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I’ve enjoyed having the opportunity to serve you as chair for the first few months. Here are some notable items on which we have been working:
Many of you may have heard about a letter sent from the FDA to multiple organizations and ultrasound companies. The letter states that the FDA has “concerns” about the marketing of ultrasound as “over-the-counter” where ultrasound is used and not interpreted by a “licensed practitioner”, citing ultrasound in this manner would be a violation of the Food and Drug Cosmetic Act.Dear Section:
Cases That Count: 29-Year-Old Male with Fever
Chief Complaint: FeverRead More »
Clip 1 - Parasternal Long-Axis Cardiac Ultrasound
Clip 2 - Apical 4-Chamber Cardiac Ultrasound
1. What are the significant findings in the above ultrasound clips?
2. What is your approach and differential diagnosis for this pathology?
3. Can emergency physicians reliably use point of care ultrasound (POCUS) to screen for this
FOAM Ultrasound: #FOAMus Highlight
Welcome back to your ACEP Ultrasound Newsletter! The FOAM community is continuing to grow and change, and we have a great new resource for the beginning of 2017. Check out Dr. Andrew Herring’s brainchild, the Highland EM Ultrasound Pain Management website. We know that standard practices for pain management and anesthesia leave many of us and our patients wanting. Nerve blocks have become more popular recently and give us an opportunity to provide excellent anesthesia with low complication rates. Ultrasound is just the icing on the top!Read More »
Cardiac Journal Summary
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You arrive for a midnight shift ready, when walk-in triage brings back a 28 year-old male patient in cardiac arrest. The police accompany the patient and inform you that he was out celebrating his birthday and while he and friends were driving from one bar to the next, he became short of breath, which quickly progressed to severe dyspnea. His friends drove him to the hospital, during which his dyspnea was unrelieved by an albuterol inhaler, then dropped him off unresponsive at the front door and left. You evaluate the patient in the resuscitation bay - he is unresponsive, pulseless, apneic, mildly obese. Cardiac monitor reveals a narrow complex, slow rhythm consistent with PEA. Nursing obtains an IV while you intubate the patient and begin ACLS measures. Review of the EMR reveals multiple ED visits for symptoms related to asthma, as well as one prior intubation and ICU admission for respiratory failure. Despite aggressive resuscitation measures, serial cardiac ultrasounds reveal no cardiac activity, and you pronounce the patient dead. What happened to this man?
Peter’s Pet Peeves: Reds on the Board
To ultrasound or not ultrasound? Do you feel pressured to ultrasound patients yourself because you have the ability to do so? Do you feel you are less of an emergency physician for not doing the ultrasound?Read More »
New! ACEP Ultrasound CME Collection
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This online course includes ultrasound cases that will open your eyes, broaden your differentials, and improve your practice. Get ACEP Ultrasound CME Collection and experience the new lecture features while learning about uses for ED ultrasound and imaging. This package includes 1.25x, 1.5x, and 2.0x speed options.