<p begin="00:00:01.113" end="00:00:03.696">(gentle music)</p>
<p begin="00:00:30.681" end="00:00:33.796">- I am Ed Newton, I am<br />the chair of emergency</p>
<p begin="00:00:33.796" end="00:00:36.980">medicine here at LA<br />County USC Medical Center.</p>
<p begin="00:00:36.980" end="00:00:40.007">- So I'm Billy Mallon, I'm<br />a career doc and academic</p>
<p begin="00:00:40.007" end="00:00:42.585">emergency physician here at LA County USC.</p>
<p begin="00:00:42.585" end="00:00:45.169">I've spent the better<br />part of my career here, 16</p>
<p begin="00:00:45.169" end="00:00:47.068">years on the faculty, trained here.</p>
<p begin="00:00:47.068" end="00:00:49.855">- I am Diku Mandavia, I'm<br />an emergency physician.</p>
<p begin="00:00:49.855" end="00:00:53.536">I've been on faculty at USC since 1994.</p>
<p begin="00:00:53.536" end="00:00:55.857" tts:origin="0% 0%">- Part of the problem with<br />transporting people three</p>
<p begin="00:00:55.857" end="00:00:58.339" tts:origin="0% 0%">floors away to the CT scanner is that</p>
<p begin="00:00:58.339" end="00:01:00.975" tts:origin="0% 0%">that is fundamentally not<br />safe to do with somebody</p>
<p begin="00:01:00.975" end="00:01:02.240" tts:origin="0% 0%">who is unstable.</p>
<p begin="00:01:02.240" end="00:01:05.519" tts:origin="0% 0%">- I don't need one with 17<br />slide bars that looks like</p>
<p begin="00:01:05.519" end="00:01:09.187" tts:origin="0% 0%">a sound mixer with all this<br />stuff, I need a rugged machine</p>
<p begin="00:01:09.187" end="00:01:12.599" tts:origin="0% 0%">that produces images,<br />reasonably quickly that's</p>
<p begin="00:01:12.599" end="00:01:14.071">readily available.</p>
<p begin="00:01:14.071" end="00:01:16.037" tts:origin="0% 0%">- When we're in a code<br />situation, the last thing</p>
<p begin="00:01:16.037" end="00:01:19.501" tts:origin="0% 0%">I wanna worry about is A,<br />how to turn a machine on,</p>
<p begin="00:01:19.501" end="00:01:22.304" tts:origin="0% 0%">or is the machine gonna work properly.</p>
<p begin="00:01:22.304" end="00:01:26.347">This has to be technology<br />that I can trust.</p>
<p begin="00:01:26.347" end="00:01:28.792">And Sonosite provides that.</p>
<p begin="00:01:28.792" end="00:01:31.160" tts:origin="0% 0%">- This is really the<br />first department to say</p>
<p begin="00:01:31.160" end="00:01:34.701" tts:origin="0% 0%">"well let's do it, let's put<br />it in at every recess tower</p>
<p begin="00:01:34.701" end="00:01:36.196" tts:origin="0% 0%">"so that we don't have<br />to fish around for it."</p>
<p begin="00:01:36.196" end="00:01:37.919">- When you go out of work<br />in a community hospital</p>
<p begin="00:01:37.919" end="00:01:40.730">and you see a patient who<br />you think has a ruptured</p>
<p begin="00:01:40.730" end="00:01:44.720" tts:origin="0% 0%">aorta, you wanna know right<br />now, does that patient</p>
<p begin="00:01:44.720" end="00:01:46.181" tts:origin="0% 0%">have a ruptured aorta.</p>
<p begin="00:01:46.181" end="00:01:48.258">- Those types of questions<br />need real time immediate</p>
<p begin="00:01:48.258" end="00:01:50.746">answers, the idea that a<br />radiologist is gonna come to</p>
<p begin="00:01:50.746" end="00:01:53.811">the bedside in emergency medicine, no.</p>
<p begin="00:01:53.811" end="00:01:57.756" tts:origin="0% 0%">- When you go home and<br />you reflect on your cases.</p>
<p begin="00:01:57.756" end="00:01:59.754" tts:origin="0% 0%">You know, could I have<br />done something different</p>
<p begin="00:01:59.754" end="00:02:01.237" tts:origin="0% 0%">on that case?</p>
<p begin="00:02:01.237" end="00:02:03.323" tts:origin="0% 0%">Would that patient have survived?</p>
<p begin="00:02:03.323" end="00:02:05.384">- Absolutely it makes a<br />difference, especially for</p>
<p begin="00:02:05.384" end="00:02:08.106">critical cases like if you<br />have a ruptured abdominal</p>
<p begin="00:02:08.106" end="00:02:10.892">aneurysm, minutes count.</p>
<p begin="00:02:10.892" end="00:02:13.453">- In most community emergency departments,</p>
<p begin="00:02:13.453" end="00:02:15.716">non-academic centers, there's<br />just not a radiologist</p>
<p begin="00:02:15.716" end="00:02:20.025">around 24/7, but there are<br />emergencies around 24/7.</p>
<p begin="00:02:20.025" end="00:02:23.669">- Sonosite is in the<br />business of saving lives.</p>
<p begin="00:02:23.669" end="00:02:24.897">That's what they do.</p>
<p begin="00:02:24.897" end="00:02:27.008">- If you can make the<br />diagnosis very quickly</p>
<p begin="00:02:27.008" end="00:02:28.418">you can save a lot more people.</p>
<p begin="00:02:28.418" end="00:02:31.133">- They have innovated the<br />technology significantly</p>
<p begin="00:02:31.133" end="00:02:32.724">so in the last decade.</p>
<p begin="00:02:32.724" end="00:02:34.989">This installation that we<br />see here eat USC is just</p>
<p begin="00:02:34.989" end="00:02:37.527">an example of forward<br />thinking, they will need to</p>
<p begin="00:02:37.527" end="00:02:41.694">continue to push the envelope<br />into more clinical areas</p>
<p begin="00:02:43.153" end="00:02:45.718">that ultrasound can be<br />used, and bringing it closer</p>
<p begin="00:02:45.718" end="00:02:46.968">to the patient.</p>
<p begin="00:02:48.436" end="00:02:51.019">(gentle music)</p>