Blog

E-point Septal Separation in the Patient with Congestive Heart Failure

Perhaps never explained so clearly, Cisewki and Alerhand’s article on EPSS is a wonderful read. Bottom line to remember: EPSS > 7 mm was 87% sensitive and 75% specific at identifying reduced EF (<50%).  This is the cutoff generally used to point to an abnormal EF (but isn’t it all about stroke volume, really?)Read more

Point-of-care ultrasound diagnosis of intravascular air after lower extremity intraossesous access

http://sinaiem.org/wp-content/uploads/2016/09/Video2.mp4 When you come across peripheral intravascular air, take steps to minimize further entrainment of air and migration of air to the heart and lungs.Read more

ASE President supports Point of Care Ultrasound

There is no denying that if I were to suffer a sudden hemodynamic collapse and would wind up in an emergency department, I would want it to be one in which the emergency physicians were fully trained in POCUS (point of care ultrasound) and knew how to apply it to patient care. – Susan Weigers,Read more

Arntfield on TEE

We miss having Rob in NYC, but he has certainly hasn’t been slacking off in the depths of Ontarian Polar Vortices.  Here’s the latest from London on Arntfield’s ED TEE protocol.Read more

Owyang and Meyers Fluid Responsiveness

Owyang and Meyers sounds like a great east village restaurant (critics rave “you just have to get the foie and cheetos”).  Instead, they’ve published a great systematic review of fluids responsiveness assessment with TTE and passive leg raise in the latest issue of the annals of em.    Read more

ACEP Resolution 27

Resolution 27     Reimbursement for Ultrasound Performed by Emergency Physicians (as amended) RESOLVED, That ACEP develop a statement declaring that insurance companies and other payers reimburse emergency physicians for ultrasound studies and services that they perform and interpret as separate and identifiable procedures while providing patient care services in the Emergency Department; and beRead more

Tip of the hat to Dr. Blaivas who forwarded the link to this free OB GYN ultrasound ebook. The book is a PDF download.  The authors also maintain a fairly extensive YouTube Channel that is worth a look. PhilRead more

ACEP Policy Statement on Emergency Ultrasound by External Entities

Approved by the ACEP Board of Directors, June 2014 The American College of Emergency Physicians (ACEP) believes that certification by non-emergency medicine external bodies, organizations, societies or other medical specialties or upon short course completion is inadequate to demonstrate comprehensive training, knowledge, and skill in the practice of emergency ultrasound. Emergency ultrasound comprises a set of focused applicationsRead more

Hertz so Good – Sonogames 2014

Congratulation, Raashee, Jeremy and George, Sinai’s team “Hertz so Good” finally made it past the first round, finishing seventh out of thirty-six teams!! Raashee’s In-plane technique George Blind Scanning Jeremy providing remote telesonography guidance Sono charades Find the artifact – didn’t we just do this at the Hurst? Medals Jeremy shows off his medals TheRead more

Sinai Sonogames

For the past two years, Boston University has taken home the Sonocup.  This year we are dedicated to at least coming a little bit closer to bringing the cup home. Hertz so Good, our sonoteam, is George Lim, Raashee Kedia and Jeremy Faust.  Indomitable. Except in Round one of our Mock Sonogames, where the SonoteamRead more