Did you know that nearly half of all opioid overdoses involve a prescription?
Physicians are beginning to tackle the problem at ground zero: in the ED, where many patients receive their first prescription 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.
FUJIFILM Sonosite has donated two M-Turbo point-of-care ultrasound systems to the non-governmental sea rescue organisation Proactiva Open Arms, based in Badalona, Spain, to support efforts in rescuing refugees.
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.
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.
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:
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.
by Rich Fabian, Chief Operating Officer, FUJIFILM Sonosite
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?
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?
Anaesthetists working in perioperative medicine have increasingly taken a whole body approach to patient evaluation known as TUBE – Total Ultrasound Body Examination – thanks to the development of point-of-care ultrasound.
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.
When Dr. Peter Steinmetz took on the task of ensuring McGill University’s medical school graduates would be proficient in the use of point-of-care ultrasound, he faced numerous challenges, not the least of which was the fact that the undergraduate medical school curriculum was already full.
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.
A Sonosite SII point-of-care ultrasound system recently played a key role in an innovative procedure of thyroid surgery without the use of general anaesthetic.
Dr. Rüdiger Eichholz, a consultant anaesthetist working for private practise in Stuttgart, Germany, explained the case.
Dr. Alfredo Tirado is from Florida Hospital in Orlando, and has been leading an emergency response mission in Puerto Rico to help with Hurricane Maria relief.
With constant pressure on healthcare providers to improve the quality and efficiency of care while reducing costs, standardisation of patient management is a logical step towards more streamlined services. Anaesthesia is one area that is beginning to embrace this approach, combining regional nerve blocks with ultrasound guidance to improve both the quality and effectiveness of patient care while minimizing hospital stays.
Point-of-care ultrasound (POCUS) is rapidly becoming a crucial tool for emergency medicine in Germany, and it's increasingly common for ambulances and emergency doctor vehicles to be equipped with POCUS systems. Dr.
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.
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.