So a couple weeks ago I had the chance to sit in sunny Florida with Jeff Scott (@jsemccm), an ED-intensivist who runs the ED at Jackson South in Miami as well as rounding in the ICU at Jackson Memorial.
His group recently published an awesome article on TCD that pretty much made me realize I have to up my TCD game to the next level.
Here it is (unfortunately walled…)
And here is our discussion:
So there clearly is more to be done with TCD than I have been doing, and maybe it really has a place in the ED. I don’t work first line in the ED so initial stroke patients I only see if they deteriorate, but the idea of visualizing perfusion – or reperfusion – is really interesting.
So if you want to meet Jeff and have him teach you some POCUS TCD, don’t miss H&R2019 which is just around the corner. There aren’t many spots left! Jeff will be running a TCD workshop along with Rob Chen (@ottawaheartrob) which I’m really looking forward to!
Love to hear from anyone pushing the envelope of TCD (or any POCUS application). I believe we are only scratching the surface of what we can do with POCUS, and much study, based on front-line clinicians taking bold strides ahead to see what can be done.
cheers
Philippe
thinking critical care 
Hi Phillipe- very nice to hear this as we are having a basic TCD station at SMACC workshop tomorrow. Suits my confirmation biases beautifully. Quick question….I have been watching ONSD for a few years now, and my impression is that it is pretty sensitive – seems to come up rapidly after seizures or post resus een with a ‘normal’ CT headscan…Have you ever tried to compare it against the MCA-RI to either grade, or estimate duration or nature of intracerebral insult?
Hey Kylie! No my TCD game is not at the level – and device – do to RI. But am getting a new machine thursday so ask me next week!