The LAST DAY of Castlefest 2019 was a great one (as were all of the other days). Check out day 4’s summary: Jimmy Fair:  Diastology: Consider approaching diastology as binary; does your patient have elevated left atrial pressure or not? If you want a more in-depth summary, watch: Diastology part 1, Diastology part 2 Cardiac arrest: Concentrate on getting windows during your 10 second pulse check, save clips, then interpret the image during compressions. Unless if you have TEE.  Then just leave it in there and get continuous monitoring. RUSH: It’s not a law that you have to do every part of the RUSH exam in all your hypotensive patients. Peter Weimersheimer: Pelvic Ultrasound: If you can get the answer with transabdominal US, you don’t necessarily need to go for the endocavitary probe TEE: Why learn this if I get good TTE views during arrest?  Answer: Because you often can’t.  Also, some tips on how to start a TEE program. Here’s the Link to Annals of Emergency Medicine article on TEE and cardiac arrest (that Mike Mallin was second author on) Claire Heslop:  Volume responsiveness is defined as the ability of a patient to increase their cardiac output with fluids.  Best way to tell with US: VTI.  Although carotid flow time is an up-and-comer. Bendfest 2019 is coming soon! Spots are filling quickly, reserve your spot today! Interested in an online ultrasound fellowship?  Go to ultrasoundleadershipacademy.com