Keith Barron (@IMSonoSC) profile picture

Keith Barron

@IMSonoSC

Internist, hospitalist, medical educator, ultrasound enthusiast. Thoughts do not reflect opinions of my employers.

Joined October 2017
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Excellent! "The question is beginning to transition from whether one should learn [lung ultrasound] to a question of if it is possible to justify continuing to use the inferior diagnostic modality of CXR for patients?"
Cameron Baston MD (@cameron_baston) profile pictureCameron Baston MD@cameron_baston16 Jan 2020
For the #LungUltrasound and #POCUS and #IMPOCUS crew, here's our editorial about the new study by @sunnydmtierney in @CritCareMed journals.lww.com/ccmjournal/…
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Replying to @AnnalsofIM
@AnnalsofIM review online today: #pocus can help diagnose increased intracranial pressure annals.org/aim/article-abstr…
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Great course! Thanks @AIUMultrasound
AIUM Ultrasound (@AIUMultrasound) profile pictureAIUM Ultrasound@AIUMultrasound16 Nov 2019
That’s a wrap—Thanks to this crew for making the AIUM’s 1st POCUS Hands-on Training Course for Beginners a success! Look out for recaps next week on LinkedIn & Facebook.
Image from AIUM Ultrasound (@AIUMultrasound)
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Great updates to an excellent image storage site!
Ben C. Smith (@UltrasoundJelly) profile pictureBen C. Smith@UltrasoundJelly30 Oct 2019
Major SonoClipShare.com upgrade today. Highlights include: 1) tagging system to track over-reads, quality, and diagnosis 2) stats page summarizing data [sens/spec/acc] 3) new archive thumbnail view 4-10x faster loading 4) archive multi-share #FOAMed
Image from Ben C. Smith (@UltrasoundJelly)
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I'm grilling a steak tonight! In @AnnalsofIM article: "panel suggests that adults continue current unprocessed red meat consumption" annals.org/aim/fullarticle/2…
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When assessing effect, red and processed "meat consumption is unlikely to be a causal factor of adverse health outcomes"
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Can nurses "smell" Cdiff? Common report to me by nurses in my institution. Interestingly this has been studied! (Smell is not that accurate...) #WishIHadntSmelledIt ncbi.nlm.nih.gov/pmc/article…
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Great episode! Already assigned to residents on #hospitalist rotation
The Curbsiders (@thecurbsiders) profile pictureThe Curbsiders@thecurbsiders23 Sep 2019
Dominate #Perioperative Medication Management: #Anticoagluation, antiplatelets, DMARDS, #diabetes meds and more! W/@aoglasser @OHSUSOM @Kashlakhospital link.chtbl.com/curbsiders- mailchi.mp/ae861d9a9653/domi… @DoctorWatto @PaulNWilliamz @ACPinternists #medtwitter #FOAMed #meded
Image from The Curbsiders (@thecurbsiders)
Image from The Curbsiders (@thecurbsiders)
Interesting perspective for all who use #ultrasound to estimate EF for diagnosis/management of CHF. Remember "values for LVEF depend on loading conditions, ie, volume status and blood pressure" Redefining Heart Failure With a Reduced Ejection Fraction ja.ma/2mUL8YR
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"it is likely that a meaningful proportion of patients with an LVEF of 40% to 50% would be reclassified as having an LVEF of lower than 40% or higher than 50% if the measurement were repeated"
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#POCUS has tremendous potential in resource limited settings: it "frequently changed the leading diagnosis, significantly increased clinicians' confidence in the leading diagnoses, and improved diagnostic accuracy" in Rwandan ED #globalhealth ncbi.nlm.nih.gov/m/pubmed/31…
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"The Place of POCUS in Prevention of Physician Burnout" A great perspective on how #POCUS can make medicine "fun again" by @JaniceBoughton aiumthescan.wordpress.com/20…
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Ultrasound can help with neck vein examination too! @wcume2019 The SCM "helps protect against mountain lion attacks" and serves as an excellent landmark - Jason Williams
Image from Keith Barron (@IMSonoSC)
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Using #ultrasound to teach physical exam @wcume2019
Image from Keith Barron (@IMSonoSC)
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Great conference so far!
Renee Dversdal (@DRsonosRD) profile pictureRenee Dversdal@DRsonosRD13 Sep 2019
High powered #ultrasound #meded innovation panel here @wcume2019 #wcume2019 including @i_c_sound of @zedunow, @warrenwiechmann, @dpbahner & @SeanYoungPhD
Image from Renee Dversdal (@DRsonosRD)
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Agree, but how many decades do you think it will be before everyone switches over to LR from NS?
Cameron Baston MD (@cameron_baston) profile pictureCameron Baston MD@cameron_baston2 Sep 2019
I think we’re pretty much to the point where saline is for lactated ringer shortages only
More evidence that aggressive management of inpatient blood pressure is an example of #ThingsWeDoForNoReason
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The focus is no longer “why” but “how?” to successfully integrate and expand the field of #IMPOCUS! #internalmedicine #POCUS @SonoInternist @DRsonosRD link.springer.com/article/10…
Internal Medicine Point of Care Ultrasound: Indicators It’s Here to Stay

Internal Medicine Point of Care Ultrasound: Indicators It’s Here to Stay

Journal of General Internal Medicine -

link.springer.com
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The thought that POCUS is poised to change something as fundamental as the way physicians assess their patients may be unsettling . . . But we must empower ourselves with evidence-based tools that aid diagnosis
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If any #pocus users are looking for a band name one of our standardized patients came up with an awesome one: "Rock it to the Base"
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Of course ultrasound is a diagnostic tool! But so is every physical exam maneuver as well...
Dan Kim (@dan___kim) profile pictureDan Kim@dan___kim13 Aug 2019
It's 2019, yet radiologists @CARadiologists still want to tell us how to use #POCUS So many problems with this "position statement"/opinion piece, not the least, the lack of evidence for many of their statements @CAEP_EUC @CAEP_Docs @ACEP_EUS @SAEMAEUS @ePOCUS @SCUFellowships
Image from Dan Kim (@dan___kim)
Image from Dan Kim (@dan___kim)
Image from Dan Kim (@dan___kim)
Image from Dan Kim (@dan___kim)
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Excellent work!
Charlie LoPresti (@cm_lopresti) profile pictureCharlie LoPresti@cm_lopresti12 Aug 2019
With all the recent talk of medical students receiving handheld #POCUS devices on day 1, we need to make sure that the IM specialty is ready. Here is an early preview of a big step that I am really excited to share #IMPOCUS: doi.org/10.1016/j.amjmed.201… @trevorjensen14 @DRsonosRD
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Wow, I couldn't agree more. "Endorse" is an example of the medical argot that drives me crazy.
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It is almost as bad as "ambulate." Why use 3 syllables instead of 1: "walk"? (C.f utilize instead of use)
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