Centre for Medicare & Medicaid Implement New Rules for Shoulder Pain Diagnosis
Beginning on January 1, 2020, the Centre for Medicare and Medicaid Services (CMS) launched a new appropriate use criteria (AUC) programme for advanced diagnostic imaging services provided to Medicare beneficiaries. The purpose of the new programme, enacted as part of the Protecting Access to Medicare Act (PAMA) signed into law in 2014, is to address the overutilisation of MRI, CT, nuclear medicine, and PET scans.
Shoulder pain, including suspected rotator cuff injury, is one of eight initial clinical areas CMS had identified to review for overutilisation and ordering patterns that are…
Australian Hospital Uses X-Porte to Identify Bone Fractures
An X-ray machine isn’t always necessary to image a broken bone. In an article published in the Queensland government’s healthcare site Gold Coast Health, Dr. Peter Snelling of Gold Coast University Hospital explains how he uses ultrasound to identify bone fractures in children. Dr. Snelling was granted a $159,000 grant to compare ultrasound and X-ray imaging for buckle fractures. Local Queensland news station Channel 9 also reported on Dr. Snelling’s work. Dr. Snelling uses a Sonosite X-Porte in the video.
Channel 9 report on using ultrasound to find bone fractures (video)
Ultrasound…
Ultrasound guided Regional Anaesthesia - a major component of ERAS: Dr. Ritesh Roy
Ultrasound guided regional anaesthesia (USGRA) in 21st century has set a new standard of perioperative care for a wide range of surgical sub-specialty procedures, including orthopaedic, general, thoracic, colourectal, breast, gynaecologic and cosmetic surgery. The use of Ultrasound guided regional anaesthesia has emerged as an important component of enhanced recovery after surgery (ERAS) protocols, designed to optimise patient co-morbidities before surgery, reduce stress responses after surgery, and promote early physical therapy and return to daily activities. ERAS…
Sonographer Brings POCUS Education to Guyana
RAD-AID International works to optimize access to medical imaging, radiology services, and nursing care and education in over 30 countries around the world. In a recent medical mission to Guyana, diagnostic registered sonographer Radha Persaud, RDMS, RDCS, RT joined a team that included a certified radiology nurse, two nurse practitioners, a radiologist, a radiology administrator, and a fourth-year medical student. Her team borrowed two Sonosite Edge portable ultrasound machines with transducers from the Global Health Loaner Pool. Radha sent FUJIFILM Sonosite this report detailing her…
POCUS for Emergency Medicine Helps Save Lives
Emergency physicians must make life-saving decisions as quickly as possible to choose the correct treatment and direct patients to an appropriate hospital. Emergency department chief Dr. Sylvain Benenati and emergency doctor Dr. David Sapir, both from Melun Hospital in France, discuss how the dynamic nature of point-of-care ultrasound makes it invaluable in these busy environments.
POCUS on the Road
Melun Hospital is located about 40 kilometers south of Paris. It is the headquarters of the urgent medical aid service (SAMU) for Seine et Marne—the biggest department in the Paris area—as…
Evaluating the Benefits of Point-of-Care Ultrasound for Geriatric Medicine
Dr. Nicolas Azulay is a general medicine doctor specializing in scheduled and emergency ultrasound examinations at the University Hospitals of Nice, France, where he works at the Pasteur II and Cimiez hospitals. As part of the clinical research program GERICARE, he recently studied the impact of point-of-care ultrasound (POCUS) assessment of patients admitted to the short-stay geriatric unit at Cimiez hospital.
I graduated in general medicine but, after six years in practice, I realized that I was more attracted to diagnostic exploration techniques, where I can investigate the anatomy and…
Emergency Physician Promotes POCUS Education in Laotian Capital
Dr. Jeff Dan, MD is an assistant professor of emergency medicine at Baystate Medical Center, which serves as a regional campus for the University of Massachusetts Medical School. He recently returned from his third trip to Vientiane, Laos on behalf of the nonprofit group Health Frontiers. Two years ago, Health Frontiers began an emergency medicine residency training program. To help develop this program, Dr. Dan traveled with two emergency ultrasound fellows and two educational fellows to Laos to provide a survey course in emergency ultrasound. His team borrowed four M-Turbos for this…
Learning to Master Ultrasound-Guided Pain Control in Zambia
Consultant and trainee anesthetists from Surrey, England traveled to Lusaka, Zambia with a point-of-care ultrasound (POCUS) system to train Zambian colleagues in ultrasound-guided regional anesthesia. Dr. Madankumar Narayanan describes the educational objectives of the visit and the enthusiastic response from doctors in Zambia, as the team demonstrated the benefits of ultrasound-guided interventions in classroom workshops and on patients.
Responding to a Need in Zambia
Anesthetic trainees in the UK often undertake an "out-of-program" fellowship to developing countries to expand…
Ultrasound Advances Research and Education in Uganda
Emergency physician Jessica Schmidt, MD, MPH, assistant professor at the School of Medicine and Public Health at University of Wisconsin, Madison, recently returned from a very productive visit to Uganda. Physicians at the University of Wisconsin Madison have partnered with physicians at Mbale Regional Referral Hospital and the Mbale Clinical Research Institute (MCRI), along with Atlas International, an NGO dedicated to improving health for children in Eastern Africa. The project is focused on creating a training and research programme in point-of-care ultrasound (POCUS) in Mbale, as Dr.…
French Medical Mission Brings Hope to Moroccan Villagers
Every year, the isolated villages of the Atlas Mountains in Morocco wait with hopeful anticipation for the Solidarité Maroc medical caravan. Located near the town of Imilchil at elevations exceeding 2,300 meters, these villages do not have a permanent access to medical care, so the villagers must travel long distances to reach the nearest hospital.
Founded in 2007, Solidarité Maroc’s mission is to provide care to the most disadvantaged populations of this mountainous region. Solidarité Maroc provides services such as minor surgery, oral care, and distribution of drugs and medical equipment.…
Sonosite Ultrasound Technology in an African Village
Emergency physician Dr. Steven Boutrus was kind enough to write this article for FUJIFILM Sonosite about his use of ultrasound during a medical mission for Grace Dental and Medical Missions.
Boïffo is a rural village in the far north of Benin, West Africa. It is a farming village typical of this region, containing densely clustered, mud-walled houses in the village centre, surrounded by several miles of farmland in every direction. There are no public utilities such as electricity or running water, and the only government presence is the village chief. The region is dotted…
Doctors Use Paediatric Ultrasound in Bolivia
Paediatric cardiac anaesthesiologist Dr. Pablo Motta MD, FAAP recently returned from Bolivia on a medical mission for HeartGift, developed through a partnership between by Texas Children’s Hospital and Memorial Herman Children’s Hospital, both located in Houston, Texas, and la Fundación Incor. in Santa Cruz, Bolivia. The goal of this mission is provide free, world-class paediatric cardiac care to children from underserved areas of Santa Cruz, Bolivia and its surroundings. The long-term is to develop a local team to perform paediatric cardiovascular care that could work independently.The…
POCUS’ Contribution to Value-Based Medicine
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…
A Solid Future for ICU Ultrasound
Point-of-care ultrasound (POCUS) has become an established tool for the rapid assessment and diagnosis of patients across a variety of medical disciplines, not least in the high-pressure environment of intensive care medicine.
Dr. Timm Steuber, senior consultant and head of the ICU at Evangelisches Krankenhaus Unna, Germany, discussed his day-to-day use of ICU ultrasound and why he considers POCUS increasingly important. Dr. Steuber started his career as a paramedic before training in medicine and specializing in anesthesia. In his role as a helicopter doctor, he readily recognized…
One for All - Standardising Medical Equipment
The North West Anglia NHS Foundation Trust serves approximately 700,000 residents of Cambridgeshire, South Lincolnshire, and the neighbouring counties. This recently created trust, formed in April 2017, includes three hospitals—Hinchingbrooke, Peterborough City and Stamford, and Rutland—plus community clinics in Ely and Doddington.Jim McWilliams, Associate Director for Technical Services at Hinchingbrooke Hospital in Huntingdon, understands the benefits of standardisation of medical equipment for clinicians and the North West Anglia NHS Foundation Trust. Together with a colleague at…
TEE Simulators Shown to be Effective POCUS Education Tools
Two studies published by the National Institutes of Health show promising results for the use of simulators in the training of emergency physicians (EP) in performing transesophageal echocardiography (TEE). In the study “Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination”, a post-workshop survey of a convenience sample of 14 EPs revealed that all study participants were “satisfied” or “extremely satisfied” with the educational session. 12 of the EPs (85.7 %) participants reported feeling…
Ultrasound Guidelines for Paediatric Vascular Access
More than five million central venous catheter (CVC) lines are placed in hospitals each year, making it one of the most common invasive emergency room procedures. Although NICE guidelines for ultrasound-guided placement of central venous lines in adults and children were first issued in the UK in October 2002, Dr. James Bennett, Consultant Anaesthetist at Birmingham Children's Hospital, describes how the debate has since moved on from whether ultrasound should be used for vascular access, to what other information and safety assurances it can provide, especially in paediatrics…
In Case of Emergency, Use POCUS
Time is of the essence in the emergency department, where a prompt diagnosis can litreally mean the difference between life and death.In this environment, access to point-of-care ultrasound is essential, providing vital information to help clinicians rapidly determine the most appropriate course of action for emergency patients. Dr. Martin Langer, clinical lead for emergency medicine at the Evangelisches Krankenhaus Unna, describes the importance of ultrasound in his department.The Evangelisches Krankenhaus Unna is a 324-bed, district hospital in Germany that includes a certified stroke unit…
Innovative Scottish Programme Puts POCUS in Rural Ambulances
FUJIFILM Sonosite’s M-Turbo point-of-care (POC) ultrasound systems will soon be providing pre-hospital diagnostics across the Scottish Highlands as part of the innovative SatCare trial. This study aims to combine POC ultrasound and advanced communications to enable remote image interpretation and decision making for a range of time-critical conditions.The ongoing development of high speed mobile data networks has transformed telemedicine – remote diagnosis and direction of treatment – leading to improved outcomes for a wide range of medical conditions. However, many existing telemedicine…
Ultrasound in Limited-Resource Settings can Help Saves Lives
Dr Ben LaBrot 2.png by Dr. Ben LaBrot, founder of Floating DoctorsRecently, while visiting the US, I went to the emergency room with a family member who was suffering some generalised complaints (chest and abdominal pain).Very soon after we got checked in, the attending physician ordered a litany of tests—a complete blood count with differential, blood clot tests (d-dimer), ESR and CRP, a metabolic panel, a liver panel, blood cultures, urinalysis, chest X-ray, ECG, abdominal ultrasound, and a medical and a surgical review. I immediately felt the challenge of practicing in a…