Apical views can be tricky! Here's a tip:

We are always taught to look between the ribs, but for apical views the ultrasound beam often passes through the overlying rib, potentially resulting in a poor or absent image.

Instead, try "riding the rib." Rest the probe on the lower rib while looking up through the space. This helps avoid the rib above and get a clearer view. #Scanuary #echotips