Chair’s Corner February 2016
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In keeping with prior years, the chair elect, Dr. Fields, immediate past chair Dr. Lewiss and I have reached out to each Committee co-chair to discuss annual goals and resources needed. To create a leadership structure to best serve our dynamic section, we have also formed a Special Committee of current Committee co-chairs to review and edit the Section's Operational Guidelines. Revisions will be sent via email to all section members next summer for discussion, followed by a vote at the October 2016 Section Meeting, with likely Board Approval at Scientific Assembly.First, I want to give a BIG thank you to Julie Rispoli, Dr. Sandy Schneider, and Dr. Resa Lewiss for coordinating an outstanding section meeting in Boston.
Ask The Expert: “Should I/how can I get more involved in the ACEP Ultrasound Section”
Regularly this question arises from residents, medical students and colleagues who are interested in getting more involved and often have some good ideas for advancing our field. However, the individuals who may be very active in their institution or locally do not know how to go about taking this knowledge and experience to the next level - whether it be regionally or nationally. Personally, the worst thing to hear from our colleagues is the belief they do not have anything to offer. The most important thing is to recognize that everyone has something to offer. Whether it be a new technique, an idea for improving membership, newsletter section topics, ACEP Council resolutions, grant writing ability, research questions, or an interest in learning more about Clinical Ultrasound.Read More »
Cases That Count: Young Female with Lower Abdominal Pain and Vaginal Bleeding
Chief Complaint: Abdominal pain with vaginal bleedingRead More »
Clip 1 - Watch on YouTube
Clip 2 - Watch on YouTube
1. What anatomy and pathology are shown in the
image and clips above?
2. What are the possible sonographic findings in
patients with such conditions?
3. What risk factors should increase suspicion for this pathology?
International Ultrasound: A View from the Frontlines: Point-of-care ultrasound in Kenya with Dr. Greg Bell
Q: You have a key role in increasing the use of point-of-care ultrasound in Kenya. How did that happen? Read More »
A: I definitely did not have that as a goal of mine, but found it to happen by serendipity. From early in my medical training, I knew I wanted to do some volunteer work overseas but had no preference for location or nature of the work. I had gone to med school at Ohio State, completed an EM residency at the Medical College of Wisconsin, did a research fellowship at the University of Colorado and ended up in North Carolina for my first ‘real’ job after training. A friend in North Carolina had a friend of a friend in Kenya so that’s where I went.
Tips and Tricks: Big Red - The Aorta and How to Improve Your Image
Abdominal aortic aneurysms (AAA) are relatively common amongst older men, with a prevalence of 12.5% for men 75-84 years old, decreasing in prevalence with decreased age, and are uncommon in women.1 When ruptured, the mortality rate is high, between 50-80% for those who survive to the hospital making the diagnosis of ruptured AAA time sensitive. Early detection and diagnosis in the emergency department can decrease mortality from 75% to 35%.2 Although the gold standard for diagnosis is CT angiogram, it is not appropriate for the unstable patient. Unfortunately, with physical exam alone, a ruptured AAA is misdiagnosed in 32% of patients, usually as ureteral colic and myocardial infarction, with only 61% of patients presenting with the classic triad of abdominal pain, hypotension, and a pulsatile mass.3Read More »
Want to Contribute?
Many thanks to all our incredible section editors! If you have a great case, an article review, commentary, or tech update to contribute to the next newsletter, then please contact Michael Zwank and Laleh Gharahbaghian.Read More »