What The Heck 1

This patient presented with right upper quadrant abdominal pain. There was RUQ tenderness on exam, but no fever, rebound or Murphy sign. A point-of-care ultrasound was performed to assess for signs of cholecystitis and the following image w…

Ultrasound Zen

To image something which moves, you must remain still. To image something which is still, you must move. If you think on this long enough, the point is self-evident and requires no explanation. Or, just see some examples below. We are prett…

Physical exam

Is ultrasound the stethoscope of the future? Is it an extension of the physical examination? Will it replace the physical exam? No. Point-of-care ultrasound is a diagnostic test. It is a rapid, bedside, noninvasive, accurate, diagnostic tes…

Ultrasound Awareness Month

As a part of Ultrasound Awareness Month we’d like to let providers of all levels know about membership opportunities with national and international organizations. They offer an enormous amount of information for providers at all leve…

Ultrasound education at MSSM

The Mount Sinai School of Medicine recently welcomed its incoming first-year class in its traditional White Coat Ceremony. In a day filled with inspirational talks by prominent faculty and medical leaders, students don their new white coats…

Ovarian Torsion

Although we tend to suspect torsion only in cases where there is ovarian enlargement, cyst, etc., there are a number of studies that show these are not reliable (sensitive or specific) indicators of torsion. Radiology reports often seem to…

Ultrasound in Hypotension

Many of our lectures reference the same pantheon of literature on ultrasound in the acutely hypotensive patient. For ease of reference here they are, with appropriate links to the original publications: UHP protocol Rose JS et al,  Am J Em…

Lung Ultrasound Guidelines

Congratulations to Sinai’s own Dr. Jim Tsung, who recently coauthored a major evidence-based consensus guideline on point-of-care lung ultrasound. The manuscript is the result of a multi-national effort by pioneering clinician-sonogra…

Left upper quadrant fluid

One common source of confusion or false positives in the FAST exam is the assessment of the left upper quadrant. We’ve already covered some tips on improving your view of the spleen. This post will illustrate how the stomach can mimic…

NYSORA Winter Symposium 2011

Fellows Leila PoSaw and Gene Chan attended the NYSORA (New York School of Regional Anesthesia) Winter Symposium held on December 17-18, 2011 at the Marriott Marquis Hotel on Broadway. In addition to the expected excellent lectures and educa…

XRS- Rib pain

32 year old female with no past medical history presents with cough for two weeks, no fever, no sputum. Multiple sick contacts with same symptoms at work. She acutely presents with left rib pain for several days.  She reports no trauma, an…

Ultrasound Manual 2011

  The Manual of Emergency and Critical Care Ultrasound, 2nd Edition is now available from Cambridge University Press and major booksellers. The book details evidence-based protocols for the use of bedside ultrasound in the acute and cr…

Tips and Tricks: Probe Rotation

Probe Manipulation – Rotation from Sinai EM Ultrasound on Vimeo. How do you obtain that nice long image of the peripheral blood vessel for a longitudinal approach? It is easy to say ‘rotate the probe 90 degrees from the transver…

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