Ultrasound Podcast artwork

Ultrasound Podcast

125 episodes - English - Latest episode: over 4 years ago - ★★★★★ - 110 ratings

Making horrible doctors decent and good doctors GREAT at Ultrasound

Science Health & Fitness Medicine
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Episodes

This week we have @RubbleEM and Jacob discussing external certification for #POCUS

January 20, 2020 12:00 - 33.1 MB

This week we hear the podcast Rachel Liu and Jacob recorded at ACEP 2019 to discuss external certification for POCUS as well as how POCUS fellowships will be accredited in the future (Recorded live in the podcasting booth at ACEP 2019 in Denver, Co!)If you want a bigger summary, subscribe to our newsletter HERE.  Learn live: Bendfest20.com and CastleFest2020.com Looking for an extended fellowship? Look no further: ULA

@VTEMSONO and his fabulous Castlefest 2019 talk.

December 26, 2019 17:07 - 66.9 MB

This week we show you the caliber of lecture we have at our yearly Castlefest conference. In this video, Peter Weimersheimer walks us through his best tips and tricks for ultrasound-guided vascular access.If you want to learn more about Castlefest 2020, check out the website: www.castlefest2020.com.  If you want to learn about our online fellowship, Ultrasound Leadership Academy, Click here: http://ultrasoundleadershipacademy.com/academy/ or the all-new Mini fellowship at https://www.ulamini....

@RussUltrasound shares his approach to #POCUS and #pneumonia

December 02, 2019 17:56 - 62.4 MB

This week, Russ Horowitz (PEM physician extraordinaire) talks to us about his approach to the diagnosis of pediatric pneumonia with ultrasound.  We talk about how ultrasound compares to the physical exam, how to use this to help include the parents in the care of their children, how to actually perform the exam, and how to use your ultrasound even if the culture in your hospital is to get XR. Here are the references Russ is referring to in the podcast: https://www.ncbi.nlm.nih.gov/pubmed/2883...

Let’s talk M-mode

November 22, 2019 12:00 - 40.4 MB

M-mode (Motion Mode) is another way the ultrasound machine interprets the sonographic data it receives.  There are multiple applications of M-mode, but one application we should definitely NOT use M-mode is in the evaluation of IVC collapse Check out the podcast for more info! Learn live: Bendfest20.com and CastleFest2020.com Looking for an extended fellowship? Look no further: ULA

A new (and possibly the best) marker for submissive and massive PE?

November 14, 2019 18:34 - 41.3 MB

Recently, Dr. Ben Smith showed me this article, entitled “A Doppler Echocardiographic Pulmonary Flow Marker of Massive or Submassive Acute Pulmonary Embolus”.  It talks some pretty interesting stuff, including showing us a finding that apparently, might be better than all the other echocardiographic findings we have for ruling in and ruling out submissive and massive PE.  It’s called Early Systolic Notching, and it outperformed McConnell’s, the 60/60 sign, and acceleration/deceleration times....

VTE and Nerve Blocks w/ Cian McDermott

October 28, 2019 15:45 - 270 MB Video

I had the opportunity to hang out with Cian McDermott in Dublin for a conference on one of my favorite topics: Venous thromboembolism.  This week, we discuss some salient VTE topics as well as our thoughts on ultrasound-guided nerve blocks.   Registration for Castlefest 2020, our ultrasound conference in Lexington Ky, is live! Click the following link to learn more.  Interested in an online ultrasound fellowship?  Click here to find out more. 

Mike Prats and Jacob Avila talk about their approach to sonographic evaluation of a patient with suspected heart failure.

October 15, 2019 15:59 - 51.9 MB

There is a fair bit of literature out there that touches on the sonographic diagnosis of heart failure in the ED.  Recently I was fortunate enough to speak with Michael Prats regarding our approaches to CHF and Ultrasound. CASTLEFEST 2020 registration is live!  Ultrasound with national experts in beautiful Lexington, Ky.  Check out the website here:  https://www.castlefest2020.com/ Interested in an online ultrasound fellowship?  Check out the Ultrasound Leadership Academy!

RUSH exam update with it’s Inventor: Scott Weingart

September 21, 2019 12:30 - 45.5 MB

The RUSH exam has been around for at least 13 years, and it’s time for a review from one of the innovators who first coined the phrase “Rapid Ultrasound in Shock and Hypotension”.  Scott has the perspective of a resuscitationist who uses ultrasound, and needs this exam to be as efficient as possible. Listen to the podcast to hear his thoughts. Caution: If you’re listening with children, this episode has a bit of strong language. *A couple of clarifications: During the podcast I mentioned that...

Why We Shouldn’t Call Our Ultrasound “Informal”

September 12, 2019 11:17 - 21.1 MB

What we do matters.  Our bedside ultrasound often changes management and saves lives. So why are we calling our scans “informal”? We might not always say that outright, but I frequently hear our residents and staff call a radiology or cardiology performed ultrasound a “formal” scan, implying that what we do is informal.  I have nothing but respect for the vast knowledge and experience that our consultant colleagues bring to the table, but what we do is also “formal”, albeit its usually a limi...

Should We Use Tegaderms for Ultrasound-Guided IV’s?

August 27, 2019 12:12 - 26.5 MB

Over the past year there has been a small bit of controversy regarding the best way to make sure that we aren’t causing iatrogenic infections when placing ultrasound-guided IV’s. To be honest, I took it for granted that tegaderms should be used when we do this potentially life-saving procedure.  Recent posts from ALiEM and EMRAP made me question the utility of these adhesive barriers.  After much research, it turns out that tegaderms are probably perfectly fine to use.  In this podcast, Dalla...

RV enlargement in arrest, and how it’s not always a PE

August 20, 2019 11:53 - 44.3 MB

While preparing for a recent grand rounds lecture, I uncovered something rather interesting: The fact that the RV can enlarge during cardiac arrest independently of the presence of a pulmonary embolism. It turns out that the data showing RV enlargement as a marker of a pulmonary embolism is actually mostly extrapolated from alive patients (in which it has been shown to be a pretty good marker of submassive and massive PE).  There is very minimal data on RV enlargement in arrest in humans, but...

This week we talk with @probeme and @ER_Dr_ummer and discuss best practices for US-guided vascular access and cardiac arrest. Recorded live at #Bendfest19!

August 14, 2019 13:31 - 68 MB

The last day of Bendfest 2019 was bittersweet.  I was a phenomenal day of education, idea exchanges and friendship, but also it was the last day.  In this summary, I sit down with Justin Cook to talk about his top tips for being a master of the ultrasound-guided vascular access, and I give you a sneak peek of Patrick Ockerse’s phenomenal talk on ultrasound in cardiac arrest. Check it out! Check out our other ventures:  www.ultrasoundleadershipacademy.com – Online ultrasound fellowship www.5mi...

Jacob sits down w/ @CreaghB & @SonoMojo to talk about #POCUS in shock and pregnancy

August 07, 2019 12:40 - 18.5 MB

Day 2 of Bendfest 2019 is drifting further in the past, but that doesn’t mean we can’t relive it! In this interview summary, Jacob sits down with Creagh Boulger and Jenn Cotton and they talk about ultrasound in shock and pregnancy.  Here are the salient points:  Creagh Boulger (Ultrasound in Shock) Mnemonics can be helpful, but not every patient needs the same exam every time.   First step for Dr. Boulger: Is it the pump (cardiac contractility) and/or is it the pipes (Preload)? Other things c...

Jacob sits down with @jchristianfox to talk about his journey integrating #POCUS into #Medschool

July 30, 2019 11:56 - 43.4 MB

Dr. Chris Fox is one of the trailblazers in integrating ultrasound into medical school education. This week, I got the opportunity to interview him and hear a bit of his story, get some tips and talk about the 7th Annual World Congress of Ultrasound in Medical Education.  If you want to see a video of the interview, check out our youtube page! Interested in an online ultrasound fellowship?  Check out ultrasoundleadershipacademy.com

Bendfest 2019 Day 1 Summary!

July 22, 2019 09:50 - 38.6 MB

A few weeks ago we had a wonderful time in Bend, Oregon during Bendfest 2019.  We got some mountain biking in, some hiking in, some river floating in and ate some great food!  We wanted to share the choicest pearls from our phenomenal lecturers on some of the topics they covered.  Check out the summary of day 1! Peter Weimersheimer (Cardiac): Find the beating thing first. Use lots of gel, and lot of pressure to get your view. Get your ultrasound beam parallel with the heart. Start your exam w...

Ultrasound Image Review pearls with Patrick Ockerse, MD.

July 17, 2019 09:55 - 31.1 MB

This week, we had the pleasure of sitting down with Patrick Ockerse, MD at Bendfest 2019, a 3 day ultrasound event in Bend, Oregon.  Dr. Ockerse is the ultrasound director at the University of Utah in Salt Lake City, Utah and part of his job is to review ultrasound images performed in his emergency department. Mike was formerly the ultrasound director in Utah and Jacob has a very similar job as the ultrasound director at the University of Kentucky in Lexington, Ky.  This week, we sit down and...

Lateral Water bath technique for evaluation of hand infections with Jenn Cotton!

July 09, 2019 13:51 - 25.1 MB

We love talking about super advanced ultrasound applications, but its important to make sure we understand the basics.  Soft tissue ultrasound probably has a greater effect on patient dispositions and treatment than most of our other ultrasound applications due to the sheer volume of soft tissue infections we see.  I recently (virtually) sat down with Jenn Cotton and discussed a technique she developed with Mike Prats for evaluating hand infections.  If you need a review on how to evaluate so...

Are you holding the probe correctly?

July 02, 2019 12:16 - 24.7 MB

Sometimes we have to get back to our basics and just, make sure we’re holding the probe correctly.  This is especially relevant considering we all have new residents this month (It is July, after all!).  In this podcast, Cian McDermott sits down with Jacob to discuss his tips for how to hold the probe and how to position yourself to get your best images.  Jacob’s favorite tip? Don’t treat the probe like a dirty sock.  Check out the podcast to learn more! Interested in an online ultrasound fel...

Jacob sits down with Srikar Adhikari to talk about #ArtificialIntelligence and #POCUS.

June 17, 2019 17:24 - 31 MB

Is Skynet around the corner? Remember Terminator? That was set in 2029, 10 years away.  Maybe that’s a little dramatic, but AI, artificial intelligence, is already present in daily medicine and we’re starting to see it in point of care ultrasound as well. In this episode Jacob sits down with Srikar Adhikari, man, myth, legend of POCUS and they wax extensionally about AI in point of care ultrasound. Education, feedback, accuracy, and the future of AI in POCUS. Join us and learn something inste...

Current Point of Care Machines

June 10, 2019 10:20 - 52.6 MB

This week Mike and Jacob sit down and talk about their thoughts on current point of care machines, including the cart based machines, the laptop machines, and the tablet/phone ultra-portable machines.  A lot of the discussion right now is regarding Butterfly and its utility in patient care scenarios. If you want more on the comparison between the Butterfly Is and the Philip Lumify machine, check out this podcast we did a few weeks ago.  Also, if you would like to see my review on the new GE V...

@EMSwami on Learning and Utilizing Ultrasound

May 27, 2019 14:36 - 50.4 MB

During Castlefest we had the honor of sitting down with Anand Swaminathan to hear his thoughts on learning and utilizing ultrasound even if you didn’t necessarily learn it in residency. Check it out! If you want to come hang out with us in Bend, Oregon, go to Bendfest19.com.  Want to come free of charge courtesy of G.E.? Email us to tell us why you think you deserve it. Want to participate in a year long online fellowship? Go to Ultrasoundleadershipacademy.com.

Day 4 #Castlefest19

May 17, 2019 10:59 - 39.4 MB

The LAST DAY of Castlefest 2019 was a great one (as were all of the other days). Check out day 4’s summary: Jimmy Fair:  Diastology: Consider approaching diastology as binary; does your patient have elevated left atrial pressure or not? If you want a more in-depth summary, watch: Diastology part 1, Diastology part 2 Cardiac arrest: Concentrate on getting windows during your 10 second pulse check, save clips, then interpret the image during compressions. Unless if you have TEE.  Then just leav...

Day 3 #Castlefest19

May 11, 2019 16:02 - 47.3 MB

Day 3 was nearly a full Mike Stone/Justin Cook day with a little Mike Mallin sprinkled in there.  We did all things nerve blocks and MSK. .Check out the podcast for our in-depth post-day interview with them. Stay tuned for day 4!

Day 2 #CastleFest19

May 08, 2019 16:40 - 40.6 MB

Castlefest 2019 is in full swing!.  Check out the day 2 summary, with guests including Ben Smith, Wilma Chan, Claire Heslop and Lauren Westafer.  If you want more, we’re going to be sending out podcasts the morning after for the next 4 days. Enjoy!  

Day 1 #CastleFest19

May 07, 2019 13:17 - 33.6 MB

We are nearly 1/2 done with #Castlefest19.  Check out the day 1 summary!  If you want more, we’re going to be sending out podcasts the morning after for the next 4 days. Enjoy!

The Best Way to Read Ultrasound Articles with Michael Prats

May 01, 2019 11:15 - 39.4 MB

Ever pondered on the best way to read ultrasound articles and how best to develop your peripheral (i.e., external) brain? This weeks podcast tackles those two questions with special guest Michael Prats of the Ultrasound GEL podcast.  Check it out! We will have tutorials on how to master the pubmed search and get custom email searches sent directly to your email on our YouTube page. If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, email us ([email protected]) ...

How to use ultrasound with other tools to best manage patients (with @kyliebaker888)

April 22, 2019 14:59 - 26.2 MB

This week Jacob sits down in the GE booth with Kylie Baker (@kyliebaker888) at the very last SMACC in Sydney, Australia.  There, they discuss how ultrasound can be used in conjunction with other tools to best help manage your patients at the bedside.  Check it out! This interview is pure audio! If you want to watch a video of the interview, check out our YouTube page. If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, stay tuned at the end of the episode to find out how ...

All Things TAP (Transversus Abdominus Plane) block w/ Arun Nagdev

April 15, 2019 13:13 - 35.2 MB

This week, Jacob discusses all things TAP (Transversus Abdominus Plane) block with Arun Nagdev.  This block has previously been relegated mostly to post-surgical patients, but Arun explains to us why you should consider using this in your patients with certain types of abdominal pain, such as in patients with appendicitis.  Do not adjust your screens…This interview is pure audio! If you want to watch a video of the interview, check out our YouTube page. If you want to come to either Castlefes...

How to best use b-lines

April 01, 2019 15:14 - 124 MB Video

Ever wondered what b-lines are?  How they’re classified? How to use them clinically? Probably the best way to think about them is to remember that they correspond to increased density of the lung, not just increased edema.  Jacob recorded this latest podcast on location in Sydney, Australia while attending the last SMACC conference.  We’d love to hear your thoughts on this new format.  Check it out!If you want to come to either Castlefest 2019 or Bendfest 2019 FOR FREE, stay tuned at the end ...

Pneumothorax approach courtesy of Jacob Avila and ULA.

March 26, 2019 11:06 - 91.5 MB Video

In this weeks video Jacob talks about his approach to the pneumothorax. This video comes straight from the ultrasound leadership academy’s didactic series. If you want to know more, watch now: Come join us in Lexington Ky or Bend Oregon for some in-person ultrasound goodness (www.Castlefest2019.com and www.Bendfest19.com).  Want to come for free?  Send us your best ultrasound case and enter in a competition sponsored by GE for free registration to either conference!

Want to increase the sns of your FAST exam? Try adding the SLOW exam. See how in this weeks podcast, featuring @jordanrupp1 #FOAMed #MedEd

February 18, 2019 16:32 - 80.3 MB Video

You may have heard of the FAST exam, but have you heard of the SLOW exam? The SLOW exam is featured in a 2018 article in Journal of Ultrasound in Medicine and is a systematic approach to finding small amounts of intraperiteoneal free fluid.  A 2014 article (PMID: 25763079) showed the sensitivity of the FAST exam increased from 36.6% to 70.7% when this exam was used! Check it out!Come join us in Lexington Ky or Bend Oregon for some in-person ultrasound goodness (www.Castlefest2019.com and www....

Does US delay pulse checks in cardiac arrest?

January 30, 2019 16:35 - 120 MB Video

We’ve seen a few studies that seem to imply that the use of ultrasound during cardiac arrest is associated with prolonged pulse checks.  This week, Mike and Jacob discuss how to stop not doing it right.  Also, stay tuned at the end of the episode to hear an exciting announcement! Check out the show notes for our summaries on the relevant articles.  More information is also here in this PDF. CastleFest 2019 is just around the corner. If you don’t yet have your tickets, grab those here: castlef...

Lumify Vs Butterfly

January 21, 2019 11:22 - 173 MB Video

We keep getting asked what we think about these too premier handheld ultrasound machines. So we decided to do a little head to head comparison. Mike and Jaco, have a little coffee talk over the two devices and discuss the pros and cons of each.  Come see us at the Castle Come learn in Bend

Ultrasound Signs

January 14, 2019 12:00 - 96.3 MB Video

Recently, I had a twitter conversation with Aidan Baron (@Aidan_Baron) about our favorite names for ultrasound signs that weren’t “official” ultrasound signs.  A few DM’s later we decided to do a podcast on it and had some help from @MaskedPoCUSer, @cianmcdermott, @iceman_ex, @Wilkinsonjonny, @pagethepa and @UCUltrasound.  Check it out! If you want to scan with us live and in person, come to castlefest2019.com!

The FAST exam is often the first ultrasound exam we teach.  But… It is useful?

January 07, 2019 15:02 - 269 MB Video

Check out Mike and Jacob as they discuss how the FAST exam can and should be used in 2019. #FOAMed #Meded Signed up for CastleFest 2019 yet?  If not, what are you waiting for??!? Register at castlefest2019.com today.

BONUS – Wild Health announcement

December 13, 2018 17:05 - 62.8 MB

Matt’s back with an important announcement.  Don’t adjust your screens, this is a bonus AUDIO ONLY episode.

Diastology Part 2

November 26, 2018 15:38 - 201 MB Video

This week we continue our talk on diastology with such engaging topics as which tiebreakers to use when you find your patient in the gray area of diagnosis, when not to use diastology and pygmy elephants.  Additionally, we go through a few real-world examples and watch Jacob struggle with basic math. Castlefest 2019 is just a few months away! And a few months after that is Bendfest 2019! Check them out!

Diastology Part 1

November 19, 2018 15:58 - 79.9 MB Video

Heart failure with preserved ejection fraction is so hot right now.  Also known as diastolic heart failure, this disease is a failure of relaxation rather than the failure of squeeze that we see with systolic heart failure.  This week Jimmy Fair sits down with us to discuss the nuances of this disease.  Check it out!

Top tips for how to be a rockstar on the stage

October 29, 2018 12:54 - 210 MB Video

Last podcast Mike and Jacob gave you their tips on how to be an effective lecturer. This week our mentors (Haney Mallemat, Resa Lewiss, Alyson McGregor, Victoria Brazil, Matt Dawson, and Anand Swaminathan) give us their top tips for how to be a rockstar on the stage. Check it out! Wanna learn from us in person? Well, we have good news. There are 2 conferences coming up, one in Bend, Oregon, and the other in Lexington, Ky. Click the links to learn more!

How to Lecture

October 15, 2018 15:28 - 152 MB Video

We always lecture about ultrasound, but we’ve never lectured on how to lecture about ultrasound.  In our latest episode, Mike Mallin and Jacob Avila discuss the finer points of how to produce a good lecture. Also, stay tuned for our next episode where we get tips from the experts: Haney Mallemat, Anand Swaminathan, Resa Lewiss, Vic Brazil, Ashley Shreeves and Matt Dawson. Wanna learn from us in person?  Well, we have good news.  There are 2 conferences coming up, one in Bend, Oregon, and the ...

MSK ultrasound with Mark Goodman

August 20, 2018 12:03 - 213 MB Video

Looking to do more than put ’em in a splint and give ’em followup? Wanna be a MSK ninja with all the injection aspiration skills of a Jedi? Then you’ve found the podcast to watch. This lecture was recorded at Bendfest 2018, and brings all the joints to the yard. #FOAMed #Bendfest2018 Wanna learn more in person. Bring yo’self to Castlefest

When Tamponade is !TAMPONADE!

July 24, 2018 13:29 - 167 MB Video

Does one of you patients have a pericardial effusion and a pesky low blood pressure. Not sure if its the heart or one of their other 47 medical problems lowering the blood pressure. NEWS FLASH: ultrasound can help. But sometimes reality gets in the way and images don’t look like they often do on podcasts and youtube. This account describes a pericardial effusion and tamponade case, with real images. Warning, they’re not pretty. Some of them are even hard to interpret. In this podcast, Mike an...

Lung ultrasound, from the Queen of lung ultrasound: Vicki Noble.

July 05, 2018 21:15 - 277 MB Video

This talk was recorded live at Castlefest 2018 and doesn’t merely cover the basics of how to perform lung ultrasound, it covers how to actually incorporate it into you daily practice.  Watch this for practical tips for the community doc, the academic doc, and everything in between and around. Also, if you want to hear more of this live, check out Castlefest2019.com

Stellate ganglion block for ventricular storm – save a life with this nerve block.

May 28, 2018 13:39 - 552 MB Video

So you think ultrasound can save a life? You don’t know the half of it. Well, maybe YOU do. But WE sure didn’t know about this NERVE BLOCK, that in one study, improved mortality by like 6 bigillion percent. Insane you say? Impossible? Maybe, you’ll have to watch this to find out. Also, some breaking news!  CastleFest 2019 has launched! #FOAMed #FOAMus #FOAMawesome #google_one_podcast_one_do_one

The EFAST. Lets put the “fun” back into ultrasound fundamentals

May 08, 2018 13:44 - 279 MB Video

The EFAST seems so #basic.  It definitely is, but it’s a fundamental examination we have to make sure we’re doing correctly.  Whenever we revisit this exam we learn new things and remember things we may have forgotten.  This EFAST lecture Jacob gave was recorded live at CastleFest this past year.  Check it out! Want to learn from Jacob and from other people much smarter than him? Come to Bendfest18 this year in beautiful Bend, Oregon!

More REACTS! – Ultrasound the knee!

April 18, 2018 23:36 - 86.2 MB Video

Really? Ultrasound of the knee? Is that even a thing? YES! In fact, it is a thing. And it is a thing that you can learn how to do from 2,000 miles away. On this episode we revisit Jacob’s strange dormitory of MSK demonstration in Kentucky while simultaneously extracting the brain juice out of Mark Goodman live in Bend, Oregon. All while using the remote educational software, REACTS on the Philips Lumify. Want more brain juice? More MSK ultrasound? Check out Bendfest Want to up your ultrasound...

REACTS and Shoulder Ultrasound

April 04, 2018 16:53 - 182 MB Video

What do you do when you just HAVE to scan a shoulder and you can’t remember how? You ask someone 2,000 miles away to walk you through it on live video of course. At least, that’s how we roll at ultrasound podcast. On this episode we demo the sweet new REACTS software Philips has released with their Lumify system. Plus, healthy and fit Val Kilmer makes a triumphant return, posing as Mark Goodman, to teach Jacob how to perform shoulder ultrasound. Wanna learn more from Val about shoulder ultras...

BASIC CARDIAC skills don’t make #youbasic

March 20, 2018 13:01 - 127 MB Video

Need some cardiac refreshers? Looking to up your resus game? Then Ben Smith has the talk for you. Ben dropped this awesome case-based cardiac ultrasound talk for the first time at Cabofest 2018. Don’t be basic bro, learn some echo….. sorry, couldn’t help myself.     If you want to learn in person from Lianne or just looking for more hands on and in-person ultrasound goodness, go to bendfest18.com.

How Kids Are Different

March 08, 2018 14:44 - 425 MB Video

Turns out pediatric ultrasound is more than just wiggly subjects, linear probes, and nervous parents. These little adults can be more complicated than most of us want to admit…. but FEAR NOT, we were recently at Cabofest and recorded this awesome lecture from Canadian Peds Guru Lianne McLean on HOW KIDS ARE DIFFERENT. If you want to learn in person for on Lianne or just looking for more hands on and in-person ultrasound goodness, go to bendfest18.com. #FOAMed

Telescopic PTA with Brooke Hensley and Andrew Liteplo!

February 25, 2018 15:37 - 295 MB Video

This week we deep dive with Brooke Hensley and Andrew Liteplo into a less common and maybe a better way to perform an peritonsillar abscess drainage at the bedside using ultrasound.  Check it out! Also, we’re right around the corner from Castlefest 2018!  Come hang out with us in beautiful Versailles, Kentucky! If Castlefest is too “castle-y” for you, we have a new conference we’re putting together in Bend, Oregon: Bendfest 2018

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