When you come across peripheral intravascular air, take steps to minimize further entrainment of air and migration of air to the heart and lungs.
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
Thanks to Mike Zwank, MD, RDMS, FACEP at Regions for forwarding this.
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.
Approved by the ACEP Board of Directors, June 2014
The American College of Emergency Physicians (ACEP) believes that certification by non-emergencyÂ medicine external bodies, organizations, societies or other medical specialties or upon short courseÂ completion is inadequate to demonstrate comprehensive training, knowledge, and skill in the practice ofÂ emergency ultrasound.
Emergency ultrasound comprises a set of focused applications utilized to diagnose life-threateningÂ conditions, guide invasive procedures, and treat emergency medical conditions. Both residency-basedÂ and practice-based pathways exist for emergency physicians to demonstrate competency in emergencyÂ ultrasound as detailed in the ACEP policy statement, â€œEmergency Ultrasound Guidelines.â€
Any non-emergency medicine external certification process would impede the use of this critical clinicalÂ skill and adversely affect patient care.
ACEP strongly opposes the use of any non-emergency medicine external certification process to validateÂ competency in the use of emergency ultrasound. Furthermore, any such process should not be utilizedÂ as a requirement for hospital privileges or credentialing, nor for reimbursement by accountable careÂ organizations (ACOs), managed care organizations (MCOs), the Centers for Medicare and MedicaidÂ Services (CMS) or other third-party payers.