Tag Archives: ACEP

ACEP National Faculty Teaching Award

The American College of Emergency Physicians awarded its annual National Faculty Teaching award in Seattle this year during the Academic Affairs committee meeting.

Bret Nelson, Director of the Emergency Ultrasound Division at Mount Sinai, was one of four faculty honored nationally.

NFTA group 500x332 ACEP National Faculty Teaching Award

Left to right: Federico E. Vaca, MD, MPH; Vicken Y. Totten, MD, MS, FACEP; Bret P. Nelson, MD, RDMS, FACEP; Yashwant Chathampally, MD, MS

According to ACEP,

The American College of Emergency Physicians sponsors a national faculty teaching and junior faculty teaching award to honor outstanding educators in emergency medicine. These awards are designed to support emergency medicine faculty in their efforts to achieve academic advancement, as well as support the continued academic development of the specialty. The awards recognize superior teaching activities including didactic lectures, clinical instruction, the development of innovative educational programs, as well as the endorsement by faculty, residents, and students.

Intubation devices

Many new developments in ultrasound were demonstrated at the ACEP conference in Denver this week. Since airway management rivals ultrasound as my academic interest, I’d like to focus for a moment on an intubating device I saw demonstrated at an ultrasound vendor booth.  I’ve seen lots of organs on my ultrasound screen- hearts, gallbladders, eyeballs, prostates. I’ve even seen airway structures, but not like this:

VividTrac Intubation devices

The VividTrac is a single use, USB video intubation device. It is a channeled blade video laryngoscope similar in concept to the King Vision or the AirTraq Optical Laryngoscope. The channel is designed to pass the endotrachel tube through. This is in contrast to non-channeled video laryngoscopes like the Storz C-MAC or the Verathon Glidescope, where the endotracheal tube is guided with a stylet and not directed through the video device itself.

What is interesting about the Vivid device is it hooks up to a monitor using a standard USB cable. Thus, it can be connected to different types of monitors, PDAs or tablets which accept USB input, or… an ultrasound machine monitor! Theoretically one could use an existing ultrasound machine with a variety of probe types as well as a device like this.

There are many device manufacturers involved in R&D of devices which might lead to a technology convergence. Ultrasound probes, video intubation devices, cardiac monitoring equipment, etc. could all transmit images to a monitor, via wires or wirelessly. Thus, pluripotent monitors could be used with a variety of devices depending on the needs of any given patient. This could increase the amount of information relayed via the monitors, and even what is transmitted to the electronic medical record. Importing vital signs, ultrasound images, EKGs, or other clinical images could all be captured in this way. It will be interesting to see how many other devices can learn to communicate with each other as the technology develops.

ACEP 2012- Ultrasound Management Course

 

The ACEP Emergency Ultrasound Section hosted its annual Ultrasound Management Course on Sunday October 7. This year’s course was organized by Vivek Tayal, Troy Foster and Bret Nelson. Special thanks to ACEP organizers Marilyn Bromley and Julie Williams who were instrumental in putting the course together.

Almost 120 participants registered for this full-day course which served as a whirlwind introduction to the operational aspects of emergency ultrasound. Participants interacted with each other as well as national ultrasound leaders in small group breakout sessions covering topics such as quality assurance, image management systems, reimbursement issues, and others.

Faculty for the course (listed below) hailed from across the United States and brought enormous expertise to bear in their lectures and small group sessions.  We look forward to their continued involvement as the course expands, as well as your suggestions for topics for next year’s course!

Emergency Ultrasound Management Course 2012

Sunday Oct 7th 2012 Denver

Course Agenda

EM US Director M. Blaivas
Introductory Education J. Kendall
Equipment Purchase V. Noble
Hospital Credentialing R. Jones
Quality Improvements P. Hunt
Breakout session All faculty
Politics of EUS P. Sierzenski
Continuing Program Education B. Nelson
EUS Coding/Reimbursement J. Resnick
Essential Software M. Stone
Workflow Solutions M. Byrne
Electronic Medical Record V. Tayal
Machine Maintenance A. Dewitz
Tying it all Together R. Geria

 

Breakout Sessions:

  1. Coding/reimbursement I (J. Resnick)
  2. Coding/reimbursement II (S. Hoffenberg)
  3. Machine purchase/maintenance (A. Dewitz)
  4. Archiving and QA solutions I (M. Stone)
  5. Archiving and QA solutions II (M. Byrne)
  6. The Director’s job- negotiations, pitfalls, strategies (R. Geria)
  7. Politics (local/national), hospital credentialing (V. Noble)
  8. The QA process (R. Lewiss)
  9. Ultrasound Education- training your faculty and yourself (J. Kendall)

ACEP US Section Discussion Forums

If you aren’t a member of the Ultrasound Section or ACEP this is a great reason to become one.

 

Screen Shot 2012 08 28 at 10.48.26 AM 500x223 ACEP US Section Discussion Forums

 

Mike Stone with help from Phil Perera and no doubt others have built a forum where you can find all of the most pertinent discussions from the section list-serve. There are a few choice topics available for your perusal and comment right now, but I’m sure this will be built into an even better resource in the future. Great Job.

 

To find the forums, head to the acep ultrasound section page and look for “ultrasound forum”.

2011 Ultrasound Management Course Faculty

ACEP 2011- Ultrasound Management Course

2011MGMTFaculty 500x333 ACEP 2011  Ultrasound Management Course

The ACEP Ultrasound Section hosted its annual Ultrasound Management Course on Friday October 14. This year’s course was organized by directors Vivek Tayal and Troy Foster and co-directors Rajesh Geria and Bret Nelson. Special thanks to ACEP organizers Marilyn Bromley and Julie Williams who were instrumental in putting the course together.

Over 125 participants registered for this full-day course which served as a whirlwind introduction to the operational aspects of emergency ultrasound. Participants interacted with each other as well as national ultrasound leader in small group breakout sessions covering topics such as quality assurance, image management systems, reimbursement issues, and others.

Faculty for the course (listed below) hailed from across the United States and brought enormous expertise to bear in their lectures and small group sessions.  We look forward to their continued involvement as the course expands. Planning has already begun for the next Ultrasound Management Course to be held at ACEP in Denver 2012!

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ACEP 2010- Ultrasound Management Course

USMGMTFaculty 500x333 ACEP 2010  Ultrasound Management CourseThe ACEP Ultrasound Section hosted its annual Ultrasound Management Course on Monday September 27. This year’s course was organized by director Troy Foster and co-directors Rajesh Geria and Bret Nelson. Special thanks goes out to Vivek Tayal for his mentoring, support and guidance! In addition, Marilyn Bromley and Julie Williams were instrumental in putting the course together.

Over 125 participants registered for this full-day course which served as a whirlwind introduction to the operational aspects of emergency ultrasound. New this year were two breakout sessions, where participants engaged in round-table discussions with national leaders. This is also the first year that we were able to provide AMA PRA category 1 CME to all those registered.

Faculty for the course (listed below) hailed from across the United States and brought enormous expertise to bear in their lectures and small group sessions.  We look forward to their continued involvement as the course expands. Planning has already begun for the next Ultrasound Management Course to be held at ACEP in San Fransisco 2011!

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ACEP 2010- Ultrasound for pediatric appendicitis

NelsonBentleyACEP2010 500x333 ACEP 2010  Ultrasound for pediatric appendicitisOn September 28 Dr. Suzanne Bentley presented the abstract:

Ultrasound evaluation for appendicitis in children: Can we safely reduce CT scan utilization?

Bentley S, Nelson BP, Zahn L

at ACEP in Las Vegas. Data on using ultrasound as a first-line diagnostic modality (instead of CT scan) were discussed, with implications for diagnostic accuracy, radiation exposure, and length of stay. This was abstract #001, which carries no more prestige than #998 but we will be proud anyway.

A great deal of attention has recently focused on radiation exposure risks, and many organizations have allied to reduce necessary imaging. The Image Gently Alliance for example boasts dozens of member organizations and has done a great deal to educate providers about the risks of ionizing radiation in imaging. A brief article on the study was published by Reuters Health:

For pediatric appendicitis, ultrasound cuts radiation, saves time over CAT scans (subscription only)

Emergency Medicine has advocated the use of ultrasound for quite some time. As point-of-care ultrasound as well as radiology department ultrasound gain ground we hope to make informed diagnostic decisions while minimizing risks.