In the emergency room, shortness of breath and cough are common complaints, and chest x-rays are frequently ordered to evaluate for pneumonia. However, what is the sensitivity and specificity of chest x-ray for pneumonia? Is it a "rule out" test? Is there a role for point of care ultrasound (hint...yes!)?
We're back with some more exciting and beautiful echocardiogram images this month! This case and images are courtesy of Dr. Sarah Bunting, a rising ultrasound star within our program. Here she has obtained some uncommon images of an unfortunately more and more prevalent disease process. So grab your warm holiday drink of choice and enjoy our ultrasound of the month.
Read MoreThis is the inagural installment of our monthly series recognizing some great point of care ultrasound images performed in our department. This case will highlight some beautiful echocardiogram images obtained by the one and only Dr. Nicholas Fling, one of our chief resident physicians. Echo is a basic ultrasound skill that all EM docs need to have, and making sure your probe marker is set up appropriately on the screen is a great first step. The apical four-chamber view of Dr. Fling's would make anyone double check that!
Read MoreIn this Vodcast episode. Dr. Andrew Fried, ultrasound Jedi, give us a masterclass on placing ultrasound guided IVs.
Read MoreWe are extremely fortunate to have one of our fearless ultrasound leaders, Dr. Andrew Fried, lead us into the world of resuscitative transesophageal echocardiography at Maine Medical Center. In our recent grand rounds, he presented the latest cutting edge literature behind this technology and why its the right thing to do for our patients.
Read MoreCOVID19 has presented many difficult challenges in its diagnosis and managment. This is no truer than bedside lung evaluation. Personal protective equipment can be prohibitive of adequate lung ausculation and the use of a stethoscope is discouraged by some as it is considered a high risk fomite. Fortunately, point of care ultrasound (POCUS) continues to be an important tool in the emergency provider’s toolbox for decision support and risk stratification. It is quick to perform, easy to interpret, and may be done quickly at the bedside. To help us quickly understand the technique, findings and evidence behind lung POCUS for the COVID19 (+) or suspected patient, ultrasound fellow Dr. Christopher Allison has crafted us a high yield infographic.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). In this week’s post we bring you Dr. Nick Ashenburg’s presentation on the use of ultrasound for the evaluation of joint effusions.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). In this week’s post we bring you Dr. Gabriela Lopes presentation on the use of ultrasound for shoulder dislocation.
Read MoreMusculoskeletal ultrasound can be a powerful tool for the emergency provider. It can help diagnose acute and chronic painful conditions, evaluate dynamic movement, and assist in bedside procedures like a hematoma block. It is cost effective, accessible, lacks radiation, and can visualize fine details of local anatomy that xrays cannot (i.e. ligaments, bursa, tendons, muscles and nerves). This year’s ultrasound workshop at our Winter Symposium included various uses of musculoskeletal ultrasound (shoulder evaluation, evaluation of a suspected joint effusion, hematoma blocks/reductions, and tendon injuries). We are excited to roll out this content to you in the coming weeks, starting with Dr. Fried’s presentation on the use of ultrasound for tendon injury.
Read MoreHere’s comes another heaping helping of ultrasound highlights from our winter symposium’s echo extravaganza! In this serving, Dr. Mindy Lipsitz, MD shares some pearls about the suprasternal notch view to assess for trauma, coarctation, aortic root regurgitation, and aortic aneurysm.
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