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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:

ACEP Policy Statement on Emergency Ultrasound by External Entities

Approved by the ACEP Board of Directors, June 2014

The American College of Emergency Physicians (ACEP) believes that certification by non-emergency medicine external bodies, organizations, societies or other medical specialties or upon short course completion is inadequate to demonstrate comprehensive training, knowledge, and skill in the practice of emergency ultrasound.

Emergency ultrasound comprises a set of focused applications utilized to diagnose life-threatening conditions, guide invasive procedures, and treat emergency medical conditions. Both residency-based and practice-based pathways exist for emergency physicians to demonstrate competency in emergency ultrasound as detailed in the ACEP policy statement, “Emergency Ultrasound Guidelines.”

Any non-emergency medicine external certification process would impede the use of this critical clinical skill and adversely affect patient care.

ACEP strongly opposes the use of any non-emergency medicine external certification process to validate competency in the use of emergency ultrasound. Furthermore, any such process should not be utilized as a requirement for hospital privileges or credentialing, nor for reimbursement by accountable care organizations (ACOs), managed care organizations (MCOs), the Centers for Medicare and Medicaid Services (CMS) or other third-party payers.

Hertz so Good – Sonogames 2014

Congratulation, Raashee, Jeremy and George,

Sinai’s team “Hertz so Good” finally made it past the first round, finishing seventh out of thirty-six teams!!

Sinai Sonogames

For the past two years, Boston University has taken home the Sonocup.  This year we are dedicated to at least coming a little bit closer to bringing the cup home. Hertz so Good, our sonoteam, is George Lim, Raashee Kedia and Jeremy Faust.  Indomitable.

Except in Round one of our Mock Sonogames, where the Sonoteam answered fewer multiple choice questions correctly than the three teams that tied for first: the Endocavitary Probes, The Spice Girls and R2D2.

Round 2 brought us to the 8th floor conference room, where Amy Sanghvi, Dan Lakoff, Liz Dei Rossi, Tish Harper and Raashee Kedia had set up four hands on challenge stations.

George Lim dominating Dan Lakoff in Beat the Expert.

2014 05 07 10.38.18 Sinai Sonogames

Aldo Gutierrez with some pericompetition in-line vascular access teaching for Jeremy Kim.2014 05 07 10.38.31 Sinai Sonogames

Head to Head Blinded team v-scanning  by Brendan Milliner (i think)2014 05 07 10.39.08 Sinai Sonogames

After Round 2 the Spice Girls jumped out to a big lead with 42 points.  But the head to head competition favored the prepared.  The Sono Team, who memorized the five articles distributed for the national sonogames competition, rocketed past all adversaries to win the grand prize of a dinner in Dallas.

Congratulations Raashee, George and @jeremyfaust.  Now bring home the cup.

CME-Jim-group

2014 Emergency and Critical Care Ultrasound CME Course

The Mount Sinai Department of Emergency Medicine hosted its annual ultrasound CME conference on April 25. Faculty, fellows, nurses and PAs from a number of institutions and specialties took part in our tenth annual course.

The course was directed by Bret Nelson, MD who introduced ultrasound physics and machine controls, followed by lectures on assessment of  airway and breathing (Jim Tsung, MD, MPH), cardiovascular ultrasound (Jennifer Huang, DO), trauma evaluation (Phil Andrus, MD) and procedure guidance (Amy Sanghvi, MD).

After lunch an intensive hands-on session with live models, task simulators and sim cases rounded out the experience.

Is it time?

DraftCard Is it time?

Every year in December my ARDMS renewal would arrive.  It was only $75 to renew, so I did.  My enthusiasm for this badge steadily declined from the early heady days after taking the Edelman course (which I thought was awesome).  But this year, I burned my card.  Resa Lewiss and Mike Stone have a great “clinical controversies” editorial in this month’s Annals of Emergency Medicine.

You should read it… and then burn your card.*

Screen Shot 2014 04 25 at 11.46.54 AM Is it time?

 

* unless you are Bret Nelson MD RDMS FACEP and you’ve embroidered RDMS on all of your custom white coats.