Guiding Paediatric Vascular Access
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, discusses 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.
The transplant unit at Birmingham Children’s Hospital – now part of Birmingham Women’s and Children’s NHS Foundation Trust – carries out around 35 liver and 12 kidney transplants a year…
User Stories: Spreading Point-of-Care Ultrasound Hospital-Wide
What departments are the heaviest users of point-of-care ultrasound in an American-based hospital?The answer varies from hospital to hospital, but we usually see Emergency Medicine, Cardiology, Critical Care and Anaesthesiology rounding out the heavyweight users of bedside ultrasound.But what happens when a hospital wants to bring point-of-care ultrasound to different departments with different clinical applications? And what happens when a hospital wants point-of-care ultrasound in every department? With every doctor?If you’re in Germany, that hospital would be the Evangelisches Krankenhaus…
Emergency Medicine Professionals: What to Look For at ACEP16
There are a lot of things Las Vegas is known for – gambling, over-the-top entertainment, and world-class dining. Now there’s one more thing to add to that list: ACEP 2016 – the leading event for emergency medicine. In a few days, thousands of emergency medical professionals from around the globe will gather for ACEP16, an immersive experience that goes beyond what typical medical conferences offer. So what makes ACEP16 so important?ACEP16 is the largest Emergency Medicine focused conference in the US that brings together education, networking, policy development, and new medical…
Clinical Chest Professionals, Here's Our Guide to CHEST2016
Has it really been a year already? We’re back in LA this week for another edition of CHEST, the premier clinical event for chest medicine in the U.S. We love CHEST because the show connects a global community around not just networking and new technology, but brings together new research, instruction and interactive simulations too. If you’re a veteran of CHEST you probably know your way around the show. If you haven’t been before or need a refresher, here’s our quick “Guide to CHEST2016.”1. Push Your Medical Education It can be hard to complete continuing medical education credentials…
User Stories: A Clear Path for Ambulatory Care
The Clinique Juge is a Marseille clinic specialising in ambulatory surgery. Combining regional anaesthesia with focused pre- and post-operative care, the clinic aims to allow patients to return home soon after orthopaedic surgery, often on the same day as their procedure. Anaesthetist Dr Philippe Grillo explains the benefits of this approach, and the role of point-of-care ultrasound in ensuring effective nerve blocks and post-operative pain relief."We treat around 15,000 patients a year, and have been using regional anaesthesia for approximately eight years to accelerate post-operative…
Foetal Ultrasound of Pregnant SeaWorld Manatee
When you think of manatee migration, you don’t normally picture aircraft.But that is how Washburn the pregnant manatee was transported from Massachusetts, where she was rescued (just off the coast) to Sea World in Orlando, Florida, where she spent 2 weeks recuperating.After recovering from cold-related stress, Washburn was found fit to be released back into the waters off the coast of Florida.See some clips from Washburn’s foetal ultrasound (with a Sonosite Edge II) below!Watch SeaWorld’s rehabilitation of Washburn and her release
Ultrasound Answers Questions in Emergency Care in Spain
In the world of emergency medicine, there’s nothing fun about the guessing game. With a seriously ill or injured patient, every second counts and the wrong diagnosis can actually have a significant impact on health. That’s why having all available information is absolutely critical to stabilising patients and saving lives.
That’s also what makes point-of-care ultrasound so critically important in emergency care.
“[Ultrasound] allows us to determine the best course of action immediately, rather than making our initial decisions blindly and confirming later if we were right or wrong,”…
Integrating Ultrasound Services Into Your Practise - Five Reasons December 2016 Could Be The Right Time
Becker's Hospital Review
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
Since the election there have been many articles written discussing the future of the Affordable Care Act under a President-Elect Trump Administration and a Republican Congress. It is important that physicians and office administrators understand the real impact by reading this article.
Beckers Integrating Ultrasound 1216.pdf
Beyond the Block: Why Would an Anaesthesiologist Use Ultrasound?
Increasingly, anaesthesiologists have been using ultrasound guidance to help visualise soft tissue anatomy and nerve location while performing regional nerve blocks. Correct placement of local anaesthetics lead to long lasting pain management and enhanced recovery times.
But beyond the block, how does ultrasound help anaesthesiologists do their jobs?
The answer has a lot to do with the changing practise of medicine.
In the United States, anaesthesiologists are increasingly expected to perform a wider role in care of patients—that is, care before, during, and after surgery—a specialty known…
Beyond the Block: Why Would an Anaesthesiologist Use Ultrasound?
Increasingly, anaesthesiologists have been using ultrasound guidance to help visualise soft tissue anatomy and nerve location while performing regional nerve blocks. Correct placement of local anaesthetics lead to long lasting pain management and enhanced recovery times.
But beyond the block, how does ultrasound help anaesthesiologists do their jobs?
The answer has a lot to do with the changing practise of medicine.
In the United States, anaesthesiologists are increasingly expected to perform a wider role in care of patients—that is, care before, during, and after surgery—a specialty known…
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 Centre (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…
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 centres have launched their own initiatives to begin tackling the problem of opioid abuse. Recognising that prescription opiates are often the first step toward opioid addiction, St. Joseph’s Health Care…
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…
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 practises 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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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…
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 Centres for Medicare and Medicaid Services (CMS) have finalised 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 practise can be prepared on January 1, 2018, please read the following article in 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…
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 centres 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…
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 utilises 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…