Emergency Medicine

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.

Mangala Narasimhan, D.O. is a pulmonary and critical care specialist from Long Island Jewish Medical Center, in Long Island, New York. Dr. Narasimhan spoke with FUJIFILM Sonosite Chief Medical Officer Diku Mandavia, M.D. about how the COVID-19 pandemic has impacted her hospital in the heart of New York's outbreak. You can watch the interview on our COVID-19 resource page. 

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.

Dr. Megan Thùy Vũ is a global surgery resident at Baylor College of Medicine in Houston, Texas. In addition to the five-year clinical general surgery program, she has two additional years dedicated to cross-training in other specialties, including point-of-care ultrasound, orthopedics, and OBGYN. Her professional interests include global pediatric surgery, trauma in combat and austere settings, and global surgical training and educational program development. Dr.

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.

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.

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.com

Trevor Bromley

One of the main reasons cited regarding physician burnout is the administrative burden and hassle factor of electronic health records. Regarding imaging services, current PACS workflow solutions have been designed for MRI or CT machines making it harder for physicians who use ultrasound at the point of care to document their services with ease. There is now a new system, Sonosite Synchronicity software, that was exclusively designed with ultrasound and point-of-care applications in mind. This new system addresses compliance, quality improvement, credentialing, revenue capture and reduced administrative burden. In Trevor Bromley's Dotmed article FUJIFILM Sonosite executives share information about Sonosite Synchronicity.