Concerns about Point-of-Care Ultrasound in Australia
by Rich Fabian, Chief Operating Officer, FUJIFILM Sonosite
A recent article in the Sydney Morning Herald about a push for increased point-of-care ultrasound (POCUS) funding caught my eye. I was initially excited that the topic was receiving such prominent placement, but after delving in, I realized that that situation being described was obviously very frustrating for the people involved.
The article describes three problems that Australian providers and patients face when it comes to the use of POCUS in Australian Emergency Departments.
Medical Professionals Need POCUS Training…
POCUS Profile: Dr. Matthew J. Reed
Point-of-care ultrasound plays an important role in the emergency sector, enabling hospital clinicians and paramedics responding to an urgent call for medical assistance to assess a patient’s condition. Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explains how ultrasound contributes to the management of cardiac arrest:"My interest in ultrasound began over a decade ago when, as a registrar training in Edinburgh, I visited Australia to work at the Royal North Shore Hospital in Sydney. At that time, we were not using ultrasound in Edinburgh;…
Global Health: The IWISH Foundation and Sonosite Ultrasound Machines in Haiti
Audrey E. Stryker, MD, an Ob/Gyn and partner at Women's Ob-Gyn, P.C., has been traveling to underdeveloped countries with Sonosite ultrasound systems since 2004. As a part of the IWISH Foundation (International Women & Infant Sustainable Healthcare), she and her colleagues recently travelled to Haiti to help train the next generation of medical professionals. This is her story."We've been traveling to underdeveloped countries since 2004, hoping to achieve a model that offers a sustainable means for countries to provide health care for their women and children. Haiti…
Case Study: Point-of-Care Ultrasound in Resuscitation Situations
How valuable is the use of point-of-care ultrasound in resuscitation situations? Consider the following case study, provided by Dr. Mark Mensour, ER physician, Assistant Professor at the Northern Ontario (Canada) School of Medicine and course developer for Emergency healthcare practitioners.
A 59-year old male, recently admitted for fever and pneumonia, is intubated and ventilated. While in the CT scanner to determine whether he has acute respiratory distress syndrome, the patient suffers a cardiac arrest with pulseless electrical activity (PEA). CPR was initiated, and the endotracheal tube…
Portable Ultrasound Machine for International Medical Missions
Dr. Russell Engevik is an emergency room physician from California who volunteers with Lighthouse Medical Missions.He recently sent a video showing us how he utilizes a borrowed Sonosite iViz while working with patients in the hospital in the small fishing village of Tanji, The Gambia.The Gambia is a resource-poor nation in West Africa with an economy that relies primarily upon tourism. Less than 6% of the land is arable, and the main crop grown in the country is peanuts.The Gambia is nearly entirely surrounded by the country of Senegal, except for the section that is bordered by the Atlantic…
Global Health: FUJIFILM Sonosite Donates Ultrasound Systems to Refugee Rescue Organization
FUJIFILM Sonosite has donated two M-Turbo point-of-care ultrasound systems to the non-governmental sea rescue organization Proactiva Open Arms, based in Badalona, Spain, to support efforts in rescuing refugees.Proaativa Open Arms specializes in surveillance and rescue missions of refugee-filled boats in the Aegean and Central Mediterranean seas. People fleeing civil war, poverty, and persecution in their own countries have headed for Southern European shores. Boats that break down in the water are abandoned by the operators (usually smugglers) and refugees are left stranded in the…
Treating Acute Pain Without Opioids
For the past 20-odd years in the United States, traumatic and acute conditions have often been treated in the Emergency Room using opioid drugs. Now, with the effects of a nationwide opioid addiction crisis becoming increasingly dire, hospitals and trauma centers are looking for new ways to treat pain without prescribing addictive opioid painkillers.The goal of reducing opioid prescriptions is especially important for patients who are recovering from addiction to opioids. The Huffington Post has published a video that follows one patient’s story as he recovers from a shattered femur at the…
Sonosite Edge II at the 2017 Gaes Titan Desert Race
The Gaes Titan Desert by Garmin is a 6-day endurance bike race over mountain terrain; the 2017 edition takes place in Morocco. From April 30-May 5, the Titan Desert saw over 463 top-level mountain bikers cover 380 miles of unyielding desert in gruelling conditions.Dr. Marc Bausili, an anesthetist at the Sant Pau Hospital in Barcelona and a member of the Titan Desert medical team, knew what kind of injuries would be the most common, and what kind of equipment would be the most useful.“We knew from our experience of similar events,” says Bausili, “that with so many participants, and the…
Ultrasound and Changes in Value-Based Care
Uncertainty – especially in economics, government, or healthcare - can be hard to handle. Combine a little bit of uncertainty in Washington D.C. and the medical community and you’ll have a window into 2017, a time when the future of the Affordable Health Care Act and the health sector is in flux.
Is there a silver lining here? We believe so. 2017 presents an opportunity for healthcare providers to evaluate how technologies like ultrasound can solve their challenges. By expanding their use of ultrasound, we believe providers can attract more patients, increase their patients’ level of…
Global Health: Ultrasound Expands Access and Improves Maternal Care
Every day, 800 women die from preventable causes related to pregnancy and childbirth. 99% live in rural areas. Many of them could be prevented with proper maternal care including ultrasound imaging during their pregnancy and delivering in a medical clinic. Of those deaths, 40% are due to injuries or conditions related to placenta complications - and the only way to detect abnormal placenta challenges is through an ultrasound exam.A few years ago, Sonosite partnered with Qualcomm Wireless Reach, Trice Imaging Inc., and Sony to create the Mobile Ultrasound Patrol project, a trial…
Ultrasound and Changes in Value-Based Care - Part 1
Uncertainty – especially in economics, government, or healthcare - can be hard to handle. Combine a little bit of uncertainty in Washington D.C. and the medical community and you’ll have a window into 2017, a time when the future of the Affordable Health Care Act and the health sector is in flux. Is there a silver lining here? We believe so. 2017 presents an opportunity for healthcare providers to evaluate how technologies like ultrasound can solve their challenges. By expanding their use of ultrasound, we believe providers can attract more patients, increase their patients’ level of…
CMS Implements AUC Requirements for Advanced Imaging Services
HealthCare Business News
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
The Centers for Medicare and Medicaid Services (CMS) have finalized the clinical areas that will be part of the new Appropriate Use Criteria requirements for the ordering of MRI, CT, PET and Nuclear Cardiology studies starting January 1, 2018. CMS has selected shoulder pain, including suspected rotator cuff injury, as one of the priority clinical areas. To learn more about these new requirements so that your practice can be prepared on January 1, 2018, please read the following article in the…
Point-of-Care Ultrasound Shows Promise for Osgood-Schlatter Diagnosis
Osgood-Schlatter disease is a developmental disorder that causes musculoskeletal problems and is rare in the normal population. However, the condition is more common in teenagers who play sports, affecting an estimated 3-5% percent of this population; it causes painful inflammation below the knee in adolescents and can lead to permanent soft tissue damage. The condition is often diagnosed by MRI, which is both costly and impractical for screening purposes.Dr. Ralf Doyscher, from the Department of Sports Medicine at Charité – Universitätsmedizin Berlin, recently participated in a study of…
The Range of POCUS: Emergency Rooms to Vascular Access to Intensive Care Training
Did you know that Sonosite’s first mission was to create an ultrasound machine that could be carried into battle? The concept was simple: Get treatment to a trauma victim by giving a frontline clinician an ultrasound machine that could be brought to the patient’s side. Now point-of-care ultrasound is used around the world for an ever growing variety of clinical applications and procedures. Here's three user stories of how Sonosite systems have helped clinicians expand the range of what's possible using portable ultrasound. Quick and Acurate Vascular AccessThe Children’s Acute…
User Stories: Madrid's Emergency Services and Portable Ultrasound
Since point-of-care ultrasound systems were originally designed for dealing with emergencies in a battlefield setting, it's not surprising that ultrasound now plays a pivotal role in emergency vehicles around the world. Dr Ramón de Elías Hernandez, head of on-call doctors at SAMUR, Madrid’s municipal emergency service, describes the advantages that point-of-care ultrasound brings to his everyday life.
"I've been an ambulance doctor for the Servicio de Asistencia Municipal de Urgencia y Rescate (SAMUR) in Madrid for 20 years, 10 of those as head of on-call doctors. My day job is to…
2017 - The Year For Expansion In Ultrasound-Guided Minimally Invasive Surgical Procedures
HealthCare Business News
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
With the future of the Affordable Care Act in flux, this may be a time for healthcare providers to evaluate their practices and see how they provide more for their patients and communities. By expanding service offerings, healthcare providers can attract more patients and elevate their patient's level of satisfaction. Read this article to find out how 2017 may be the year for expansion of ultrasound-guided surgical procedures using ultrasound guided breast biopsies as an example.
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Ultrasound-Guided Vascular Access Program Saves St. Joseph's $3.5 Million
Becker's Infection Control & Clinical Quality
Matthew Ostroff, ARNP
The American College of Emergency Physicians issued a policy statement in 2016 advocating a new safety standard for vascular access through the use of ultrasound guidance. St. Joseph's Healthcare System, in Paterson, N.J., launched a program that has yielded significant safety and quality of care improvements for all patients requiring vascular access. This article describes how St. Joseph's cut healthcare costs and improved patient outcomes by achieving the "one-stick standard".
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User Stories: St. Joseph's Reduces Time and Cost with POCUS Vascular Access
If you had to choose between inserting a PICC line (40-45 minutes) and inserting a PIV with ultrasound guidance (5-10 minutes), which would you choose to perform? What if your patient weighed less than 5 lbs? Or more than 500?
When you’re working with some of the smallest, most vulnerable patients, every single needle stick matters more than ever. Whether injecting critical medicine or drawing blood, St. Joseph’s Healthcare System in Paterson, New Jersey, strives to minimize patient pain during needle insertion.
“Before we had the Sonosite ultrasound technology, we had a lot of patients…
Reducing The Opioid Epidemic with POC Ultrasound
Every day, 91 Americans die from opioid (prescription drugs or heroin) overdoses. This is the worst drug epidemic in the history of the United States.
How can emergency physicians help patients manage pain without accidentally getting them addicted to prescription opioids?
While federal and local governments have been slow to respond to this health crisis, individual hospitals and medical centers have launched their own initiatives to begin tackling the problem of opioid abuse. Recognizing that prescription opiates are often the first step toward opioid addiction, St. Joseph’s Health Care…
User Stories: Point-of-Care Ultrasound Aids Elephant Conservation in Vietnam
Vietnam’s wild elephant population has dropped from over 2,000 animals to less than 100 in 20 years, making the country’s 60 or so captive elephants vital to preserving the genetic lines of this critically endangered species.Dr. Willem Schaftenaar, Veterinary Advisor to the European Studbook of Elephants, has been assisting the Đăk Lăk Elephant Conservation Center (ECC) in identifying female elephants suitable for breeding. With the help the Animals Asia Foundation and a Sonosite Edge, Dr. Schaftenaar and the ECC are working with owners to establish a…