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Emergency Ultrasound

Chair’s Corner

By Daniel Theodoro, MD, MSCI, FACEP


Gaining approval by the American Board of Medical Specialties (ABMS) to recognize Advanced Emergency Medicine Ultrasonography as a Designation of Focused Practice (DFP) was the biggest development in the EUS community in 2018. On October 26th, after 7 tireless years of organizing and mobilizing, ABMS acknowledged the unique body of knowledge that is emergency medicine ultrasound. This was a tremendous salute to the 20 plus years of research, education, and clinical excellence achieved by members of this section. 

To witness the advancement of EUS you only have to read this month’s ACEP Emergency Ultrasound Section newsletter. The topics covered include bowel, advanced cardiac assessment in CHF, RV heart strain, and the role of handheld ultrasound. Not a single one of these applications was on any ultrasound fellowship curriculum 18 years ago and it’s amazing to think that today’s EM residency and ultrasound fellowship graduates will be taught these concepts by fellow emergency physicians. It’s a remarkable development in a relatively short span of time.

The details of what happens next with the DFP are soon to come. ACEP’s EUS will represent its members every step of the way and the newsletter will continue to update this exciting development including what this means to physicians seeking to pursue further training or recognition in emergency ultrasound. The EngagED Online Community for EUS is another great resource to stay current on DFP developments as well as other issues germane to point of care ultrasound. Check out the latest topics on hospital ultrasound privileges, EMF grants, and TEE CPT codes. There are great posts on workarounds for common barriers to ultrasound workflow issues (and we’ve even found a browser that works with Microsoft’s Silverlight extension).

Lastly, be sure to browse through the latest EUS iBook, Practical Guide to Critical Ultrasound Volumes 1 &2. The list of contributors ranges from Canada and the US to the UAE. It is a great way to learn new applications (the first chapter covers TEE). The multi-media experience rivals any online educational format and is worth blocking out time for! It’s a tremendous resource documenting this section’s growth and an amazing example of EUS’ members leadership in advancing the field. 

A tremendous salute is in order to everyone who poured in effort and took time to propel EUS whether through spreading education, advocating for EUS, or taking time to meet with other specialties and accreditation bodies to make the DFP happen. As much as we love “pats on the back,” though, we need continue to push on our advancements. We must continue to connect our expertise with the greater body of medicine and collaborate to improve the well-being of our patients (not to mention ourselves).

Keep on Scanning!



Daniel Theodoro MD MSCI FACEP

theodorod@wustl.edu, @Teddydanielz



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