EM and Critical Care Ultrasound Calendar

This calendar will list the starting dates for all of the major EM and Critical Care Point of Care Ultrasound events. If you are interested in adding your event, please use the “contact us” page.Thanks. [google-calendar-events id=”1″ type=”list” title=””]

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 fluid) only minimally attenuates the incident and reflected ultrasound beam. Thus, a stronger signal is transmitted thus and […]

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 normally ventilating lung, this subtle transmission is present but NOT seen, as it […]

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 a central venous catheter. The paradigm of placing a central line for every patient for whom landmark peripheral techniques fail can result […]

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 development of consensus on point of care ultrasound for: vascular access and thoracic ultrasound.  There was an also […]

Top 3 Articles: Abdominal Aortic Aneurysm

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 sensitivity is still not good enough to rule out its presence (Sensitivity of 29% for AAAs of 3.0 […]

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 image of cricoid cartilage. Reflection at the tissue interfaces occur when there is a difference in acoustic impedance between two tissues. The greater […]

ACEP 2010- Ultrasound Management Course

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 Vivek Tayal for his mentoring, support and guidance! In addition, Marilyn Bromley and Julie Williams were instrumental in putting the […]

ACEP 2010- Ultrasound for pediatric appendicitis

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-line diagnostic modality (instead of CT scan) were discussed, with implications for diagnostic accuracy, radiation exposure, […]

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