Welcome to the Emergency Ultrasound Division website! There is a lot of information here, so please explore the site and send us your feedback. To make things easier for new users we’ve condensed some of the highlights here:

• Tutorials on the FAST exam, cardiac ultrasound, obstetrics, pneumothorax assessment, etc. as well as how to use the S-Cath and M-Turbo ultrasound machines.
• Information on our ultrasound division Faculty
• Ultrasound CME course information
• Selected faculty Publications
• Information about the ultrasound Rotation and Manual

References

FAST/eFAST

• Heron MP, Hoyert DL, Murphy SL, Xu JQ, Kochanek KD, Tejada-Vera B. Deaths: Final data for 2006. National vital statistics reports; vol 57 no 14. Hyattsville, MD: National Center for Health Statistics. 2009.
• Scalea TM, Rodriguez A, Chiu WC, Brenneman FD, Fallon WF Jr, Kato K, McKenney MG, Nerlich ML, Ochsner MG, Yoshii H. Focused Assessment with Sonography for Trauma (FAST): results from an international consensus conference. J Trauma,1999;46:466-72. Price D, Simon BC, Park RS. Evolution of emergency ultrasound. California J Emerg Med.2003;4:82-88.
• Kirkpatrick AW, Sirois M, Laupland KB, Liu D, Rowan K, Ball CG, Hameed SM, Brown R, Simons R, Dulchavsky SA, Hamiilton DR, Nicolaou S. Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST). J Trauma,2004;57:288-95.
• Lichtenstein D, Meziere G, Lascols N, Biderman P, Courret JP, Gepner A, Goldstein I, Tenoudji-Cohen M. Ultrasound diagnosis of occult pneumothorax. Crit Care Med,2005;33:1231-8.
• Ma OJ, Mateer JR, Ogata M, Kefer MP, Wittmann D, Aprahamian C. Prospective analysis of a rapid trauma ultrasound examination performed by emergency physicians. J Trauma,1995;38:879-85.
• Rozycki GS, Ochsner MG, Schmidt JA, Frankel HL, Davis TP, Wang D, Champion HR. A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment. J Trauma,1995;39:492-500.
• Ma OJ, Mateer JR. Trauma ultrasound examination versus chest radiography in the detection of hemothorax. Ann Emerg Med, 1997;29:312-6.
• Abrams BJ, Sukumvanich P, Seibel R, Moscati R, Jehle D. Ultrasound for the detection of intraperitoneal fluid: the role of Trendelenburg positioning. Am J Emerg Med,1999;17:117-20.
• Reardon R, Ultrasound in Trauma – The FAST Exam. In sonoguide. Retrieved 3/1/2010, from http://sonoguide.com/FAST.html.
• V. Noble, B. Nelson and A.N. Sutingco, Focused Assessment with Sonography in Trauma (FAST): Manual of emergency and critical care ultrasound (1st edn), Cambridge University Press, New York (2007).

Ocular Ultrasound

• T Soldatos, K Chatzimichail, M Papathanasiou, et al. Optic nerve sonography: a new window for the non-invasive evaluation of intracranial pressure in brain injury. Emerg Med J 2009 26: 630-634.
• Kevin R. Roth, Gregory Gafni-Pappas, Unique Method of Ocular Ultrasound Using Transparent Dressings, The Journal of Emergency Medicine, In Press, Corrected Proof, Available online 25 January 2010, ISSN 0736-4679, DOI: 10.1016/j.jemermed.2009.10.020.
• Tayal VS, Neulander M, Norton HJ, Foster T, Saunders T, Blaivas M, Emergency Department Sonographic Measurement of Optic Nerve Sheath Diameter to Detect Findings of Increased Intracranial Pressure in Adult Head Injury Patients, Annals of Emergency Medicine, Volume 49, Issue 4, April 2007, Pages 508-514.
• Blaivas M, Theodoro D, Sierzenski P. Elevated intracranial pressure detected by bedside emergency ultrasonography of the optic nerve sheath. Acad Emer Med.2003;10:376-381.
• Blaivas M. Bedside emergency department ultrasonography in the evaluation of ocular pathology. Acad Emerg Med.2000;7:947-950.
• V. Noble, B. Nelson and A.N. Sutingco, Ocular ultrasound: Manual of emergency and critical care ultrasound (1st edn), Cambridge University Press, New York (2007).

Images

• Personal Collection
• sonoguide.com
• trauma.org
• flickr.com
• Visible Human Project

Contact

Phillip Andrus, MD, FACEP
Department of Emergency Medicine
Division of Emergency Critical Care
Division of Emergency Ultrasound
1 Gustave L. Levy Place
New York, NY 10024

email: phillip.andrus@mssm.edu

Is finally here, see you this Monday.  We have a great program put together with lectures by great speakers on topics you need to hear.  The morning of interactive lectures is followed by an afternoon of hands on practice on live models.  Some quick links:   Introduction Faculty Schedule

What’s wrong with this picture?

Hint:

Ultrasound probes cost a little more than gel or TranSeptic spray

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This month we looked at 2 articles on ultrasound guided regional anesthesia.  To do so, Makini and I started from Elmhurst conference where she had presented the ultrasound case of the month on brachial artery peak velocity variation to predict fluid responsiveness.  While trying to find a spot we could sit and talk we considered La Fusta and Jackson diner.  They didn’t ring true as the place for ultrasound journal club.  So we got on the E train heading west and made a switch to the 6 heading toward Sinai.  Unsure of our destination, we got off at 85th street, still unsure of our destination.  Makini was calm, I started to sweat – where could we go.  To make things worse, Makini had eaten a full share of her conference pizza and yet was still hankering for real food – more than just a coffee.   Mindful of maintaining my waif like figure, I was not at all interested in a second lunch.  What a dilemma!  I pulled out Urban Daddy on my iPhone and hoped for the perfect match, but it’s suggestion was Tevere 84 Italian Glatt Kosher Restaurant.  Part of me liked this thought, the idea of carciofi alla judea took me back to my youth in Rome, but I snapped back to reality — If I couldn’t keep my model like figure, how would I compete with our younger attendings who regularly solicited by modeling agencies.  Lost, though not caught between good and evil on an island, we turned left toward Fifth and stumbled into Cafe Sabarsky.  The perfect fit.  After a once over by the doorman, we were allowed to enter.  Makini ordered the apfelstrudel, I abandoned my fantasy of a healthy BMI and ordered the sachertorte (mit schlag of course).

And ultrasound journal club began in earnest…

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Bret Nelson returned to Singapore this month to join the faculty for a WINFOCUS introductory ultrasound course. Over fifty registrants from all over Singapore were in attendance, representing emergency medicine, critical care, surgery, internal medicine, anesthesia, and nephrology. Many thanks to Dr. Francis Lee, course director as well as Dr. Toh Hong Chuen who organized many of the course logistics.

More pics of the conference and Singapore after the break!

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