General

Which intercostal space?

In an earlier post we looked at how to obtain the perfect on-axis image. I focused on the golden rule of “tilt for the centre and rotate for the sides”. But what happens if we aren’t in the right intercostal space to start with?!?!? Today’s post looks at how you can identify the correct intercostal space for imaging the parasternal long axis view (PLAX).

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General

Echo.Guru Update

I always hate annoying newsletters from websites, so this will be a very rare occurrence – I promise!! 
  1. Amazing support for Echo.Guru
  2. New look for site
  3. Echo.Guru is now on Facebook!
  4. Advertise job vacancies for free on Echo.Guru
  5. Share your cool images with Echo.Guru
  6. Email address now live. Echoguru@mail.com

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General

The Golden Rule for Obtaining an On-Axis Image

Imaging the heart on-axis is possibly the most important role of a cardiac sonographer. Foreshortened or off-axis images provide a false view of the heart which can result in wall motion (and function) looking more vigorous than it really is. We may miss something completely, all just because we aren’t slicing through the heart correctly. Knowing how to correct an off-axis image shouldn’t be guesswork for the sonographer.
The #1 secret to on-axis imaging can be found in the following mantra….
Angle for the center, rotate for the sides (and always in that order).

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Physics

Aliasing Phenomenon

Aliasing phenomenon is a concept that causes a lot of uncertainty for many of us. We all have a rough idea of what it is, until we have to explain it to a trainee sonographer doing their best impression of a 3 year old [insert annoying voice here] “… But why???”.

This week’s post was requested by Bec from South Australia. Thanks for jumping straight in with the tricky stuff!

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Quality Assurance

How long should an echo take?

I am often asked, “How long should an echo take??”.

Trainee sonographers want to know if they are on track, overworked sonographers often ask before approaching management to address workplace issues, practice managers are interested in the answer to aid with rostering and timetabling. I am interested in the answer as I campaign for improved quality of our scans. Patients are interested in the answer to know how long they are going to be stuck in our room…. There seems to be an endless number of reasons for asking the question, and unfortunately the answer upsets more people than it pleases. Continue Reading

General

Welcome

Well, it all needs to start somewhere…

I am extremely excited to welcome you to the first echo.guru post!
Echo.guru aims to fill the gap that sits somewhere between academic research, textbook theory and the practical application of echo. This is an exciting area that really doesn’t get much written about, yet I am constantly bombarded with questions and emails from other sonographers and physicians.  These are all excellent questions, or very real challenges that face everyone trying to scan patients in the real word. I have created this site to provide a place where we can discuss these topics and improve our cardiac sonography.

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