I'm so happy to finally be able to sit down with Dr. Michael Macias and discuss a few things that I've been meaning to ask him. Mike graduated from an ultrasound fellowship and then begin working as a community-based physician where he became the Ultrasound Director for Emergent Medical Associates, as well as the UHS Southern California Residency Consortium, he is the Assistant Emergency Department Director AND is the founder of the POCUS Atlas.  It was impossible to fit in everything that I wanted to talk with him about in one episode! Please enjoy this first part of my interview with Dr. Macias where we discuss: How to use ultrasound in a community based-setting to place transvenous pacers, how to use right heart ultrasound effectively in both confirmed and suspected PE as well as fracture management. 

Ultrasound Insights: A Conversation with Michael Macias MD, Part 1

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In this video I'm gonna do a much-needed revamp of the kidney stone (aka ureterolithiasis) 5 Minute Sono video that I first published back in 2015! In this video I give you some updated information and some higher quality clips. The way we typically identify the presence of kidney stones using ultrasound is to have a pretest suspicion of kidney stones and then identifying the presence or absence of hydronephrosis. We are typically much more accurate at identifying the secondary findings of an obstructive kidney stone (i.e., hydronephrosis) then we are of identifying the kidney stone itself (but definitely is still possible)! 

5 Minute Sono - Kidney Stones

I’m so excited to share with you my unboxing of the new Butterfly iQ3.  Watch to see my first impressions! I’ve had the pleasure of working with many ultrasound companies over the past 10 years, both as a consumer and as an ultrasound director of a large academic hospital.  I’ve enjoyed all of the iterations of the Butterfly ultra-portable ultrasound transducer, but I love their third version (the iQ3), the best! They took all of the best parts of the last version (the iQ+) and added features we’re very excited about: Better imaging (especially with the cardiac), programable buttons on the probe, faster battery charging and a lil mini charger. In this video, I’ll show you my initial thoughts, and in part 2, Ill share with you some images and my thoughts after my first month using this device clinically! Hope you enjoy! 

Butterfly iQ3 Unveiled: Core Ultrasound’s Comprehensive Review and Insights, Part 1

I am so happy to share with you our latest video on how to perform an ultrasound guided pericardiocentesis! This video has gone through a few revisions but I think this one is my best one so far (although I do concede that I may be a little bit biased

5 Minute Sono - Pericardiocentesis

This week on the podcast we have a new version of the 5 Minute Sono video on the sonographic evaluation of the IVC.  The IVC is not going to primarily diagnose anything (usually!), but instead is used to evaluate the central venous pressure (CVP). If the IVC is plump and not collapsing, it means a high CVP, and if it is small and collapsing a lot, it means low CVP.  This is most helpful when evaluating a patient in shock, as it can help push you towards or away from specific diagnoses (such as septic shock vs cardiogenic shock).  This is actually the third revision of this educational content! First one was in 2015 and the second revision was in 2021.  I’m humbled to have been creating medical education content for as long as I have and I try and keep my videos fresh and up to date :) Hope you enjoy! 

5 Minute Sono - IVC

In this week’s video, we’re showing you our second episode of the new Ultrasound Leadership Academy Image Review: From Motion to Meaning.  The Ultrasound Leadership Academy is a non-profit whose sole function is to educate medical providers on best practices while incorporating ultrasound into their daily practice.  We offer many different tiers of support, including dedicated image review, personalized curriculum and one-on-one virtual hangouts.  Click the link to learn more! 

Ultrasound Insights: A Conversation with Michael Macias MD, Part 1

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