Artifacts 5: On the sidelines

This right paracolic gutter image is taken from a patient with significant ascites. Notice how bright the bowel walls are (solid purple arrows). This is because the air in the bowel acts as a strong reflector, and because ascites (being flu…

Artifacts 4 – lung pulse

The “lung pulse” is an ultrasound sign first described by Dr Daniel Lichtenstein in 2003. Essentially, it is the detection of the subtle cardiac pulsation at the periphery of the lung (parietal pleura to be exact) on the M mode. In a no…

Peripheral IV Access

  Introduction: Patients for whom intravenous access is difficult are frequent users of the Emergency Department. When common sites of peripheral access are sclerosed or inaccessible, alternative measures of access include placement of…

WINFOCUS 2010

WINFOCUS held the 6th world congress on Ultrasound in Emergency and Critical Care at the Policlinico Gemelli in Rome, Italy this year.  Sinai was represented by Jim Tsung and Phil Andrus.  The excitement included sessions devoted to devel…

Artifacts 3 – Mirror in the wall

This is a longitudinal view of trachea, the air-mucosa interface just beneath the tracheal wall. What are the structures “A” and “B”? Answers: A – Reverberation artifact from air-mucosal interface B – Mirror imag…

Lutheran Medical Center Course

The Mount Sinai Division of Emergency Ultrasound was proud to visit Lutheran Medical Center today for a critical care ultrasound workshop. Many thanks to Dr. Bonnie Simmons, Chair of Emergency Medicine and Dr. Gloria Tsan, Director of Medic…

Top 3 Articles: Pelvic US

Miscarriage in progress from Sinai EM Ultrasound on Vimeo. Pelvic ultrasound is one of our core US applications. It has been incorporated within many emergency departments and it is a bread and butter skill for the EP. So, how do we fare in…

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