The Mount Sinai Divisions of EMS and Ultrasound were proud to work with the New York City Fire Department Rescue Medics on a prehospital ultrasound training session. Kevin Chason and Bret Nelson were accompanied by Ultrasound Division membe…
Our annual ultrasound CME conference held on March 7 was a great success! Faculty, fellows and PAs from a number of institutions took part in our seventh annual conference. Topics included ultrasound for airway, breathing, circulation, disa…
On March 7, 2011 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 plen…
The literature for using ultrasound guidance in placing a central venous line is robust. There are many articles espousing the benefits of ultrasound guidance: reduced number of attempts, reduced complication rate, increased first pass succ…
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…
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…
While an uncommon condition, a leaking abdominal aortic aneurysm (AAA) is deadly if not recognized quickly. How good is the physical examination for excluding AAA? Even if the physical exam is specifically directed to look for AAA, the sens…
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…
The ACEP Ultrasound Section hosted its annual Ultrasound Management Course on Monday September 27. This year’s course was organized by director Troy Foster and co-directors Rajesh Geria and Bret Nelson. Special thanks goes out to Vive…
On September 28 Dr. Suzanne Bentley presented the abstract: Ultrasound evaluation for appendicitis in children: Can we safely reduce CT scan utilization? Bentley S, Nelson BP, Zahn L at ACEP in Las Vegas. Data on using ultrasound as a first…
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…
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…
On August 20-21, King Chulalongkorn Hospital Memorial Hospital was host to the WINFOCUS course: Essential Ultrasound Guided Invasive Procedures in Emergency and Critical Settings Dr. Suthaporn Lumlertgul was the director of this course, hel…
A middle-aged male presented to the ED with 2 weeks history of increasing exertional dyspnea. Air entry was reduced clinically. A focused bedside ultrasound demonstrated the above findings. What artifact is missing?
The first and most important step in paracentesis is confirming there is ascites to begin with! Physical examination findings can be misleading, and inserting a needle blindly into the abdomen can cause complications unnecessarily. Note the…