Featured

Welcome! This is the website for the Mount Sinai Emergency Ultrasound Division. It serves as an information resource for residents, fellows, medical students and others seeking information about point-of-care ultrasound. There is a lot of information here, so please explore the site and send us feedback. To make things easier for new users we’ve condensed some of the highlights here:

ASE President supports Point of Care Ultrasound

There is no denying that if I were to suffer a sudden hemodynamic collapse and would wind up in an emergency department, I would want it to be one in which the emergency physicians were fully trained in POCUS (point of care ultrasound) and knew how to apply it to patient care.

– Susan Weigers, MD, FASE, FACEP

ASE President on POCUS

Thanks to Mike Zwank, MD, RDMS, FACEP at Regions for forwarding this.

Owyang and Meyers Fluid Responsiveness

Passive Leg Raise

Owyang and Meyers sounds like a great east village restaurant (critics rave “you just have to get the foie and cheetos”).  Instead, they’ve published a great systematic review of fluids responsiveness assessment with TTE and passive leg raise in the latest issue of the annals of em.

 

 

ACEP Resolution 27

Resolution 27    

Reimbursement for Ultrasound Performed by Emergency Physicians (as amended)

RESOLVED, That ACEP develop a statement declaring that insurance companies and other payers reimburse emergency physicians for ultrasound studies and services that they perform and interpret as separate and identifiable procedures while providing patient care services in the Emergency Department; and be it further

RESOLVED, That ACEP support efforts to reduce payment denials for appropriately performed and documented clinical ultrasonography.

2015 Peds Ultrasound CME course

Over forty participants joined Sinai faculty Jim Tsung, Ee Tay, Bret Nelson, Joshua Guttman, Jacob Goertz, Turan Saul, Jenny Sanders, Kimberly Kahne, Michelle Vazquez, Joe Sorravit, and Rupi Mudan. Course Directors Ee Tay and Joshua Guttman organized great didactic content and lost of hands-on training (HOT) with pediatric models.

Participants from many pediatric and acute care specialties attended. They left with greater scanning skills, reduced reliance on CT scans, a multi-tool, and one lucky winner received Kaushal Shah’s new junior medical detective book, My Tummy Hurts

Our next hands-on ultrasound course will be in Ponte Vedra, Florida on June 17 at the Clinical Decision Making conference.

Brachial veins

When assessing patients with difficult peripheral venous access it is often helpful to look in the medial upper arm. Here, the brachial artery (A) and veins (V) are predictably located between the biceps and brachialis muscles. The median nerve (N) resides there as well.

NAV-labelsHere’s a plate from Grey’s Anatomy for some perspective:

image413

So how can you tell which is which? Apply pressure slowly and watch for movement.

  1. The veins will collapse
  2. The artery will pulsate
  3. The nerve will do nothing

Brachial vv art median nerve

Giving a great talk

Lots of inspiring speakers at today’s academic retreat. I had ten minutes to give my opinion on how to give a great talk, and referred to a few great books to help:

My opinion? Craft a powerful message and find the best tools at your disposal to convey it. Easy!