Inhalation brings the organs down into the abdomen making things easier to visualize. Holding their breath just gives you time to inspect all of the anatomy

To prevent motion blur

Not 100% sure what you're asking. We mainly obtain axial cuts via a trans abdominal technique. Transvaginal technique primarily furnished coronal and sagittal images, although even these are often at varying angles to the anatomical structures of interest. Hope this helps.

From a subcostal, following the needle is very difficult. You can obtain a subcostal view and then approximate your needle path and distance, but visualizing the actual needle tip and path very difficult. This is the primary reason I advocate the above approach in most scenarios.

Very difficult by imaging alone. Clinical scenario and course plays a large role. In this case, fever, other infectious findings made vegetation more likely. If I recall, the patient had +blood cultures too

It can usually be seen by 2D TTE, but sometimes TEE or CT angiography may be required. I hope that helps. Good luck. In thinner patients, noticing a suprasternal pulsation may be normal.

between 1:00 and 2:00

@@JosephMinardi thanks 🙏 Could you plz do how reduced pitfalls in meaures bz i always didn't how get meaures in wiews especially plax and mmode to calculate ejections fraction

Only in generalities, specifics of those topics a little beyond my scope of practice. This is a reasonable resource radiopaedia.org/articles/cervical-length?lang=us

elevatehealth.net/solutions/brands/blue-phantom/

Specifics have to be taken on a case by case basis, but potentially quite dangerous

Yes, big limitation with these videos is the camera angles and visibility of hand movements. Working on updates with improvements in those aspects

Not sure what you mean. The video comes from CAEHealthcare Vimedix. I did some editing and adjusting to point out key anatomy. The vimedix uses a simulated probe on a manikin and generates simulated images. I was manipulating the simulated probe on the manekin to generate the images.

Don't forget atraumatic reasons, number one has to be type A aortic dissection, LV free wall rupture, coronary rupture

@@JosephMinardi Thank you very much for all your good advice

apical variant hypertrophic cardiomyopathy. Notice how thick the myocardium is at the apex, giving the LV chamber the appearance of the ace of spades

@@JosephMinardi Thank you for your professional and practical advice. Regards

And Thanks for your work

Apical variant hypertrophic cardiomyopathy. Note the severe myocardial thickening at the apex, giving the LV chamber the appearance of an "ace of spades"

yes I noticed I had never seen that shape !

Usually when I see it in the emergency department, the patients are having abdominal pain with nausea and vomiting

I generally reference the direction of the US beam itself, so when I say sweep to the ceiling, I mean the beam is toward the ceiling, so giving a view of anterior structures, meaning my hand (or the transducer "tail") is towards the floor. That's a little confusing, but I hope it clarifies.

soft tissue US should show hematoma or maybe other scar tissue long time post injury

There's a lot of overlap between MSK US and soft tissue US, so either should be appropriate

It takes a little practice. But, you will get there. Getting the hand eye coordination down with a plastic model will help once practicing for real

Thanks sir