XRS – 1

X-Ray Stinks #1: Finger Injury

In this new series we will highlight cases where ultrasound proved more useful than x-ray.

A seven year old boy presented with distal phalanx pain, tenderness after a fall.

The following x-ray was performed:

XRS1 x ray XRS   1What is your diagnosis? Can ultrasound help? How would you perform an ultrasound on such a superficial structure?

The following ultrasound of the distal finger was performed (probe marker towards fingertip):

XRS1 phalanx fx XRS   1What is your diagnosis now? Continue reading

Gulfcoast ultrasound

US hypotension 500x375 Gulfcoast ultrasoundBret Nelson recently filmed a webinar on critical care ultrasound at Gulfcoast Ultrasound Institute in Florida. He discussed evaluation of the hypotensive patient, incorporating Scott Weingart’s RUSH exam as well as other literature on acute assessment of the heart, IVC, FAST exam, and pleura.
Information on the webinar is available at Gulfcoast.

References for a variety of hypotension evaluations are included below, as well as a few screenshots from the webinar!

  • UHP protocol
  • Trinity Protocol
  • RCT of ultrasound in hypotension
  • FATE: Focused Assessed Transthoracic Echocardiography
  • FEER: Focused Echocardiographic Evaluation in Resuscitation
  • CAUSE: Cardiac Arrest Ultrasound Exam
  • RUSH: Rapid Ultrasound in Shock and Hypotension
  • ACES: Abdominal and Cardiac Evaluation with Sonography in Shock
  • RUSH: Rapid Ultrasound in Shock

Continue reading

Critical Ultrasound Journal

Screen shot 2010 05 08 at 2.24.14 PM Critical Ultrasound JournalThe Emergency and Critical Care community will no doubt benefit from this new journal.  The Critical Ultrasound Journal is the official publication of the international ultrasound group WINFOCUS (world interactive network focused on critical  ultrasound) .  It is new this year, but they are already into their third issue.    Headed by Mike Blaivas, the pediatric and neonatology section is edited by none other than our own Jim Tsung.

As of right now, all content if avaiable in full text.  Subscribe via email or RSS.

Ponte Vedra 2010

PV 500x534 Ponte Vedra 2010We 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 June 23. 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.

Highlights of the four-hour course include:

  1. Cardiac ultrasound
  2. Thoracic ultrasound
  3. Ultrasound for venous access
  4. Assessment of the hypotensive patient

Faculty for this year’s course include:

  • Bret Nelson, MD, RDMS (course director)
  • Phillip Andrus, MD
  • Petra Duran, MD
  • Daniel Duque, MD, RDMS
  • Joe Wood, MD, JD, RDMS

NYC Pediatric EM Fellows Ultrasound Conference

Jim 300x224 NYC Pediatric EM Fellows Ultrasound Conference

This full day course on May 10th saw a packed audience of peds EM fellows from all over New York City. Hosted by the faculty of the emergency ultrasound division from Maimonides Medical Center, as well as renowned guest speakers Dr. Paul Sierzenski and our very own Dr. James Tsung.

Participants were treated to a day of informative lectures covering:

  • basics in bedside ultrasound
  • FAST
  • RUQ
  • lung ultrasound
  • cardiac ultrasound
  • pediatric ultrasound (intussusception, pyloric stenosis, appendicitis)
  • pelvic ultrasound
  • soft tissue ultrasound

The latter part of the afternoon was spent hands-on with various cool portable ultrasound machinery and volunteer models. Of course, no full day event can be complete without food to give everyone pause for catching up and camaraderie.

pelvic US1 300x224 NYC Pediatric EM Fellows Ultrasound Conference