Integrating Ultrasound Services Into Your Practice - 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
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 stabilizing 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,”…
Fetal 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 fetal ultrasound (with a Sonosite Edge II) below!Watch SeaWorld’s rehabilitation of Washburn and her release
Ultrasound Guided Nerve Blocks, Not Opioids, for Post-Operative Pain Management
It’s no secret that the U.S. is in the throes of a major heroin epidemic, at least partly caused by the over-prescription of opioid painkillers by well-meaning physicians. When it comes to perioperative pain control, there are new ways to tackle patient discomfort without resorting to prescription opioids.Dr. Sonia Szlyk, an anesthesiologist and director of regional anesthesia for North American Partners in Anesthesia's Mid-Atlantic division, explains how local anesthesia (aided by ultrasound guidance) is helping control post-operative discomfort without limiting patient mobility. Dr. Szlyk…
Sonosite Institute: Paravertebral Nerve Block Education Module
Log into Sonosite Institute today, and begin your ultrasound-guided paravertebral nerve block education with our new learning module.
This module will show you how to:
Describe the indications and contraindications of an ultrasound-guided paravertebral nerve block.
Review the gross and sono-anatomy of the thoracic paravertebral space.
Explore the common techniques for performing an ultrasound-guided paravertebral nerve block.
View the Ultrasound Guided Paravertebral Nerve Blocks webinar by Dr. Theresa Bowling, Director of Regional Anesthesia, The Stamford Hospital. Here’s a sneak-peek…
User Stories: 25 Years of Point-of-Care Ultrasound in Anaesthesia
Dr. Thomas Grau, Head of Anaesthesia, Surgery, Intensive Care, Emergency Medicine and Pain at the Gütersloh Clinic, first studied ultrasound for a PhD on spinal imaging at Heidelberg University Hospital in the 1990s. 25 years on, he reflects on the role point-of-care ultrasound now plays in anaesthesia. "My first encounters with ultrasound were guided by efforts in Heidelberg to improve epidural anaesthesia in obstetrics. We identified that using point-of-care ultrasound to guide the needles could potentially help doctors to implement more effective epidurals more quickly, and might also…
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…
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…
Proposed CMS Hospital Outpatient Department Rule Detrimental for Imaging Services in CY 2017
Healthcare Business News
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
In this article for DOTmed News, Jill Rathbun discusses the proposed CMS hospital outpatient department rule and how it will impact imaging services in CY 2017. Read more to understand how payments may be restructured to reduce the total number of classifications.
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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…
3 Steps to Getting Buy-In For Your Ultrasound Program
Anyone who has ever tried to change the way medicine is practiced knows that inertia makes it difficult to get buy-in from colleagues and administrators. Introducing a relatively familiar technology, like point-of-care ultrasound, into a broader hospital setting might not seem like a difficult task, but all procedural changes face some kind of resistance.In Germany, physicians at the Evangelisches Krankenhaus have been able to expand the application of POCUS through multiple wards using three methods.1. Designate Your POCUS EvangelistAt Evangelisches Krankenhaus, this comes in the form of Dr…
Six Secrets of Implementing Ultrasound in Pediatric Emergency Medicine
Becker's Hospital Review
Russ Horowitz, MD, RDMS
Ultrasound is an important tool for rapid assessment of trauma patients, CVC and regional nerve block placement, facilitating difficult PIV access, and assessing cardiac function during resuscitations. In this article, Russ Horowitz, MD, RDMS, discusses six strategies to help implement ultrasound at the bedside in pediatric emergency medicine.
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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…
Australian Town Uses Crowdfunding to Buy Ultrasound
Citizens of the New South Wales (Australia) town of Canowindra took the unusual step of using crowdfunding to raise money to purchase a Sonosite Edge ultrasound for their rural hospital.Crowdfunding is a method for raising money through small donations from a large number of people, usually through the Internet. Although smaller-scale fundraising for medical causes has a long history in Canowindra, the town was able to quickly and effectively raise money for the ultrasound machine through GoFundMe, a popular crowdfunding website. The Canowindra Hospital first learned of…
Performance-Based Payment & Orthopedics: A Focus For The Medicare Program
Becker's Hospital CFO
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
In this informative article for Becker's CFO, Jill Rathbun covers the newly implemented CMS Comprehensive Care for Joint Replacement payment model. While the program began April 1, 2016, many of the hospitals were not, and are still not, prepared to participate. Read more to understand the basics of the model and how to be successful.
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Fujifilm Sonosite’s Chief Medical Officer Dr. Diku Mandavia Interviewed by Health Exec Magazine
Dr. Diku Mandavia recently sat down to talk shop with Health Exec Magazine. As the Chief Medical Officer for both FUJIFILM Medical Systems and FUJIFILM Sonosite, Dr. Mandavia is a busy man. His path to his current role started in Canada (he went to med school in Newfoundland) and performed his residency at LAC+USC Medical Center in Los Angeles, where he recognized the value of ultrasound in the emergency medicine setting.
As he tells Health Exec:
“It was a lightbulb moment for me,” Mandavia says. “This technology was going to have a big impact on patient care. Previously, many of these…
8 Ways to Avoid Central Line Placement Complications
Central line complications: they’re risky, costly, and all-around burden to healthcare. Whether it’s CLABSIs or iatrogenic pneumothoraces, CVC complications are not just terrifying for patients and unnerving for doctors; they are also costly for medical facilities.
Fortunately, there are tested methods for Iatrogenic Pneumothorax Prevention with POCUS that can drastically reduce complication rates (and associated costs) for critically ill patients who require venous catheterization.
1. If possible, aim for ultrasound-guided PIV instead
The first step in avoiding CVC complications can…
Ultrasound Payments to Drop Under CMS' Proposed Rates
HealthCare Business News
Jill Rathbun, Managing Partner at Galileo Consulting Group, Arlington, VA
In this View from the Hill article for DOTmed News, Jill Rathbun discusses the Fiscal Year 2017 Proposed Outpatient Hospital Rule and how imaging, in particular ultrasound, is set to be impacted both in a reorganization of Ambulatory Payment Classifications and expansion of packaging by the Centers for Medicare and Medicaid Services.
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Ultrasound Care for Endangered Species of Warty Pig [Video]
Veterinary patients can be such pigs. At the Pittsburgh Zoo, they are occasionally lethargic, critically endangered warty pigs. One of the Zoo’s three resident Visayan pigs, Dakila, who is 8 years old, is one such patient. Her veterinary care team, led by Dr. Ginger Sturgeon, pays particular attention to Dakila’s care.Native to the Philippines, Dakila has condition called dilated cardiomyopathy, which makes her lethargic (and originally contributed to a less-than-pig-perfect appearance). According to Dr. Sturgeon, Dakila can live a full, healthy life at the Zoo, but…