED focus);

Heavy OB/GYN, fetus; thyroid, abdomen, breast

Radiologist

Free

YouTube channel with many videos; the most useful ones are the webinars which are 30 min long but thorough grand-round like lectures on various topics. MSK ones are very good (e.g. hip).

MSK

Ultrasound manufacturer

Free

YouTube channel with some decent 2-minute procedure videos. Good procedure videos. Not comprehensive how-to guides but confidence building in that it makes scanning and procedures look easy! MSK webinars are insightful (e.g. shoulder).

Decent MSK, soft tissue, abdomen, lung, breast

Ultrasound manufacturer

Free

Free website and atlas of pathological/abnormal sonograms. It’s fun to look for specific pathology or just to browse! They also have some great guides (e.g. appendix)

Very comprehensive (including eye, pediatrics, trauma)

Michael Macias MD, Ultrasound Director and Co-Fellowship Director Southwest Healthcare Medical Education Consortium

Free

Free Video Courses & Online Resources

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Resource

Description

Topics

Professional

Cost

A family medicine resource! It’s rare to find family medicine made resources online. It looks like they only started in 2023 and have 20 videos so far. The AAA screening lecture is really good (AAA link).

General; heart, lung, abdomen, MSK

Waco Family Medicine Residency

Free

My personal pathology library, going through real clinical case examples, side-by-side normal vs pathology, and relevant review of the literature. It’s primarily for me personally but some folks have found it useful.

General

Me

Free

One-page guide and slide deck for learning DVT rule out. I compare sonograms to anatomy and cadaver anatomy as well. I also review the relevant literature.

LE vasculature

Me

Free

One-page guide and slide deck for learning AAA screening for family physicians. I compare sonograms to 3D anatomy models.I also review the relevant literature.

Abdominal aorta

Me

Free

Free Video Courses & Online Resources

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Resource

Description

Topics

Cost

A very practical ebook with traditional textbook chapters. Great for learning EFW and dating.

OB/GYN

Free

Quick reference guides for MSK. Search online for the free pdfs (e.g. knee, hip, shoulder). I use often at the bedside for reference!

MSK

Free

Great general reference and beginner POCUS book (lung, heart, etc but little MSK and OB/Gyn)

General

$93 on amazon

Quintessential MSK US book (also available as an e-book which is nice to search through). Lots of pathology examples.

MSK

$58 on amazon

Outpatient centered general book including procedures. Also includes billing.

General

$82 on amazon

Uptodate has a detailed article with pathology examples

MSK

Uptodate subscription

Free or Low-cost Books, PDFs, and Other Resources

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Resource

Description

Modality

Cost

3D app that allows you to +/- organ systems and organ layers. I used it to learn tendons, ligaments, gallbladder, really anything! I take screen shots to use when annotating my notes and correlating with scans.

Phone app

$39.99/y student

$99.99/y attending

Free labeled radiological images. I use the axial CT abdomen particularly to help me learn AAA screening and surrounding vasculature (e.g. Axial CTAP). The CTAP stacks and pelvis MRI stacks are free at least. They offer other paid courses and anatomical areas I haven’t explored yet.

Website

Free (CTAP at least)

Free labeled MRI scans of MSK anatomy. For example, to learn US of the greater trochanter for steroid injection, I can review how the gluteal muscles insert (e.g. MRI hip)

Website

Free

Free transverse cross-sections of cadavers. Very helpful to me especially for learning DVT rule out and AAA screening (e.g. abdomen)

Website

Free

Anatomy Resources

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Free Resources List QR Code

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POC handheld US reviews

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Perez-Sanchez, A., Johnson, G., Pucks, N. et al. Comparison of 6 handheld ultrasound devices by point-of-care ultrasound experts: a cross-sectional study. Ultrasound J 16, 45 (2024). https://doi.org/10.1186/s13089-024-00392-3

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VScan Air CL Review

Pros:

  • Wireless/Cordless (charges via Qi chargers)
  • Two transducers in one (curvilinear + linear)
  • One study showed it was the best value in terms of price and image quality, and satisfcation compared to Lumify, Kosmos, Butterfly iQ+, etc (Perez-Sanchez, Ultrasound Journal 2024)
  • Good value ($4855, no subscriptions)
  • You can measure and annotate even after the exam is “ended” (unlike Lumify)

Cons:

  • Total continuous scan time is 1 hour (works all clinic day if you charge in between patients)
  • Can get hot
  • Less AI/fancy calculations (vs Butterfly)

Henry’s one-page quick guide for VScan link

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Lumify Review

Pros:

  • Very good image quality(Perez-Sanchez, Ultrasound Journal 2024)
  • Easy integration with EMR systems
  • No subscriptions

Cons:

  • Corded (our cords needed replacement after 2 years of heavy use)
  • Highest cost compared to other bedside handheld ultrasounds ($6000 per probe; no subscription)
  • Needs separate power module ($880) to connect to a phone
  • Needs measurements to be taken “during” exam; you cannot go back to old images to measure or calculate

Henry’s one-page quick guide for Lumify link

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Butterfly Review

Pros:

  • More affordable (iQ+: $2699, iQ3: $3899)
  • Promising AI and software (AI labels your images in real time!)

Cons:

  • Fair image quality
  • Subscription fee model ($299/y for core; $420/y or $1500 one-time payment for “ advanced”: power and pulse-wave doppler, AI tools)

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Other Handheld/Pocket Ultrasounds

  • Sonoque – linear and convex dual probe - $3150

  • Clarius – single probes - $3595 + $595 membership

Ultimately just get any ultrasound and start learning and scanning

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Billing Resources

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Billing Links

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One Year of Potential Billing (Single heavy use provider)

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Educational Scanning Consent

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PRIME POCUS Learning Network

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PRIME POCUS Learning Network

PRIME, which stands for POCUS Research, Innovation, and Medical Education, was launched with support from a grant from the American Board of Family Medicine Foundation.

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ABFM requirements for POCUS in FM residencies

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POCUS for Family Physicians Presentations::

Protocols and Guides:

Ultrasound Pathology Library for Family Physicians:

A small icon of a probe denotes which US images are from my own scans

Lumify Curvilinear

Lumify

Linear

Lumify

Phase Array

VScan Curvilinear

VScan Linear