We read with great interest the study by Levine et al, which used commercially available video chat software (Apple FaceTime) to facilitate PCUS via live mentorship. Conceptually, it makes a great deal of sense to use readily available video chat software in resource-constrained settings. However, these systems offer limited data encryption, which is a concern when transmitting protected patient information. Using this software to perform PCUS on actual patients would violate the Health Insurance Portability and Accountability Act and would not be allowed in the United States. Certainly, one can see the advantage of using this readily available and ubiquitous technology to teach image acquisition and interpretation using nonpatient volunteers that would not violate personal health information protection laws. On the other hand, one could argue that in a scenario in which a patient’s life is at stake, if transmission of ultrasound images over video chat software can make expert opinion available to the bedside providers and potentially improve outcomes, then perhaps protection of private health information should be a lesser concern. Although this set-up may prove impossible in the United States, by applying this technology in a more global fashion, it may be reasonable to think about allowing some deviation from the norm in the interest of improving quality of care. Another potential challenge is that video chat software also requires a reliable wireless Internet or cellular connection, which can be difficult to find in resource-limited settings, especially in the developing world.