Point-of-care gastric sonography offers an objective approach to assessing individual pulmonary aspiration risk before induction of general anaesthesia. This new paper aimed to evaluate the potential impact of routine pre-operative gastric ultrasound on peri-operative management in a cohort of adult patients undergoing elective or emergency surgery at a single centre. For this new podcast, Dr Eimear Keane speaks with the authors about how they did it, and the resultant key messages for clinical practice. Should we all be doing gastric POCUS more?