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The Gaes Titan Desert by Garmin is a 6-day endurance bike race over mountain terrain; the 2017 edition takes place in Morocco. From April 30-May 5, the Titan Desert saw over 463 top-level mountain bikers cover 380 miles of unyielding desert in gruelling conditions.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.