Blog

2016 Critical Ultrasound Course

On December 4th the Department of Emergency Medicine hosted its 11th hands-on ultrasound course at Mount Sinai. Over forty participants practiced critical ultrasound skills on live models and simulators, guided by a dozen of our faculty and fellows.  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

2015 Peds Ultrasound CME course

Over forty participants joined Sinai faculty Jim Tsung, Ee Tay, Bret Nelson, Joshua Guttman, Jacob Goertz, Turan Saul, Jenny Sanders, Kimberly Kahne, Michelle Vazquez, Joe Sorravit, and Rupi Mudan. Course Directors Ee Tay and Joshua Guttman organized great didactic content and lost of hands-on training (HOT) with pediatric models. Participants from many pediatric and acuteRead more

Brachial veins

When assessing patients with difficult peripheral venous access it is often helpful to look in the medial upper arm. Here, the brachial artery (A) and veins (V) are predictably located between the biceps and brachialis muscles. The median nerve (N) resides there as well. Here’s a plate from Grey’s Anatomy for some perspective: So howRead more

Giving a great talk

Lots of inspiring speakers at today’s academic retreat. I had ten minutes to give my opinion on how to give a great talk, and referred to a few great books to help: My opinion? Craft a powerful message and find the best tools at your disposal to convey it. Easy!Read more

Improving left upper quadrant view

Many clinicians are challenged when evaluating patients for perisplenic fluid as part of the FAST or RUSH examination. Here are some common problems and how to fix them. Fix probe location Make sure you are holding the probe in a longitudinal view, probe marker towards the patient’s head. Place the probe just above the costal margin,Read more