On March 22, 2012 the Division of Emergency Ultrasound will host its annual hands-on CME course at Mount Sinai. Targeted at clinicians in emergency and critical care settings, the course consists of presentations by national faculty and ple…
One of the major indications for bedside cardiac ultrasound is the detection of pericardial effusion and its extreme form, cardiac tamponade. You may remember that Beck’s Triad (hypotension, jugular venous distension, and muffled or d…
We’ve all seen ultrasound augment the physical examination and even allow for assessments we could not otherwise accomplish at the bedside. One great example is the use of ultrasound to check the pupillary light reflex. If you are won…
For some reason, most clinicians seem to grasp x-ray and CT scan imaging reasonably well. Denser structures are white, less dense are black, water dense structures are grey. Thus, when novice ultrasound users attempt to discern images creat…
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…
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. Â She reports no trauma, an…
Here’s a quick case. Patient presents with urinary retention, Foley catheter placed, blood-tinged urine output. Initially the patient experiences great relief but gradually develops suprapubic discomfort again. Questions: What’s…
The ACEP Ultrasound Section hosted its annual Ultrasound Management Course on Friday October 14. This year’s course was organized by directors Vivek Tayal and Troy Foster and co-directors Rajesh Geria and Bret Nelson. Special thanks t…
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…
Hippocrates, Galen, and a host of classical physicians wrote extensively on the spleen and its maladies. As I’m sure you recall, the spleen is tasked with the metabolism of black bile. Failure of the spleen to clear this fluid leads t…
In case your department doesn’t have the funds to get you a new ultrasound machine on a regular basis, don’t despair. The ultrasound machine on the International Space Station has just been swapped out with a newer model, after…
Here are the references and brief overview of Bret Nelson’s talk at the 2011 ACEM conference in Bangkok, Thailand on July 5. The Focused Assessment with Sonography in Trauma (FAST) was first described decades ago and hundred of citat…
Once again our annual ultrasound course in Ponte Vedra was a great success! Participants got an early start on the Clinical Decision Making in Emergency Medicine symposium by honing their ultrasound skills at our pre-conference course. Nati…
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…
For those of you waiting with bated breath: The Polish language translation of the Manual of Emergency and Critical Care Ultrasound is now available! The book (by Vicki Noble, Bret Nelson, and Nicholas Sutingco) is now available in English,…
