Lung Ultrasound in COVID 19: Findings, Accuracy, Pneumonia Diagnosis, Utility (POCUS)
This video is intended for medical professionals who are interested in learning or utilizing lung ultrasound to diagnose and monitor COVID-19 in their patients. Lung ultrasound rivals CT imaging for fast and accurate bedside diagnosis and monitoring of coronavirus infection from the SARS-CoV-2 virus.
Emergency medicine physician and ultrasound expert, Dr. Joshua Jacquet reviews the core principles of lung ultrasound and progresses to COVID 19 specific findings. There are many benefits of point of care ultrasound (POCUS) including immediate results, no radiation, low cost, easily repeatable, and simple to disinfect.
This video includes:
- Introduction and Lung Ultrasound Principles Review
- Lung Ultrasound Findings in Pneumonia & ARDS Review
- Lung Ultrasound Findings in COVID-19
- The Utility of Lung Ultrasound in COVID-19
- Disinfection of the Ultrasound Machine & Summary
Links referenced in this course:
Intensive Care Medicine - doi.org/10.1007/s00134-012-25...
Chest - www.ncbi.nlm.nih.gov/pubmed/1...
Cardiovascular Ultrasound - www.ncbi.nlm.nih.gov/pubmed/1...
Clinical Radiology - www.clinicalradiologyonline.n...
American Journal of Roentgenology - www.ajronline.org/doi/10.2214...
RSNA - pubs.rsna.org/doi/10.1148/rad...
SSRN - papers.ssrn.com/sol3/papers.c...
Intensive Care Medicine - link.springer.com/article/10....
Butterfly Network - www.butterflynetwork.com/covid-19
Environmental Protection Agency - www.epa.gov/pesticide-registr...
As communities across the world are facing or preparing for increasing numbers of patients in respiratory distress from COVID-19, we hope this video is helpful for clinicians and hospitals on the frontlines.
You can access this video free at our website (the same content is broken down into shorter videos): www.medcram.com/courses/Lung-...
This video will remain free, please share it with anyone you think may be interested. We hope you find it helpful, and we welcome feedback.
Instructor: Joshua Jacquet, MD
Board Certified in Emergency Medicine and Associate Professor of Emergency Medicine at Northeast Ohio Medical University. Registered Diagnostic Medical Sonographer (RDMS) and Emergency Ultrasound Director at Cleveland Clinic Akron General. Fellow of the American College of Emergency Physicians (FACEP).
Produced by Kyle Allred, PA
MedCram provides videos to a variety of medical schools, education programs, and institutions (please contact us at customers@medcram.com if you are interested)
Media Contact: Hayley@MedCram.com
Many other videos on COVID-19 (coronavirus outbreak, coronavirus symptoms, Spanish Flu pandemic, influenza, coronavirus epidemic, ultrasound to diagnose COVID-19, mobile ultrasound, radiology, and more) and other medical topics (ECG Interpretation, hypertension, DKA, acute kidney injury, influenza, measles, mechanical ventilation, etc.) at MedCam.com
MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.
#POCUS #Coronavirus #COVID19
I'm not a medical person. I enjoy your lectures and even learn a little from them. but this is way above my pay grade. See you tomorrow.
Great information! As a (retired) nuclear instrumentation tech & Engineer, I find these videos absolutely wonderful. Everyone needs to watch these. Keep up the great work. BTW, I'm presently printing Prusa Research face shields, and designing & printing masks (personal use masks) on my several 3D printers. NOTE: Finding PETG shield material is a bit of a pain. ; )
*Double dipping today to see the two crucial videos for medical professionals and trainees provided.*
This cannon for front line soldiers will save many lives. Thank you !
Best medical channel bar none!!! I started watching you guys 2 years ago. Keep up at the amazing work. Thank you
F@cking bar NONE! Omg I find myself checking KZhead several times per day for MedCram, Dr Z, LiveScience, Dr Oz and several others for updates. MedCram since January has been vital to my information spurce I can trust
@@RonnieD1970 Absolutely
Do you see small nodules?
This will be an educational in service at my ER.
i never clicked this fast on a youtube video
I´m MD,register echocardiographer , and learning about LUS since a couple of months. I found this video as the Best one I have saw about lung ultrasound , particularly related to covid 19.Thank you very much for teach us , grettings from Argentina.
Thank you for such concise info. Geez CT is so much easier to interpret . Years ago when I was in med school my teacher told me ultrasound was the next big thing. I said no CT is so much easier . She reminded me about the time and money advantages of Ultra sound. I insisted she must be wrong ....obviously ...she was right ! LOL :)
Very useful information to know. Thanks for a great video!
Thank you so much for making this! EM ultrasound is what I want to get into. I’m excited to learn all of this.
I just hit the like button as soon as I get here to start the video. Best I can do to support this wonderful site daily updates.
Great videos!, this is where I get my covid-19 news. I've seen a number of these but wondered if there was one focusing on how covid-19 affects the heart. Would be really interested to see!
Thanks Medcram!
Thank u for ur great info an work i share all ur videos myself an my family an friends thank u too
You have taught me so much. 🙏🏻 Thank you.!
Thank you guys for great job you are doing . Keep it up. 👏👏✌🏻👌
Thank you for your support
An insightful video even this is not my field, so thank you and also to other videos here I watched.
Awesome, great delivery everything is so much clearer.
Very interesting also from the point of view of a biomedical engineer
Thanks for the detailed information 🙏🏼
It is very excellent lectures Must listen. Every physician At present second wave covid 19. To decreased load of CT scan.
More technical, but helpful for providers.
Whoa doc your voice has changed!
It's not Doctor S.
Yeah haha the other doc has a really soothing voice
@@cassandrahernandez3980 He's cute too. You know that would come up eventually. I did it so you didn't have to.
try to low the sound pitch setting. not disappointed.
Excellent.
thank u very much for this video :)
Thank you doc,take care🩺🥼💙🧤😷🥽👨🏼⚕️
Thank you!
For portable ultrasound diagnostics would Philips app called Lumify be a good choice?
Pulmonology and ITU seem to work hand in hand in US in comparison to UK
coronavirus made lung sono to be very effective tool for evaluating lung- in korea we use it frequently we can also evalaute heart.
Thank you doc stay safe 😷🥽🩺🥼🧤💙👨🏼⚕️👩🏼⚕️
My favorite COVID content. Might be interesting to address the genetics of G6PD and Chloroquine. Could be playing a role in African American response and hemolytic anemia. May also have some connections to the Heme lecture. I think Niemann Pick Type C are resistant to COVID like they are resistant to Ebola.
The CT scans are much easier to understand for an amateur like me but also unless your medics are trained in this I think they are also going to understand the CT's much more easily. Its an interesting presentation to watch though.
Two specific topics that I need help with and clarification on are: Why some viruses only elicit a weak or ineffective antibody response while others a stronger more useful response please? I need encephalomyelitis explained in detail especially in regards to its prevalence with certain types of viruses please?
Don't we have like 3D interpreter for ultrasound, like for babies or the lungs are to soft?
In which previous video (if any) ,the blue protocol was discussed ??!! Kindly answer !!
How about US characteristics on viral-bacterial co-infection PNA? Or viral PNA in chronic comorbid patients? Would you get unusual cavitations or pleural effusions then?
I find this video to be so educative.How can i download it?
Do these devices know where they are in 3d space - sounds like they don't. If they did you could make amazing imagery.
I see this as a money maker or at least an expected step for those manufacturers.
This video was recorded for medical professionals who are interested in using lung ultrasound as part of their clinical practice. See all of Dr. Jacquet's clinical ultrasound videos at www.medcram.com Thank you for watching, subscribing, and sharing these videos.
I miss Dr. Seheult
Oops I edited my typos and now I am not highlighted anymore. I hope you will still consider my questions please
BE SAFE FROM COVID-19 Dr.Seheult.STAY SAFE🙏
MedCram - Medical Lectures Explained CLEARLY thank you! I was wondering about the voice haha 😆 blessings to you 🙏
Any update on the effectiveness of hydroxychloroquine and if they’re going to start implementing it in the US?
No data reported which it helps. It's been advertised by pharma
Someone said to drink tonic water because it has quinine in it......could this help?
Pena não ser traduzido ou com legendas 😥
Chloroquine acts as an ionaphore opening a door in the cell membrane through which Zn enters to disrupt C-virus RNA replication. Taking Chloroquine as a prophylaxis - 1 tab twice a week - as medical staff are said to do, does the door close when you stop the drug or remain open indefinitely? Excellent work and videos!
Richard Nations eventually closes. Usually when given for malaria it’s given before entering endemic area, for the duration you are in endemic area and for 2 weeks after leaving.
Debbie Z does chloroquine’s action in a case of malaria also depend upon its function as an ionaphore as is the case with Coronavirus?
Richard Nations I don’t believe so. Since malaria is a blood borne parasite and not classified as a virus it is my understanding that it works on the heme of red blood cells. I think the ionaphoric action is more closely related to cancer and viral research. There have been cases of people who take malarial prophylaxis correctly and still come down with malaria months later! Scary
Roger Seheult, MD. is there any research, for a mechanical device, that puts oxygen and removes carbon dioxide directly form the blood, bypassing the lungs for this function and or aiding respirators?
This is ECMO = extracorporeal mechanical oxygenation or a heart lung machine which is high risk with major complications complicated requiring team of people to operate & use limited to young with no comorbidity
The common term is a heart lung machine. But they come with a huge set of risks! It's not something you can just plug in and let go. It requires a whole team of people to use. I've had two open heart surgeries and I can tell you from personal experience that it's rough to be on one of those for a few hours, let alone for days at a time. Your risk of dying from heart lung machine is greater than your risk of dying from the virus.
Medcram and chubbyemu are my source s!
Reminds me of Siskel and Eibert
Well there is a Roger...
Hello Again Medcram, On the 23th of July my ct scan show small amount of patchy ground glass. Today is my 12th day with Covid, is it safe to assume that this ground glass is going away? Or do I need to do something specially to insure it goes away?
anyone trying Ivermectin to increase the SPO2/saturation as it did in vitro in the un peer-reviewed study?? or anti fungals? Bats get that ground glass lung involvement with a fungal infection and studies have shown that GGO is a diagnostic sign of pulmonary fungal infection and it's indicating that anti-fungal medicine should be considered.
Do you guys think that permanent lung damage wiil or can occur from Covid-19? Also, won't it come back once it gets colder again? One more: do you think that people will be more likely to get it again once they have already gotten it? I understand people build antibodies to the virus once contracted, but could it possibly make it easier to contract it again should it mutate?
Not a Dr. But the rate this virus multiplies we will see mutations, logically it will happen. Hopefully turn into a less dangerous Covid. I think this will be with us now going forward. We will beat this though.
Can lung ultrasound detect early covid infection? Early meaning no extensive damage in the alveoli or no fluid build up yet? if so, And how early?
I would think so. Keeping the fluid out is necessary. The earlier the better. Treatment should be: Cortisone[Solu-Medrol] injection, or Prednisone 5 mg, about 80 tablets, 12 tabs po the 1st day, 11 tabs the 2nd day, 10 tabs the 3rd day, etc..., then I believe an adult at least lbs, and about 15 or 16 y/o, Lasix[furosemide] 40 mg, this us a diuretic, then an antibiotic, Z-pack, maybe or Doxycycline, a bronchi dilator, Albuterol or Primatine mist. Getting a portable O2 machine or C-PAP should help, have the upper thoracic/back elevated, your head, too about or at 30°, or sit up 9n the couch, with the comfort of being able to sleep on the couch with head elevated. A recliner is my choice.
BRING BACK Dr. Seheult!!
I wonder how accurate our testing is with Covid-19. How accurate are they?
I am wondering the same thing. Early tests only measured viral load which could give false positive. Have you heard anything since you posted?
I'm assuming you're using ultrasound because there's no access to x-ray or CT? Ultrasound on the lung is going to cause line streaking to the point it's almost unreadable.
No the problem with a CT-scanner like an MRI machine is hour-long cleaning sessions between patients. These hand held portables are easier to clean. There are mobile C-arm X-ray machines, but ultrasound should be cheap and straightforward.
@@tyoud1 In many of the ultrasound applications you're gonna be asking the patient to hold their breath for 5-10 seconds so that you can get a somewhat accurate reading. Probably not optimal as youre essentially asking a patient to not breath when they are suffering from asphyxiation.
I'm around all these Covid-19 hot spots and I have ZERO symptoms. But the common flu last year put me out of commission 😂 Go figure
What happened to the doctor?
He will be back tomorrow
Dr Joshua Jacquet ER Doc & point of care ultrasound expert is today's brilliant lecturer. Thanks MEDCRAM!
doc : please buy me microconvex prove- hospital owner : how many times can U use this? doc : after corona pandemic!!! owner : getout!!! so I prefer linear prove-
In a previous video, you referred to stimulation of the innate immune system using cold/ hot therapy. But in that same article, it also mentions electric stimulation for the same purpose. Do you have any research regarding that? It seems that would be a lot easier to implement rather than cold/ hot baths.
I saw new that tigers in NY were infected with covid 19 infected by humans.I now wonder could normal cats get covid too?If so ,would cats infect people too?If that's the case i.m.o quarantaine measures should be adapted.
feline transmission of H5N1 covariant 2: Avian Influenza H5N1 in Naturally Infected Domestic Cat; *Since cats are common house pets, concern regarding disease transmission to humans exists*
SARS COV-2 IS ZOONOTIC IN NATURE THIS VIRUS IS🙏
@@debabratadasd9 why do you always type in all caps? What are you yelling about?
The most annoying things on here are YT ads and their noise.
Look at his crooked writing. That's definitely a doctor.
Emil Sosnin why doctors write like that??? his writing is similar to me.
Is he speaking English?
This is why I don’t attend Latin Mass. Carry on .....
covid19 update
First
Pneumonia or radiation poisoning?
Cytokine storm
INTERLEUKIN 6 CYTOKIN STORM..... RESEARCH ON QUERCETIN FOUND IN MANY FOOD INCLUDING ONIONS...IN SUPPRESSING THE INTERLEUKIN 6 IL-6 BY SARS COV-2 VIRUS...MEDICAL PAPERS HAS TO PROVE OUT FOR SARSCOV-2 BUT🙏
SEE THE B.C.G VACCINE OF SUPPRESSING THE IL-6 CYTOKIN STORM...NOW MANY IN WORLD KNOWS IS CAUSED DUE TO SARS COV-2 VIRUS...BY RESPONSE BY IMMUNE SYSTEM OF THE HUMAN BODY🙏
d das so it's true eating onions can really be helpful for the body to fight this ? I've heard it before
@@col2959 YES QUERCETIN....IS THEIR AS AZINC IONOPHORE
Second