Bret Nelson and Felipe Teran took part in an incredible conference just outside of Stockholm, Sweden. Over one hundred participants and twenty faculty attended this sold-out conference at the Hasseludden Yasuragi Japanese spa . Among the luminaries were Matt Dawson and Mike Mallin (from the Ultrasound Podcast), lung ultrasound queen Vicki Noble, Mike Lambert and Joe Wood (directors of the first ultrasound program in the United States), and many, many others.
Videos from the conference are available here. Besides excellent lectures, there were hands-on sessions recorded. An incredible amount of practical information is conveyed during these hands-on sessions, so it is worth checking out some of these videos as well as the lectures. Bret Nelson’s session on aorta scanning is here,
Felipe Teran and Bret Nelson
Matt Dawson and Mike Mallin
Organizer Christofer Muhr welcomes participants
Participant getting a bit of light reading done on the flight to Stockholm
The Third Annual World Congress on Ultrasound in Medical Education was hosted at the Oregon Health and Science University in Portland. Co-sponsored by SUSME and WINFOCUS, the conference highlights research and innovation in ultrasound for education. Over 500 students, residents, and educators from all specialties around the world were in attendance.
Bret Nelson presented research on Mount Sinai’s experience with an integrated ultrasound curriculum for medical students.Â Scores of other schools described their experiences as well, including South Carolina, UC Irvine, Wayne State, Ohio State, A.T. Still University, and many more.
An incredibly passionate and eloquent group of medical students really made this congress special. They were integral to many hands-on training sessions, described research on ultrasound education throughout the U.S. and abroad, and gave plenary talks on the impact of ultrasound on their educational experience.
Thought leaders from around the globe shared their experiences in education and inspired attendees to return to their own institutions and build their own programs. The Ultrasound Podcast guys, Mike Mallin and Matt Dawson, hosted an Ultrasound World Cup whose production values rivaled any televised sporting event.
Medical students describe their integrated ultrasound curricula
Audience at research session
Mark Oliver, Jason Fischer and pediatric ultrasound session model
John Kendall with U Kentucky team
Resa Lewiss and Rob Reardon
Gregor Prosen and Bret Nelson
Chris Fox and Mike Mallin
Vicki Noble, Diku Mandavia and Richard Hoppmann
Chris Fox and Michael Blaivas
Gabrielle Via, Vicki Noble and Harvey Nisenbaum
Med student team guides blindfolded Mike Blaivas
David Bahner finds the vein with the help of ultrasound and his team
Mike Mallin and the World Cup trophies
Ultrasound World Cup Finals take Center Stage
University of Kentucky takes home the golden bottle of lavender-scented ultrasound gel
The Mount SinaiÂ DepartmentÂ of Emergency Medicine hosted its annual ultrasound CME conference on April 25.Â Faculty, fellows, nurses and PAs from a number of institutions and specialties took part in our tenth annualÂ course.
The course was directed by Bret Nelson, MD who introducedÂ ultrasound physics and machine controls, followed by lectures on assessment ofÂ airway and breathing (Jim Tsung, MD, MPH), cardiovascular ultrasoundÂ (JenniferÂ Huang, DO), trauma evaluationÂ (Phil Andrus, MD) and procedure guidance (Amy Sanghvi, MD).
After lunch an intensive hands-on session with live models, task simulators and sim cases rounded out the experience.
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.
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.
The Association of American Medical Colleges (AAMC) has written an article about ultrasound education at the medical school level. In the current edition of their widely distributed publication The Reporter, they describe programs at the University of South Carolina School of Medicine, University of California (Irvine) School of Medicine, and the Mount Sinai School of Medicine.
The article notes,
With rapid advancements in ultrasound technology, such scenarios as this are becoming more commonplace, as a handful of the nationâ€™s medical schools make ultrasound training a standard part of the curriculum. And there is a push to encourage more schools to use ultrasound.
Thoracic sonography is one of the most rapidly growing areas of emergency and critical care ultrasound. One very important emerging indication is to assess for lung consolidation. The characteristic appearance of consolidated lung is very sensitive and specific for pneumonia, but novices should heed some important pitfalls in making the diagnosis.
Special thanks to Jim Tsung, MD, MPH and Brittany Jones, MD for their tips, videos, and ongoing research in this important field! For further reading on this topic, please see this article.
Pitfall #1 – confusing thymus for a consolidation
Normal thymus in sagittal view:
Thymus (top half of screen) and heart (bottom right). Don’t confuse thymus for lung consolidation. Note there are no air bronchograms, but thymus has a faint speckled appearance.
Normal thymus in transverse view:
Thymus (top half of screen) and heart (bottom right). Don’t confuse thymus for lung consolidation. Note there are no air bronchograms, but thymus has a faint speckled appearance
Pneumonia adjacent to Thymus in transverse view:
Lung consolidation with air bronchograms (top left) adjacent to normal thymus (speckled appearance on top right) with heart (bottom right)
Pitfall #2 – mistaking spleen for consolidation.
This is an important pitfall for everyone to know about. The same issue applies to the liver & stomach. The sensitivity of lung US for pneumonia rises >90% if this mistake is avoided.
Left lower chest- sagittal view:
Be careful scanning the left lower chest (left anterior and left axillary line) – air in stomach and spleen may look like pneumonia if you don’t realize that you have scanned inferior to the diaphragm and past the end of the pleural line. Most common error by novices.
Left lower chest- transverse view:
Be careful scanning the left lower chest (left anterior and left axillary line) – air in stomach and spleen may look like pneumonia if you don’t realize that you have scanned inferior to the diaphragm and past the end of the pleural line.
Pitfall #3- missing pleural effusion
Here are a few examples to refresh your memory.
Left pleural effusion:
Pleural effusion (anechoic wedge just beneath ribs and pleura)
Air in stomach
Do not confuse spleen and air in stomach for pneumonia.