<p begin="00:00:01.132" end="00:00:03.632" style="s2">(light music)</p>
<p begin="00:00:07.055" end="00:00:09.647" style="s2">- Ultrasound, I have no<br />question is the biggest advance</p>
<p begin="00:00:09.647" end="00:00:11.480" style="s2">in our specialty ever.</p>
<p begin="00:00:17.748" end="00:00:20.102" style="s2">I think a lot of people are<br />excited about ultrasound,</p>
<p begin="00:00:20.102" end="00:00:23.122" style="s2">and they see how it's<br />transformed our specialty,</p>
<p begin="00:00:23.122" end="00:00:27.159" style="s2">the way we give care, and<br />they see when they go overseas</p>
<p begin="00:00:27.159" end="00:00:30.663" style="s2">how ultrasound would be<br />applicable there as well.</p>
<p begin="00:00:30.663" end="00:00:34.240" style="s2">An fortunately with the<br />work that Sonosite's doing,</p>
<p begin="00:00:34.240" end="00:00:38.194" style="s2">that technology is<br />getting to the point where</p>
<p begin="00:00:38.194" end="00:00:40.245" style="s2">it can be used in these settings.</p>
<p begin="00:00:40.245" end="00:00:43.162" style="s2">It's battery-operated, it's rugged.</p>
<p begin="00:01:28.395" end="00:01:29.457" style="s2">- If you have a pregnant woman and she has</p>
<p begin="00:01:29.457" end="00:01:32.669" style="s2">a placenta previa, where<br />the placenta extends</p>
<p begin="00:01:32.669" end="00:01:35.573" style="s2">over the opening that the<br />baby's gonna go through,</p>
<p begin="00:01:35.573" end="00:01:37.241" style="s2">that woman will die if she give birth</p>
<p begin="00:01:37.241" end="00:01:39.265" style="s2">and doesn't have a Cesarean section.</p>
<p begin="00:01:39.265" end="00:01:43.433" style="s2">And the only way for you to<br />see that is with ultrasound.</p>
<p begin="00:01:43.433" end="00:01:45.249" style="s2">So there's no question<br />that it's life or death</p>
<p begin="00:01:45.249" end="00:01:46.844" style="s2">in that situation.</p>
<p begin="00:01:46.844" end="00:01:50.516" style="s2">There was a young man who<br />had been hit by a cart</p>
<p begin="00:01:50.516" end="00:01:54.683" style="s2">and had bruising over his<br />spleen, but we're four hours</p>
<p begin="00:01:56.149" end="00:01:58.319" style="s2">from the nearest<br />hospital, and fortunately,</p>
<p begin="00:01:58.319" end="00:02:00.757" style="s2">we were able to look and<br />see there was no blood</p>
<p begin="00:02:00.757" end="00:02:04.521" style="s2">in his abdomen, and we made<br />the choice to observe him</p>
<p begin="00:02:04.521" end="00:02:07.400" style="s2">overnight, and he did well.</p>
<p begin="00:02:07.400" end="00:02:11.436" style="s2">So we would not have had<br />an idea of which way to go</p>
<p begin="00:02:11.436" end="00:02:15.603" style="s2">without the ultrasound<br />system that we had available.</p>
<p begin="00:02:32.810" end="00:02:36.977" style="s2">- It's a very exciting time<br />to be working in this area.</p>

<p begin="00:00:05.735" end="00:00:09.134" style="s2">- On the battlefield, you have<br />to make decisions quickly,</p>
<p begin="00:00:09.134" end="00:00:12.884" style="s2">and correctly, and<br />accurately, or people die.</p>
<p begin="00:00:18.325" end="00:00:21.634" style="s2">I was in a line unit,<br />so my job was obviously</p>
<p begin="00:00:21.634" end="00:00:23.082" style="s2">to take care of patients.</p>
<p begin="00:00:23.082" end="00:00:25.784" style="s2">But my bigger job was<br />to advise the commander.</p>
<p begin="00:00:25.784" end="00:00:27.387" style="s2">Do we need a helicopter?</p>
<p begin="00:00:27.387" end="00:00:29.900" style="s2">Do we really need to<br />evacuate this soldier?</p>
<p begin="00:00:29.900" end="00:00:32.023" style="s2">You have traumatic amputations,</p>
<p begin="00:00:32.023" end="00:00:35.535" style="s2">you have pneumothorax,<br />you have hemothorax,</p>
<p begin="00:00:35.535" end="00:00:37.315" style="s2">you have intraperitoneal fluid,</p>
<p begin="00:00:37.315" end="00:00:39.635" style="s2">pericardial tamponade, you name it,</p>
<p begin="00:00:39.635" end="00:00:41.500" style="s2">you're gonna see it in Iraq.</p>
<p begin="00:00:41.500" end="00:00:43.330" style="s2">So you transition from an area</p>
<p begin="00:00:43.330" end="00:00:45.296" style="s2">where you have every piece of equipment</p>
<p begin="00:00:45.296" end="00:00:47.916" style="s2">at your beck and call, to Iraq.</p>
<p begin="00:00:47.916" end="00:00:49.220" style="s2">You have your hands.</p>
<p begin="00:00:49.220" end="00:00:50.352" style="s2">And you have your stethoscope.</p>
<p begin="00:00:50.352" end="00:00:51.185" style="s2">And that's it.</p>
<p begin="00:00:51.185" end="00:00:53.333" style="s2">Once you get the ultrasound machine,</p>
<p begin="00:00:53.333" end="00:00:55.487" style="s2">you can now look at people and say,</p>
<p begin="00:00:55.487" end="00:00:59.016" style="s2">do they have evidence<br />of a pneumo, yes or no?</p>
<p begin="00:00:59.016" end="00:01:01.557" style="s2">Do they have evidence<br />of blood in their belly?</p>
<p begin="00:01:01.557" end="00:01:02.970" style="s2">Do they have fluid around their heart?</p>
<p begin="00:01:02.970" end="00:01:05.687" style="s2">And you can answer these<br />questions in seconds.</p>
<p begin="00:01:05.687" end="00:01:06.979" style="s2">I'm a little bit passionate,</p>
<p begin="00:01:06.979" end="00:01:09.261" style="s2">because, I mean, you think about patients</p>
<p begin="00:01:09.261" end="00:01:10.708" style="s2">who come into the ER,</p>
<p begin="00:01:10.708" end="00:01:12.118" style="s2">I mean, they're deserving of health care.</p>
<p begin="00:01:12.118" end="00:01:13.681" style="s2">No one would debate that.</p>
<p begin="00:01:13.681" end="00:01:16.325" style="s2">But take a look at the soldier.</p>
<p begin="00:01:16.325" end="00:01:20.140" style="s2">The way they make a living<br />is by protecting our rights.</p>
<p begin="00:01:20.140" end="00:01:21.418" style="s2">We take a piece of equipment,</p>
<p begin="00:01:21.418" end="00:01:23.484" style="s2">which relatively is inexpensive,</p>
<p begin="00:01:23.484" end="00:01:25.434" style="s2">compared to most things we buy,</p>
<p begin="00:01:25.434" end="00:01:27.789" style="s2">whether it's in the hospital<br />or for the military,</p>
<p begin="00:01:27.789" end="00:01:30.924" style="s2">and it can dramatically<br />change our ability to say</p>
<p begin="00:01:30.924" end="00:01:33.752" style="s2">this person really is sick.</p>
<p begin="00:01:33.752" end="00:01:36.384" style="s2">This person really does have this injury.</p>
<p begin="00:01:36.384" end="00:01:39.602" style="s2">Or this person doesn't need<br />to be evacuated right now,</p>
<p begin="00:01:39.602" end="00:01:41.837" style="s2">we can take our time, we can do it safer.</p>
<p begin="00:01:41.837" end="00:01:44.692" style="s2">We can put less peoples' lives at risk.</p>
<p begin="00:01:44.692" end="00:01:48.188" style="s2">That, to me, is the beauty of ultrasound.</p>
<p begin="00:01:48.188" end="00:01:51.794" style="s2">Because who is more<br />deserving than the people who</p>
<p begin="00:01:51.794" end="00:01:55.711" style="s2">really give, without any<br />thought to themselves,</p>
<p begin="00:01:56.557" end="00:01:59.201" style="s2">so much to us every single day.</p>
<p begin="00:01:59.201" end="00:02:01.722" style="s2">And by taking this piece of technology,</p>
<p begin="00:02:01.722" end="00:02:05.889" style="s2">we can make it safer for them<br />to do that very dangerous job.</p>
<p begin="00:02:06.865" end="00:02:10.084" style="s2">I guess for me, ultrasound<br />really is piece of mind.</p>
<p begin="00:02:10.084" end="00:02:12.109" style="s2">They can have so much more information</p>
<p begin="00:02:12.109" end="00:02:14.211" style="s2">so that they can be certain<br />that they're providing</p>
<p begin="00:02:14.211" end="00:02:17.378" style="s2">the best health care for that soldier.</p>