We are pleased to present our annual critical care ultrasound pre-conference course at the Clinical Decision Making in Emergency Medicine symposium in Ponte Vedra, Florida on Wednesday, June 20. Each year this intensive, hands on course features ultrasound faculty from across the country working in small groups with live models and plenty of hands-on scanning time. The course is held at the beautiful and historic Ponte Vedra Inn and Club. Please visit here for Registration information Highlights of the four-hour course include: Cardiac ultrasound Thoracic ultrasound Ultrasound for venous access Assessment... Read→
On March 22, 2012 the Division of Emergency Ultrasound will host its annual hands-on CME course at Mount Sinai. Targeted at clinicians in emergency and critical care settings, the course consists of presentations by national faculty and plenty of hands-on scanning with live models. Course highlights: Basic to advanced topics covered Organ system-based approach to bedside ultrasound use Faculty with international experience in ultrasound education Diagnostic applications as well as procedure guidance covered Both experienced sonographers and neophytes will benefit from small group sizes and an... Read→
The Manual of Emergency and Critical Care Ultrasound, 2nd Edition is now available from Cambridge University Press and major booksellers. The book details evidence-based protocols for the use of bedside ultrasound in the acute and critical care setting, as well as step-by-step guides for using ultrasound in procedures. It is ideally suited for emergency physicians and intensivists interested in basic or advanced applications of ultrasound. Reviews after the break. Read→ Read More →
The Emergency Ultrasound Fellowship at the Mount Sinai School of Medicine is built upon a foundation of clinical excellence, cutting-edge research, administrative experience, and education. We are pleased to offer a wide array of experiences to maximize the learning environment and expose the fellow to meaningful clinical and research opportunities. For more information see the ultrasound fellowship page. Read More →
All right, this is only indirectly ultrasound – but Haru Okuda and Bret Nelson have published this great new book: Emergency Medicine Oral Board Review Illustrated (Cambridge Clinical Guides) The book features more than 100 cases derived from the Model of Clinical Practice of Emergency Medicine, with an emphasis on EKGs, CT scans, x-rays, and ultrasounds. Almost 300 illustrations complement the cases and highlight visual stimuli commonly encountered on the boards There are chapters on approaching the oral board examination, pediatric pearls and pitfalls, common ED presentations and their... Read→
We are very pleased to welcome the newest member of the Mount Sinai Emergency Ultrasound Division, Dr. Jennifer Huang! Dr. Huang completed her residency training at Highland Hospital in Oakland, California and an emergency ultrasound fellowship at the... Read→
Congratulations to Sinai’s own Dr. Jim Tsung, who recently coauthored a major evidence-based consensus guideline on point-of-care lung ultrasound. The manuscript is the result of a multi-national effort by pioneering clinician-sonographers, and... Read→
Arcuate vessels are commonly seen on ultrasound evaluation of the uterus. Occasionally they can be confused with subchorionic hemorrhage, ovaries, and other structures so it’s worth looking at their characteristic appearance. Once again, thanks... Read→
If you haven’t been reading LITFL, you ought to be. Mike Cadogan and Chris Nickson regularly put out high quality EM/CC posts and offer great resources. The latest of which is the EM/CC Blog database. Not only are the luminaries of EM/CC blogging’s websites listed, but their RSS feeds, twitter feeds and Facebook pages are all there for your perusal.
This is a great table to go through to find out what you may be missing across the web.
Probe Manipulation – Rotation from Sinai EM Ultrasound on Vimeo.
How do you obtain that nice long image of the peripheral blood vessel for a longitudinal approach? It is easy to say ‘rotate the probe 90 degrees from the transverse view,’ but there are many subtleties to probe rotation. Many times when we rotate the probe, we do not get the desired longitudinal view, but rather the vessel is seen in part, or obliquely sectioned. Also, the vessel may appear on the left side of the screen or the right side and further fine rotation often makes the vessel disappear. How do we correct for this?
The trick is to understand the many different axes of probe rotation. See the video for an example of :
(i) probe rotation along an axis that goes through the proximal end of the probe (incorrect)
(ii) probe rotation along an axis through the distal end of the probe (incorrect)
(iii) CORRECT probe rotation along an axis through the central portion of the probe (through the transducer wire)
In order to move from a transverse to longitudinal view of a blood vessel without losing track of it, you must:
Go try this on a phantom and with some practice, everyone can get that nice elongated view of the vessel.
For those of you waiting with bated breath:
The Polish language translation of the Manual of Emergency and Critical Care Ultrasound is now available!
The book (by Vicki Noble, Bret Nelson, and Nicholas Sutingco) is now available in English, French, Russian and Polish. It was first published by Cambridge University Press in 2007. The book’s concise focus and many illustrations and images have made it quite popular with physicians worldwide, and additional translations are planned for the future.
The Mount Sinai Divisions of EMS and Ultrasound were proud to work with the New York City Fire Department Rescue Medics on a prehospital ultrasound training session.
Kevin Chason and Bret Nelson were accompanied by Ultrasound Division members Robert Arntfield, Hong Chuen Toh, Shianghu Ang, and resident Scott Goldberg for the session. After completing an intense subway rescue simulation, the rescue medic team members practiced the use of portable ultrasound for trauma.
Many thanks to Dr. Dario Gonzalez, the medical director of the Prehospital Advanced Emergency Medical Care program for allowing our team to collaborate with such and incredibly talented group of care providers.
Our annual ultrasound CME conference held on March 7 was a great success!
Faculty, fellows and PAs from a number of institutions took part in our seventh annual conference.
Topics included ultrasound for airway, breathing, circulation, disability and procedures.
Great lectures by Sinai’s Emergency Medicine faculty were followed by an intensive hands-on scanning session.
Aditional information on lectures:
