Thanks to Tatiana for an expertly presented ultrasound case of the month.Â She was kind enough to put together this summary.
43y.o. F with pmh of asthma, HTN, recently treated for PNA p/w worsening dyspnea, pleuritic chestÂ pain,Â cough and fever. Found to be tachypnic and tachycardic in the ED. CXR suggesting perihilar PNA. While awaiting chest CTA to r/o PE you perform bedside echo and obtain the following image:
Is there anything abnormal? How does this change your management?
ACEP and SAEM are now united in their support of the revision of ultrasound guidelines published by ACEP in 2008.Â See Dr. Moak’s comments below:
I am pleased to announce that the SAEM Board of Directors has endorsed the 2008 ACEP Ultrasound Guidelines. Â The vote was unanimous. Â This endorsement represents a very strong commitment to our aims as a community of emergency sonographers, and is congruent with our mission as educators and researchers in the field. Â I’d like to highlight the hard work of Dr. Vivek Tayal, the primary editor of the guidelines, and the many others who contributed. Â We are also grateful to Dr. Jeff Kline for his advocacy for this initiative among the membership of the SAEM BOD.
Chair, SAEM Ultrasound Interest Group
Finally- a little recognition! We were named one of the top 50 continuing medical education blogs by Nurse E.D.U.
Although there is no mention that they were listed in any particular order, we will consider ourselves in the top 20 of that list since that’s where we fell.
Today, Nurse E.D.U.
Tomorrrow, The Huffington Post!
The ultrasound division is proud to welcome two research scholars: Dr. Hong Chuen Toh and Dr. Shiang-Hu Ang.
Drs. Shiang-Hu Ang (Ash) and Hong Chuen Toh
Dr Hong Chuen Toh is an Associate Consultant from the Department of Emergency Medicine, Alexandra Hospital, Singapore. He obtained his bachelor degree in medicine and surgery M.B.B.S (Singapore)Â in 2000 and post graduate degree in Accident and Emergency Medicine MRCSEd (A&E) in 2007. He’s a member of the Royal College of Surgeons of Edinburgh, and his main sub-clinical interest is in emergency ultrasound. He has organized many WINFOCUS courses at his home hospital.
Dr. Shiang-Hu Ang (also known as Ash) is from Singapore’s Changi General Hospital Department of Emergency Medicine. He has been tasked to set up an emergency ultrasound service for his department. His interests include emergency ultrasound as well as emergency critical care, and his research interests lie in the ever expanding field of emergency soft-tissue ultrasound. He also manages the website of the Society for Emergency Medicine in Singapore- please check it out!