Fighting COVID-19 together.

Learn how lung ultrasound can make a difference.
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The latest news.

Updated April 2
Shared Best Practices
A series of global protocols, guidelines and quick guides to fight COVID-19
Learn more
New COVID-19 images
See new lung scans from confirmed COVID-19 patients
View now
The Lancet
COVID-19 outbreak: less stethoscope, more ultrasound
Read the article
Ultrasound Leadership Academy
Free lung module videos from ULA
View videos
ACEP Now
COVID-19 for the Emergency Physicians: What you need to know
Read the article
Cleaning and disinfection
Chemically compatible cleaning and disinfection products for your iQ
See the list
Lessons from the Front Lines:
A Global Perspective
April 2, 2020 at 5pm EST
Dr. John Martin
United States
Dr. Jonny Wilkinson
United Kingdom
Dr. Penelope Lema
United States
Dr. Cian McDermott
Ireland
Dr. Adam Thomas
Canada
Dr. Katarzyna (Kasia) Hampton
Germany
Dr. Emanuele Pivetta
Italy
Fighting COVID-19 Together
Dr. John Martin
Dr. Yale Tung Chen
COVID-19 Patient
Dr. Mike Stone
Rick Mendez

COVID-19 resources.

COVID-19 gallery

Compare images between a normal lung and those from suspected or confirmed COVID-19 cases.

Learn more

Publications

Review publications written about lung ultrasound for COVID-19 patients.

Review now

Shared best practices

A series of global protocols, guidelines and quick guides submitted by practitioners on the COVID-19 front lines.

Learn more

Training

Learn how to use the Butterfly iQ to perform lung ultrasound using our library of educational videos.

See videos

Cleaning and disinfectants

Review the list of cleaners and disinfectants for your iQ along with a short video demonstrating how to cover your iQ and phone.

See the list

Role of POCUS

Learn how lung ultrasound plays a valuable role for COVID-19 patient management in multiple specialties.

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COVID-19 gallery

Lung ultrasound findings in COVID-19 patients.

Early literature suggests that patients with confirmed COVID-19 pneumonia demonstrate typical lung imaging features with pulmonary ground-glass or ground-glass/consolidation lesions that are peripherally-located, bilateral, and favor the lower lungs. These patients demonstrated:

  • Focal B-lines and fused B-lines
  • Discontinuous, rough appearance to the pleural line, with subpleural consolidation
  • Foci of disease located predominantly in the posterior lung fields, particularly in the lower lung fields
Normal Lung
COVID-19 Lung Findings
Example 1
COVID-19 Lung Findings
Example 2
COVID-19 Lung Findings
Skip Lesion
COVID-19 Lung Findings
Consolidation
Shared Best Practices

A series of global protocols, guidelines and quick guides submitted by practitioners on the front lines to promote discussion and refine best practices for prevention during
the COVID-19 pandemic.

Handbook
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Shared online in association with Alibaba, this handbook details the experience at The First Affiliated Hospital, Zhejiang University School of Medicine China during the first 2 months on the COVID frontlines.
Clinical Guidelines
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Shared by Brigham and Women's Hospital in Massachusetts, these guidelines are continually updated to reflect their to-the-minute experience.
Poster
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Shared by The University of Arizona, this checklist is designed to flag and triage potentially positive COVID patients at the time of initial presentation.
Therapeutic Algorithm
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Shared by the University of Barcelona, this algorithm describes an experience with the role of imaging and therapy in the progression of disease severity and time.
Flowchart
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Shared by partners in Italy, this flowchart indicates the workflow of pre-triage, COVID suspect and COVID positive patients currently in place in their institution.
Recommendations
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Shared by the China Critical Ultrasound Research Group and translated by our friends at Thomas Jefferson University, this document is a comprehensive first-edition of findings in the role of ultrasound in COVID-19
Role of POCUS

There are a number of possible situations where handheld lung ultrasound could play a valuable role, aiding in the detection of imaging features typical of patients presenting with suspected/confirmed COVID-19 and also in the ongoing management of care.

COVID-19 Lung Ultrasound Triage

Dr. Mike Stone, MD
Emergency Medicine

POCUS is an initial imaging modality for patients presenting in the emergency department suspected of COVID-19 infection and pulmonary involvement. This reduces dependencies on CT and improves the ability to risk stratify while maintaining isolation protocols.

Primary care

Handheld ultrasound systems can be utilized in primary care, urgent care, skilled nursing and home settings, decreasing the need for patients to be transported to a hospital or imaging center. This will reduce risk of additional exposure to healthcare staff and will increase the availability of hospital resources necessary to care for the most ill patients.

Critical care

Monitoring of hospitalized patients, including ICU patients, can be done at the bedside, with a dedicated handheld ultrasound system that remains with the patient through their hospitalization, eliminating the risk of patient-to-patient nosocomial transmission via ultrasound systems.

Telemedicine

Systematic integration of portable ultrasound imaging in the community and leveraging telemedicine guidance when necessary, could facilitate early detection of imaging features typical of COVID-19, informing clinicians’ decisions around isolation and quarantine of early/asymptomatic cases.

Publications
Journal Article
COVID-19 outbreak: less stethoscope, more ultrasound
The Lancet
Journal Article
Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARD-CoV-1
The New England Journal of Medicine
Journal Article
Findings of lung ultrasonography of novel corona virus pneumonia during the 2019–2020 epidemic.
Intensive Care Medicine
Research Letter
Characteristics and Outcomes of 21 Critically Ill
Patients With COVID-19 in Washington State
Letter to the Editor
Can Lung US Help Critical Care Clinicians in the Early Diagnosis of Novel Coronavirus (COVID-19) Pneumonia?
RSNA
Protocols
A Seattle Intensivist’s One-Pager on COVID-19
By Dr. Nick Mark
Protocols
COVID ICU Protocols
By Dr. Bryan Reidy
Note: The proposed protocol below is based on expert suggestion but has yet to be validated by prospective trials.
Case Study
A Preliminary Study on the Ultrasonic Manifestations of Peripulmonary Lesions of Non-Critical Novel Coronavirus Pneumonia (COVID-19).
Case Study
POCUS in COVID-19: Ultrasound Gel Podcast
By Dr. Mike Mallin, Dr. Michael Prats and Dr. Jacob Avila
Podcast
Managing Suspected COVID-19 Patients
By Dr. Mike Stone, Dr. Micheal Prats, Dr. Mike Mallin and Dr. Jacob Avila
Cleaning and disinfection
Dr. Mike Stone using a standard sheath to cover the iQ and a phone.

This and other videos are offered for demonstration only - always follow your institutions’ protocols for proper use of PPE and cleaning and disinfection protocols.
Training

The Butterfly Education platform allows you to view hundreds of educational videos taught by experts and categorized by application. We’ve shared two examples below that are focused on how to use the iQ for lung scanning.

See more videos
Basic scanning technique.

Learn the basic technique on how to evaluate the lung surface for sliding and artifacts using your Butterfly iQ.

Optimizing your lung image.

How to optimize the imaging plane to ensure you’re evaluating the lung surface from a perpendicular angle.

Learning resources

Visit our Butterfly Education platform.

Learn the basic technique on how to evaluate the lung surface for sliding and artifacts using your Butterfly iQ.

See more videos
On-Demand Webinar

Lessons from the Front Line:
A Global Perspective

Dr. John Martin leads a discussion with a diverse panel of clinicians serving at the front lines of COVID-19. The roundtable discussion will feature unique perspectives on patient management and risk stratification from a global perspective.

Dr. John Martin
CMO, Butterfly Network Inc.
Rick Mendez
Head of Clinical Development,
Butterfly Network Inc.
Mike Stone
Emergency Physician and Head of Education,
Butterfly Network Inc.
Dr. Yale Tung Chen
Emergency Medicine Hospital Universitario La Paz.

Practicing physician with COVID-19 using ultrasound to monitor his condition.
Join the Webinar

Fighting COVID-19 Together

Featuring Dr. John Martin (Chief Medical Officer), Rick Mendez (Head of Clinical Development), Dr. Mike Stone (Head of Education) and special guest, Dr. Yale Tung Chen, a practicing physician with COVID-19 using ultrasound to monitor his condition.

Dr. John Martin
CMO, Butterfly Network Inc.
Rick Mendez
Head of Clinical Development,
Butterfly Network Inc.
Mike Stone
Emergency Physician and Head of Education,
Butterfly Network Inc.
Dr. Yale Tung Chen
Emergency Medicine Hospital Universitario La Paz.

Practicing physician with COVID-19 using ultrasound to monitor his condition.
Watch Now

Stay connected.

Get involved.

We are working behind the scenes to help support front-line clinicians on managing patients with confirmed or suspected COVID-19. Join our community that is working together to share de-identified image of positive cases, care delivery protocols and other creative ideas to manage this public health pandemic.

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