Mount Sinai Emergency Medicine Ultrasound

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:

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)
• Petra Duran, MD
• Joseph Wood, MD, JD, RDMS

Emergency physician, intensivist, and Mount Sinai Emergency Ultrasound Fellowship graduate Dr. Robert Arntfield is making news at his new home, London Health Sciences Center (LHSC) in Ontario, Canada. Dr. Arntfield and his department have set up a hardware and software infrastructure for bedside ultrasound which allows for electronic data storage and retrieval, robust QA, teaching and research.

LHSC’s website has this to say:

Dr. Rob Arntfield, an ED physician and intensivist at LHSC, recently completed a year-long fellowship at The Mount Sinai Hospital in New York, learning and integrating cutting edge point-of-care ultrasound applications into the care of the critically ill patient. Since his return to LHSC, Arntfield has been working with Dr. Drew Thompson, also an LHSC ED physician, to develop new quality assurance training standards to enhance residents’ knowledge and use of this important patient care technology

Check out the website!

The Mount Sinai Department of Emergency Medicine hosted its annual ultrasound CME conference held on March 22 at the Stern Auditorium.

Faculty, fellows and PAs from a number of institutions took part in our eighth annual conference.

The course was directed by Bret Nelson, MD and topics included ultrasound physics (Leila PoSaw, MD, MPH) and assessment of  airway and breathing (Jim Tsung, MD, MPH), circulation (Daniel Singer, MD), disability/trauma (Phil Andrus, MD) and procedure guidance (Danny Duque, MD).

Great lectures by Sinai’s Emergency Ultrasound faculty were followed by an intensive hands-on scanning session.

This year AIUM is hosting its annual conference at the JW Marriott Desert Ridge Resort and Spa in Phoenix, AZ. The first offering by the Emergency and Critical Care Community of Practice was a great success. The conference proper hasn’t even started yet and the sessions have already started off with a bang.

Moderator Bret Nelson organized the session which was attended by Emergency Physicians, Intensivists, Sonographers, Perinatologists, and Primary Care physicians:

Point-of-care ultrasound in the evaluation and treatment of the unstable patient

• Bret Nelson
• Introduction- Ultrasound for airway, breathing and circulation
•  Srikar Adhikari
• Ultrasound assessment of airway anatomy and intubation
• Eitan Dickman
• Thoracic ultrasound: Beyond pneumothorax
• Anthony Dean
• Basic cardiac assessments
• Chris Moore
• Advanced cardiac assessments
• Robert Arntfield
• Transesophageal echo- practical utility in the critical patient
• Rajesh Geria
• Vascular assessment- IVC (volume assessment), aorta (AAA, dissection)
• Betty Chang
• Ultrasound guidance for bedside procedures
•  Jerry Chiricolo
• Putting it all together- ultrasound use in Resuscitation
• All Faculty
• Panel Discussion and wrap up

Many of our lectures reference the same pantheon of literature on ultrasound in the acutely hypotensive patient. For ease of reference here they are, with appropriate links to the original publications:

• UHP protocol
  • Rose JS et al,  Am J Emerg Med 2001 (PMID: 11447518)
• Trinity Protocol
  • Bahner D,  JDMS 2002
• RCT of ultrasound in hypotension
  • Jones AE et al, Crit Care Med 2004 (PMID: 15286547)
• FATE:Focused Assessed Transthoracic Echocardiography
  • Jensen et al, Eur J Anaesthesiol 2004 (PMID: 15595582)
• FEER:Focused Echocardiographic Evaluation in Resuscitation
  • Breitkreutz et al, Crit Care Med 2007 (PMID: 17446774)
• CAUSE:Cardiac Arrest Ultrasound Exam
  • Hernandez et al, Resuscitation 2008 (PMID: 17822831)
• RUSH: Rapid Ultrasound in Shock and Hypotension
  • Weingart et al, emcrit.org 2008, EMedHome 2009
• ACES:Abdominal and Cardiac Evaluation with Sonography in Shock
  • Atkinson et al, Emerg Med J 2009 (PMID: 19164614)
• RUSH: Rapid Ultrasound in Shock
  • Perera P et al, Emerg Med Clin N Am 2010 (PMID: 19945597)