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- [Voiceover] The Sonosite S-Series
has advanced automated image optimization technology
that greatly simplifies user controls.
Many controls are automatically adjusted by the system
depending upon depth selection.
Therefore, only a few controls may need to be adjusted
to obtain the best image quality.
This tutorial will review the key functions
that are used most frequently when optimizing an image.
Please refer to the user guide for a complete explanation
of all controls that may be adjusted.
To enter information on the patient form,
place the cursor on the Last Name field
and press Select.
A soft keyboard will be displayed.
Highlight the appropriate character,
and press the Select key to enter the text.
Enter the information in to the appropriate fields
including patient name and ID number.
This screen is also used to select the exam type,
the exam label, and provide data
regarding who performed the examination
and the institution where it was performed.
All information entered here will be displayed
on the image display screen.
After you have entered the patient information,
press Done.
Confirm the message, "This is a new patient.
"Do you want to continue?"
by selecting OK.
Once the patient is entered,
all saved images are linked to that patient.
Patient information can be edited during the exam
by pressing the Patient key,
however, if the patient name or ID number changes,
a new patient is created.
If you have not already done so,
select the exam type from the secondary controls
on the left of the image display.
The exam choices available
are dependent upon the connected transducer.
Selecting the exam type will optimize the system settings
for the clinical exam you have chosen.
You may change the exam type at any time during this study.
The exam type symbol will change in the top right corner
or the image display to indicate
the exam type has been selected.
Use a coupling gel to remove any air
between the transducer face and the skin surface.
Once you have located the area of interest,
adjust the depth of the image to center the area of interest
in the middle of the image display.
For quick optimization of the gain settings on the system,
press the Auto Gain key.
The system will evaluate the image
and apply the appropriate gain level settings.
If you would prefer to change the gain settings,
turn the Gain knob to the Near,
Far, or default Overall mode.
This will increase or decrease the amount of gain
applied to the Near field, Far field, or the Overall image.
To toggle between gain compensation selections,
press the Gain knob.
Once the desired image is obtained,
you may freeze the image.
At this point, you may save the image,
review individual frames in the cine buffer,
zoom the image,
or take measurements.
The cine buffer can be accessed using the Gain knob.
Turning the Gain knob counterclockwise
reviews images retrospectively,
and moving the Gain knob clockwise
reviews images prospectively.
The frame number will change dynamically
as the Gain knob is manipulated.
Press the Zoom key to activate the touch pad
to pan the image to the area of interest.
A measurement may be performed on a frozen image.
Activate calipers by pressing the Caliper key.
Move the caliper to the point of interest
by using the touch pad.
To measure from the skin surface,
place the caliper at the area of interest.
An active measurement will be displayed
in the bottom left corner of the image display.
To perform a linear measurement,
place the caliper at the point of interest
and press the Set key.
Another caliper will be activated.
Move the caliper to the point of interest
to complete the measurement.
Area measurements may be obtained
by using the Ellipse Method.
If further image optimization is needed
based on the patient's body habitus,
select the 2D Optimization feature on page two
of the secondary controls.
This feature automatically adjusts features
such as focal zones, transducer frequency, and bandwidth.
Res provides the best resolution possible.
Gen provides a balance between resolution and penetration.
Pen provides the best possible penetration.
Color Doppler may be used to quickly identify
where blood flow is located in a structure.
Press the Color key to activate Color Doppler
or Color Power Doppler.
A region of interest or ROI box
will appear in the center of the screen.
Use the touch pad to change the position of the ROI box.
The system settings for color will be displayed
in the top left corner of the screen.
Use the Gain knob to adjust the overall color gain level
for Color Power Doppler or Color Doppler.
When you freeze a color image,
the Gain knob can also be used
to review individual frames in the cine buffer.
Press the 2D key to return to 2D imaging.
When you are ready to store your image,
press the Save key to save the image
to the internal storage.
The capacity of the internal storage is four gigabytes,
or approximately 32,000 images.
To save an image clip, press the Clip key.
Clips are stored prospectively.
The length of the clip can be determined on the Clip menu.
A clip length of two to 60 seconds can be selected.
The clip may be reviewed by selecting List
in the patient exam list, and then pressing Play.
When you have acquired all images and clips for the study,
press the Patient key and choose End Exam
from the onscreen menu to finalize the exam
and end the study.
This concludes this brief review of imaging modes
and system controls to optimize the ultrasound image.
For an extensive review of system features and functions,
please refer to the system user guide.

Brightcove ID

5508123514001

https://youtube.com/watch?v=OtSVw7Rd2HI

S Series: Image Review and Export

Read more about S Series: Image Review and Export

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Learn how to review and export images on your Sonosite S Series™ Ultrasound System.

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- [Voiceover] This video will demonstrate
how to save images and clips, recall these images
for review, and archive or export images
to a USB device.
Images or clips of the ultrasound study
may be obtained and saved to internal storage
on the system.
To save a frozen image, select the Save button.
Images of the screen display can be saved
to print or export.
To save an image clip, press the Clip key.
Clips are stored prospectively.
The length of the clip storage is selected
in the Presets menu.
A clip length of two to 60 seconds can be selected.
Press the Review key to view the images
and clips from the current study and display
all exams stored on the internal storage
of the ultrasound system.
The list can be displayed alphabetically
or by the order of archival, A to Z, Z to A,
most recent, or earliest.
The header at the top of the screen
identifies patient and image information
for the study.
This includes patient name, ID number,
date and time of the exam, the user's initials,
images and clips acquired, and connectivity.
To review a patient exam, select a patient exam
from the list.
The exam highlighted is active.
To select a patient exam to archive,
check the box on the left.
To choose additional patients, just scroll down
and select each exam.
Notice each patient exam has a check mark
to indicate it is included.
Once you have completed the selection,
select Export to send all images to the USB device.
Up to three USB devices may be connected
to the system at one time.
This is a brief overview of image review and archival.
For more complete information,
please refer to the user guide.

Brightcove ID

5508109912001

https://youtube.com/watch?v=g5JaXOqsjXA

Working With Sonosite - Dr. Bryan Pogue Part 5

Read more about Working With Sonosite - Dr. Bryan Pogue Part 5

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- We have been very happy with Sonosite.
We've been very happy with Sonosite as a company.
They have been there for us
in a lot of ways.
Helping us to choose the right equipment,
letting us try various features.
They're to help train, train our staff,
train our providers.
We've used the software that Sonosite provides
and found that it to be very useful,
very simple to collect the data, to store the data,
to compare the data and use it in our clinical practice.
I would tell primary care docs, internists, specialists,
don't be afraid to bring ultrasound into your practice.
Ultrasound is the tool of the future.

Brightcove ID

5508134307001

https://youtube.com/watch?v=XHReR7udlp8

What Evidence Supports CIMT? - Dr. Bryan Pogue Part 2

Read more about What Evidence Supports CIMT? - Dr. Bryan Pogue Part 2

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- My interest in CIMT
and the ultrasound study of the arteries
really grew from my experience as a clinical researcher,
and in research practice we use this tool oftentimes
to validate our very best therapies,
to find out, do they work, do statins work,
do statins in combination with other medicines work,
what happens when you change somebody's blood pressure,
or they change their lifestyle?
Well CIMT has been a tool long used by the FDA,
as a way to judge whether these therapies
are effective or not.
In studying that and reading about it and applying that,
we began to see that we could use this tool also
in our ordinary practice, with our ordinary patients,
and we could begin to apply
what we've learned over the last 20, 25 years,
to real risk assessment in real patients.
I think over the last 10 or 15 years,
we've seen nine or 10 big trials,
the ERIC study, the Cardiovascular Health Study,
big studies of thousands of patients,
just monitored over the long term,
to explore whether thickening in the arteries
and even the finding of plaques,
is useful to predict the onset of cardiovascular disease.
The findings, in every case is that,
in fact it is, very useful.
The American Heart Association is actually recommending
that we begin risk assessment and prevention
as early as 20 years old, in the American population,
and we have evidence that cardiovascular disease
can begin even at a much earlier stage.
The PDAY study, in fact, showed that
our fourth and fifth graders have a surprising amount
of plaque disease in their arteries already.

Brightcove ID

5508105575001

https://youtube.com/watch?v=1MUna0U76Mg

The Role of Hand-Carried Ultrasound in Global Health

Read more about The Role of Hand-Carried Ultrasound in Global Health

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Clinical Specialties

Mobile

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(light music)
- Ultrasound, I have no question is the biggest advance
in our specialty ever.
I think a lot of people are excited about ultrasound,
and they see how it's transformed our specialty,
the way we give care, and they see when they go overseas
how ultrasound would be applicable there as well.
An fortunately with the work that Sonosite's doing,
that technology is getting to the point where
it can be used in these settings.
It's battery-operated, it's rugged.
- If you have a pregnant woman and she has
a placenta previa, where the placenta extends
over the opening that the baby's gonna go through,
that woman will die if she give birth
and doesn't have a Cesarean section.
And the only way for you to see that is with ultrasound.
So there's no question that it's life or death
in that situation.
There was a young man who had been hit by a cart
and had bruising over his spleen, but we're four hours
from the nearest hospital, and fortunately,
we were able to look and see there was no blood
in his abdomen, and we made the choice to observe him
overnight, and he did well.
So we would not have had an idea of which way to go
without the ultrasound system that we had available.
- It's a very exciting time to be working in this area.

Brightcove ID

5508123489001

https://youtube.com/watch?v=jmKdcYww2z4

The Real Rehabilitator: Kimberly Harmon, MD and Sonosite Ultrasound

Read more about The Real Rehabilitator: Kimberly Harmon, MD and Sonosite Ultrasound

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The Real Rehabilitator: Kimberly Harmon, MD and Sonosite Ultrasound

Clinical Specialties

Orthopedics

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- [Voiceover] Ultrasound has literally
transformed my practice.
I can get closer to the diagnosis, which is so important
figuring out what treatment you can do
to keep people active, to keep people doing
what they wanna do, it makes me a better doctor,
and patients are better off because of it.
I'm Kimberly Harmon, I'm a Team Physician
at the University of Washington.
I'm also the Director of the Sports Medicine Fellowship here
and so we train people who have finished their Family
Medicine residencies, to be Sports Medicine doctors.
Down in the athletic training room, on practice days
it can be a slower paced environment,
but it also depends what's coming up.
So if there's an important game or competition
that's coming up, the sort of urgency in terms of
getting somebody back to play, definitely increases.
The more information you can have about a situation
makes it easier to put people back in or to hold them,
so for instance if you know if something is fractured,
versus if it's just bruised, that's a different
set of decision making.
The real, sort of difference maker in terms of
it being such an important piece of equipment
was when we had our star player, who went down
and he had a contusion to his quad.
By Tuesday, the week before our game,
he wasn't any better, and in fact it was unsure
whether he could practice that day.
- I didn't know what we're gonna do, honestly, you know.
It was kind of getting to the point where
it didn't look like he was gonna be able to participate
at a very high level, and it was when we were first
sort of testing out the ultrasound,
and first getting used to that technology,
and Doctor Harmon was like, well let's check it out
in the ultrasound, let's see what we can see.
- I put the ultrasound on him, we saw this big hematoma,
this big collection of blood in the middle of his quad,
his thigh muscle, and we were like,
well there's your problem, and so just,
grabbed a needle, and drained about 85 cc.
- And that day he felt 100% better.
He was able to run around without a limp,
he felt fine, you know it was just a matter of
the traditional methods we were using,
we couldn't get that fluid out of there fast enough.
And I don't know if he could've played
if it wasn't for her stepping in and saying,
hey let's try this out, let's try this technology out.
- This was really a difference maker
in terms of getting this player back to play.
I think that it's going to become
an integral part of the way we practice
Musculoskeletal Medicine and Sports Medicine.
It's made a huge impact in my practice, my patients'
satisfaction, left less people out for advanced imaging.
- [Rob] There's no reason why every university
in the entire country shouldn't have
ultrasound in their training room.
It's affordable, it's extremely useful,
it allows us to do our job better.
I can't imagine going back now.
Having access to diagnostic ultrasound
in the training room for the past two years,
I can't imagine trying to go back to work without one.
- Medicine has maybe gone for more
paternalistic sort of delivery where me
telling you what you have and you saying okay doc,
and going and doing whatever to more of a
partnership in care, and you need to sort of buy-in
to what I'm telling you in terms of
that you're making the correct diagnosis
and you've got the correct treatment plan,
and that you've really got their best interests in mind
and that you move forward with that.
I've never gotten hugged by more patients in all my life.
When people get better, particularly when they're
not expecting to get better, they're really appreciative,
and it's a really good feeling.

Brightcove ID

5508105595001

https://youtube.com/watch?v=8k5xMHAudTg

The Impact of ICG on Readmission - Sonosite

Read more about The Impact of ICG on Readmission - Sonosite

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Heart failure's an enormous problem for medicine and hospitals in general. But especially the emergency department, because we're the first stop for people who are in distress.

Clinical Specialties

EMED

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(soft piano music)
- Heart failure's an enormous problem for
medicine and hospitals in general.
But especially the emergency department,
because we're the first stop for people
who are in distress.
- CMS is decreasing reimbursement.
It's really important for the hospital and
institution to streamline that so that we're
not readmitting, or we're gonna lose money.
- And if you lose money on one of your biggest
admissions to the hospital, you're going to
have a hard time staying open as a hospital.
- So, from a quality of life to a resource
expenditure, there's great impacts.
(soft guitar music)
- I created the idea of a multi-disciplinary
heart failure clinic whereby the physician
could team up with the other healthcare professionals
and try and troubleshoot a lot of problems
at the same time.
So an emergency room physician in a remote facility
has a patient present with a shortness of breath.
He pulls up our acute heart failure order set.
He follows the directions, looking at
impedance cardiography, looking at cardiac index,
cardiac output, vascular resistance,
stroke volume that gives him an immediate
gratification in terms of what he's dealing with.
Is this pulmonary, is this cardiac,
is this fluid overload, and he therefore has
both a diagnostic toolkit as well as a treatment
toolkit in which to initiate therapy.
Whilst heart failure remains still somewhat of
a bedside diagnosis, the BioZ machine was
just a very quick, instantaneous way to be
able to get that information to hand immediately.
- It's very non-invasive, it has no pain involved,
it's very simple, very fast.
- So the patient is either hypotensive or
suddenly short of breath, within five minutes
I can respond, react, and
instigate new treatment strategies.
That is very useful.
- We use it in our outpatient clinics all the time,
and we use it in the hospital as well.
- In a nutshell, the ICG devices are helping
diagnostically, they're helping in the early,
immediate therapeutic intervention.
- It gives you a feeling that you're not just guessing,
you're using scientific knowledge to help you
make a decision on how this treatment should be
used in this patient.
- And one of the attractions of impedance cardiography is
that it parallels the information that we get from
a right heart cath.
- And so when we got this tool, we recognized
very quickly that we weren't gonna have to put
people through all this invasive technology.
- The number of right heart caths we do now
has been reduced by something like 90%.
- Five years ago, everybody with heart failure got admitted.
Now, we can help quantify a little bit more accurately
how bad their heart failure is.
- [Nurse] And it became very clear that
we could usually send the patient home
within 24 to 36 hours, and patients love that.
- So that in itself, and decreasing our
readmission rates has benefited the hospital in a great way.
- The big picture is to keep them out of the hospital,
keep their standard of living high quality.
- At St. John's, we've just got the lowest
30 day readmission rate out of 127 hospitals in Illinois.
- With Dr. Jennison and with our heart failure team,
it is amazing to see what one person with
a burning passion can do, and how somebody
who is part of a private group can influence
the care of an entire community of physicians
by setting up a team of folks that are
hospital-based, not physician based.
- It's affected our reputation in a great way.
It's basically shown us that we can strive to
be one of the best programs in the nation.
(soft guitar music)

Brightcove ID

5508134302001

https://youtube.com/watch?v=vqXS2tB2IiY

That's Quite a Thrill - Critical Care, Sonosite Ultrasound

Read more about That's Quite a Thrill - Critical Care, Sonosite Ultrasound

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(calming guitar music) (ambulance siren)
- Sometimes it's overwhelming.
Some days we have, patients sick everywhere,
you have to prioritize who's the sickest.
Your way of seeing life is different,
when you have a 30 year-old, 20 year-old guy
that dies almost into your hands.
You know, when you take your car and you go back home,
you know I have the same way of looking at
what you're doing or looking at your kids or family.
Dealing with the patients and their families,
you see them happy,
you have to pronounce people dead, tell their family.
Young people, old people,
you have to live with them these moments that are unique.
And the arrival of bedside ultrasound in the ICU
or any acute care environment is a revolution,
but when you're at the bedside,
you want to have an answer to a specific question.
So you need to have something that will help you
go a bit further.
We image the patient and we see something
or we don't see it,
but when you find it, that's quite a thrill.
(ambulance siren) (calming guitar music)
So this 44 year-old guy was in the emergency room,
has a big heart attack.
He has three other sick vessels,
so they send this patient for emergency bypass,
he has four of them,
he gets better in the recovery room.
He goes to the ICU, is doing okay initially.
And then a few hours after,
he started having problem with his breathing,
short of breath, oxygen level going down.
Down, down, down.
So, we tried to stabilize him,
you cannot move the patient while
they are on this high frequency ventilation.
So I did a bedside ultrasound on him of his heart.
- At one point he just said to me,
"Has he been on a drip recently?"
- So because he has clots in the arteries of his lungs,
the blood cannot go there easily,
and the oxygen level is low.
The treatment is very different than what we were doing.
So we had the suspicion of that with the bedside ultrasound,
sent him for the test, found that he had that,
and completely changed his therapeutics.
Four or five days after, he was off of the ventilator.
He was extubated, talking to us.
This guy has five kids, a very charming wife.
- That's when I just went back
to the hospital for a monthly blood test.
The nurse said,
"You're lucky you have Dr. Beaulieu as a doctor."
I said, "You don't have to tell me that."
- When I saw him two, three weeks ago in my office,
he was coming back from Cuba, scuba diving,
and I saw him, have that, when you meet with this guy
in the outpatient clinic, you're like...
That's worth it.
(uplifting guitar music)

Brightcove ID

5508123502001

https://youtube.com/watch?v=mt4aPITsuIM

Sports Medicine and Hand-Carried Ultrasound - Sonosite

Read more about Sports Medicine and Hand-Carried Ultrasound - Sonosite

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Clinical Specialties

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- The major benefit of ultrasound
as compared to other imaging modalities
is the fact that ultrasound is inexpensive,
it's quick, it's easy, it's efficient and effective,
and it's portable.
So I can take it with me to Sac State
where I'm medical director, use it on the field
with my athletes right then and there.
We get immediate answers if the patient has
a muscle strain or some partial tear
or something going on that we wouldn't have diagnosed
without an MRI, so we can get an immediate response
and immediately decide what we're gonna do
with that patient and treat them appropriately.
I think at this point with all the technology
we have available, ultrasound should absolutely be
in the hands of every orthopedic surgeon.
It's something that can benefit
the patient and the physician.

Brightcove ID

5508117938001

https://youtube.com/watch?v=GwwdjIRtsh0

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S Series: Screen Layout

S Series: Screen Layout

S Series: Performing an Ultrasound Exam

S Series: Performing an Ultrasound Exam

S Series: Image Review and Export

S Series: Image Review and Export

Working With Sonosite - Dr. Bryan Pogue Part 5

Working With Sonosite - Dr. Bryan Pogue Part 5

What Evidence Supports CIMT? - Dr. Bryan Pogue Part 2

What Evidence Supports CIMT? - Dr. Bryan Pogue Part 2

The Role of Hand-Carried Ultrasound in Global Health

The Role of Hand-Carried Ultrasound in Global Health

The Real Rehabilitator: Kimberly Harmon, MD and Sonosite Ultrasound

The Real Rehabilitator: Kimberly Harmon, MD and Sonosite Ultrasound

The Impact of ICG on Readmission - Sonosite

The Impact of ICG on Readmission - Sonosite

That's Quite a Thrill - Critical Care, Sonosite Ultrasound

That's Quite a Thrill - Critical Care, Sonosite Ultrasound

Sports Medicine and Hand-Carried Ultrasound - Sonosite

Sports Medicine and Hand-Carried Ultrasound - Sonosite

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