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#pulmcc Cards and rads do not do our focused exams answering a specific question, would not want them if they were available

#pulmcc Yes! you need training! Are you all afraid of new technology. We must move on to the next P/E platform, a paradigm shift

#pulmcc Not enough data from studies in kids, our peds ICU looked at her fellows number of sticks with and without US-Better with

#pulmcc Rads/Cards great at what they do, but they are NOT taking care of the patient

#pulmcc Rajesh when was the last time you verified that residents/fellows/attendings know what they are listening to with stethascope?

#ccpulm We need better argument than cost prohibitive for machines.Training need to be in the fellowships

Amen Adrian, but you dont lose your skills at vents, central lines, ect, its credentialing that needs to be worked out

Ultrasound is just an extension of the physical exam, why would you not!

#pulmcc Ultrasound is just an extension of the P/E, why would you not use it?

#pulmcc Yes we know it has to be phased in, but it has too

All ICUs should have an ultrasound, period! They are inexpesive all things considered, and helps in both diagnosis and therapeutics

#pulmcc You can be a chihuahua if you want but i would rather be a Rottweiler

#pulmcc So far i have heard no good reasons NOT to have ultrasound, learn ultrasound and use ultrasound for each and every ICU patient

#pulmcc We all need to agree that ultrasound needs to be part of the training and use in the ICU, we will debate how to implement later.

#pulmcc what other piece of equipment allows you to do in real time an echo, thoracic exam, DVT study, FAST exam, and therapeutic procedures

#pulmcc Adrian the US does NOT make you a great clinician, it removes the clinical and time dissociation seen with waiting for other tests

#pulmcc Do we document the lame P/E and stethascope findings.....Normal BS....Yeah you document your US findings, they are more specific

#pulmcc Rebecca i could not agree more, H and P first, ultrasound second, we round in the ICU with our ultrasonic stethascope

#ccpulm Ultrasound is safe, easy to learn, effective for the critically ill, and people should not be afraid of it

#pulmcc Thank you all for the commentary, this is what keeps it alive, ultrasound rules......