Point-of-care ultrasound systems are now a ubiquitous sight in UK hospitals, with applications across virtually every discipline from anaesthesia to palliative care. Despite this, training in ultrasound use occurs on an ad hoc basis in many specialties, and is not a component of the formal curriculum for general medical students. Dr Rip Gangahar, Trauma Lead for the Pennine Acute Hospitals NHS Trust and Chair of the International Federation for Emergency Medicine Ultrasound Group, discusses the past, present and future of ultrasound training for emergency medicine.