Next on my US-guided IV series: Who gets an IV? (Spoiler alert, this procedure isn't for all patients). 

The patients who should be getting USGIVs should be the following:

• At least 2 staff members have tried 3 times (total) to get IV using standard techniques.

You should care about superficial venous thrombosis.  If they're in the lower extremities and greater than 5 cm in length, they have increased risk of DVT and PE.  Check out the video for more info. 

After you successfully cannulate the vein, the most important factors determining if it stays in (I.E., doesn't extravasate/infiltrate/dislodge) are the length of the catheter and the distance of the vein from the surface.

Here's the bottom line:  

If the vein is 1 cm from the skin, you need a longer IV catheter.

Check out the video for more specifics!

This week, we look at a patient with severe bradycardia.  The monitor is showing pacing, but...is it, though?

If you want more cool sonos or if you need some guided hands-on AND would like to do it at Jackson Hole, Wyoming join me, Mike Mallin, Matt Dawson and Haney Mallemat at Yellowstone Ultrasound 2017! Spots are filling up fast!

Ben Smith (@ultrasoundjelly) and I have been working on this phenomenal education tool, The Wheel of Echo! Check it out and let me know what you think.

I've been wanting to share more cases with you guys, and decided on a new mini series within 5minsono: Cool Sono, Bro!. I'm going to be showing you cool cases I see in the ED with short (hopefully) 2 minute explanations.  Check out the inaugural episode: The hypoxic trauma patient!