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Drawing on Dr. Jae Kim’s experience with implementing and leading POCUS programs in two U.S. children’s hospitals, this article provides a five-step roadmap to adoption of this imaging modality to improve the safety and quality of care in the NICU. Physician training, the most active uses, and opportunities for POCUS in neonatal medicine and case examples are discussed.

HealthCare Business News sat down with Dr. John Hipskind, ultrasound GME director and ultrasound fellowship director at Kaweah Delta Medical Center, one of the first sites to use Sonosite Synchronicity™ workflow manager. Dr.

ICU Management & Practice

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

Hospitals all over the world are working to rapidly expand their capacity to treat critically ill patients with COVID-19. To find out how hospitals on the frontlines of the pandemic are coping and the lessons learned that could help other hospitals prepare, Fujifilm Sonosite’s Chief Medical Officer, Diku Mandavia, interviews Enrico Storti, the ICU Director/Unit Coordinator of the Emergency Department at Maggiore Hospital in Lodi, Italy.

DOTMed HealthCare Business News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

Increasingly, hospitals are using point-of-care ultrasound to evaluate patients with COVID-19. To learn more, read the HealthCare Business News interview with Diku Mandavia, Chief Medical Officer and Senior Vice President of FUJIFILM Sonosite, Inc.

U.S. News & World Report

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

Despite expansion in health insurance coverage, emergency rooms are seeing a larger and aging population, sicker patients who arrive in immediate danger with more chronic conditions, physician shortages as care is expanded, a need for more expensive technical tools, and an unsustainable trend in costs and expenditures. Partial rescue from these challenges may be coming from the most unlikely of sources: artificial intelligence. These aren't robots, but smart apps and tools that can reduce cognitive emergency room burdens, while increasing diagnostic speed, precision and accuracy. Read Dr. Mandavia’s U.S. News & World Report article that discusses the arrival of artificial intelligence and how it is poised to have a transformative impact on emergency department teams and the broader world of medical diagnostics.

Axis Imaging News

Diku Mandavia, MD, FACEP, FRCPC, Chief Medical Officer at Fujifilm Sonosite

With healthcare costs continuing to increase and more insurance companies talking to their hospital providers about signing new value-based payment contracts, a new emphasis on total cost of ownership in the evaluation of medical equipment for purchase is occurring. In this article published in AXIS Imaging News by Dr. Diku Mandavia, Chief Medical Officer, Fujifilm Sonosite, hospitals can learn how to monetize the ongoing training and education, downtime contingency options, and replacement costs when evaluating the total cost of purchasing a piece of ultrasound equipment. Dr. Mandavia also shares how medical imaging equipment companies and hospitals can work together to develop implementation strategies for medical devices, in this case ultrasound systems, to bring down the costs of care while supporting better patient outcomes. Please read this article entitled, “POCUS’ Contribution to Value-Based Medicine,” to learn more.

ICU Management & Practice

Robert Arntfield, MD

In this article published in ICU Management & Practice, Dr. Robert Arntfield discusses transesophageal echocardiography (TEE) training and development of a TEE clinical program, including the feasibility and impact on the diagnosis and treatment of critically ill patients. With a 97% success rate in answering high-stakes clinical questions in critically ill patients, Dr. Arntfield shares a case study on the clinical use of TEE and how the ACEP guidelines report that TEE “Provides the logical solution to these limitations, given its ability for continuous image acquisition both during compressions and during pulse checks, its reliably excellent image quality and its lack of interference with chest compressions or other procedures needed during cardiac arrest.” Please read Dr. Arntfield’s article to learn from about ACEP’s TEE guidelines and how to develop a program at your hospital.

Theresa Bowling MD, Wesley Knauft MD, Nishant Shah MD, Sanja Sinha MD

The use of ultrasound-guided regional anesthesia (UGRA) has dramatically increased in recent years, facilitated by the widespread availability of small portable ultrasound machines with high-resolution imaging. Numerous studies have shown that UGRA is the most effective technique to achieve the central requirement for safe, successful regional anesthesia blocks—namely, ensuring the optimal distribution of local anesthetic around the target nerves and minimizing the risk for injury to surrounding structures. Drs. Bowling, Knauft, Shah, and Sinha describe the benefits, techniques, and challenges of implementing an UGRA protocol for anesthesiologists.

Axis Imaging News

Judy Padula, MSN, RN and Matthew Ostroff, ARNP

Establishing vascular access is one of the most commonly performed medical procedures and plays a central role in patient care. However, obtaining PIV access is difficult in about 35% of patients who present to the emergency department. Ultrasound-guided vascular access can help address this issue, but a hospital must first create a program to educate clinicians in leveraging POCUS for this procedure. Nurses Judy Padula and Matthew Ostroff outline five steps in establishing an ultrasound-guided vascular access program: Identify and satisfy unmet needs, locate the safest, most cost-effective catheter site with ultrasound, use ultrasound-guided PIVs as an alternative to high-risk central lines, recognize the vital role nurse leadership can play in implementing a successful vascular access program, and leverage the nurse/physician partnership to optimize patient care.

DOTMed HealthCareBusiness News

Philip Corvo, MD, MA, FACS

Dr. Philip Corvo serves as chairman of the Stanley J. Dudrick Department Surgery and Director of Surgical Critical Care at Saint Mary's Hospital, Trinity Health Of New England, located in Waterbury, Connecticut. He leads an innovative ERAS (Enhanced Recovery after Surgery) program which is helping reduce opioid use, speeding patient recovery and reducing costs. DOTMed interviewed Dr. Corvo about the program he leads, in which he discusses the financial impact of ERAS, how to establish an ERAS program, and patient success stories.