<p begin="00:00:03.998" end="00:00:06.040" tts:origin="0% 0%">- My name's Dr. Steven Sampson.</p>
<p begin="00:00:06.040" end="00:00:08.986" tts:origin="0% 0%">I practice in Los Angeles, California.</p>
<p begin="00:00:08.986" end="00:00:11.910" tts:origin="0% 0%">My specialty is physical<br />medicine and rehabilitation,</p>
<p begin="00:00:11.910" end="00:00:13.977" tts:origin="0% 0%">also known as physiatry.</p>
<p begin="00:00:13.977" end="00:00:15.955">My practice focuses primarily on</p>
<p begin="00:00:15.955" end="00:00:20.122">non-surgical orthopedics and<br />musculoskeletal medicine.</p>
<p begin="00:00:23.640" end="00:00:24.919">I was initially motivated</p>
<p begin="00:00:24.919" end="00:00:27.399">to incorporate ultrasound into my practice</p>
<p begin="00:00:27.399" end="00:00:29.490">because I've always been intrigued</p>
<p begin="00:00:29.490" end="00:00:33.210">by cutting edge treatments and<br />developments in technology,</p>
<p begin="00:00:33.210" end="00:00:35.600">and trying to offer that to my patients.</p>
<p begin="00:00:35.600" end="00:00:38.308">And I'm aware of the treatments</p>
<p begin="00:00:38.308" end="00:00:40.617">that are commonly performed in Europe</p>
<p begin="00:00:40.617" end="00:00:42.620">and it was surprising to me that</p>
<p begin="00:00:42.620" end="00:00:45.120">some of the ultrasound<br />treatments aren't quite as common</p>
<p begin="00:00:45.120" end="00:00:48.082">in the U.S. when patients<br />initially have injuries.</p>
<p begin="00:00:48.082" end="00:00:51.761">And so I began to investigate<br />different equipment</p>
<p begin="00:00:51.761" end="00:00:53.790">and technology and<br />realized that I could be</p>
<p begin="00:00:53.790" end="00:00:57.039">providing this care and quality diagnostic</p>
<p begin="00:00:57.039" end="00:01:01.206">and therapeutic interventions<br />to my patients here.</p>
<p begin="00:01:04.496" end="00:01:07.822">Ultrasound's opened up many<br />doors for me and my patients</p>
<p begin="00:01:07.822" end="00:01:11.112">to do many treatments that we<br />never conceived previously.</p>
<p begin="00:01:11.112" end="00:01:13.040">Basically, by looking into the body,</p>
<p begin="00:01:13.040" end="00:01:16.766">we can see within a millimeter<br />exactly our target area.</p>
<p begin="00:01:16.766" end="00:01:19.311">So we are able to both<br />increase our ability</p>
<p begin="00:01:19.311" end="00:01:23.394">for diagnostic purposes<br />as well as interventions.</p>
<p begin="00:01:26.727" end="00:01:28.727">I think the most important thing</p>
<p begin="00:01:28.727" end="00:01:31.205">is to like almost get your feet wet.</p>
<p begin="00:01:31.205" end="00:01:34.593">Really grab onto a<br />probe and start scanning</p>
<p begin="00:01:34.593" end="00:01:38.020">and you'll really see once<br />you can look into the body</p>
<p begin="00:01:38.020" end="00:01:40.076">and see inside the body,</p>
<p begin="00:01:40.076" end="00:01:42.836">as you're doing different treatments,</p>
<p begin="00:01:42.836" end="00:01:44.841">it really enhances your practice.</p>
<p begin="00:01:44.841" end="00:01:47.635">So, I'd suggest considering taking a</p>
<p begin="00:01:47.635" end="00:01:49.933">musculoskeletal ultrasound<br />training seminar,</p>
<p begin="00:01:49.933" end="00:01:51.473">even if it's for a day,</p>
<p begin="00:01:51.473" end="00:01:54.979">just to interact and<br />see how easy it can be</p>
<p begin="00:01:54.979" end="00:01:58.230">once you learn the basic<br />anatomy structures and scanning</p>
<p begin="00:01:58.230" end="00:02:02.397">just to begin and integrate<br />it into your practice.</p>
<p begin="00:02:06.296" end="00:02:08.384">What's really exciting about ultrasound</p>
<p begin="00:02:08.384" end="00:02:11.153">is that we're able to<br />interact with the patient.</p>
<p begin="00:02:11.153" end="00:02:14.013">It's a very hands on<br />interaction with the patient</p>
<p begin="00:02:14.013" end="00:02:16.397">where we can ask them where their pain is,</p>
<p begin="00:02:16.397" end="00:02:18.618">place the probe directly over that area</p>
<p begin="00:02:18.618" end="00:02:22.201">and determine whether<br />it's relevant or not.</p>
<p begin="00:02:24.772" end="00:02:27.489">I found that by using<br />ultrasound with my patients</p>
<p begin="00:02:27.489" end="00:02:30.664">it creates a connection<br />in education with them</p>
<p begin="00:02:30.664" end="00:02:32.414">that I haven't really seen before.</p>
<p begin="00:02:32.414" end="00:02:35.679">After doing my comprehensive<br />hands on physical exam,</p>
<p begin="00:02:35.679" end="00:02:38.775">a lot of times if they need<br />a diagnostic ultrasound</p>
<p begin="00:02:38.775" end="00:02:40.361">for further clarification,</p>
<p begin="00:02:40.361" end="00:02:41.808">we'll do the study.</p>
<p begin="00:02:41.808" end="00:02:46.336">And the patient is able to<br />look at the screen with me</p>
<p begin="00:02:46.336" end="00:02:48.126">and get educated on the structures</p>
<p begin="00:02:48.126" end="00:02:49.443">for example, their shoulder,</p>
<p begin="00:02:49.443" end="00:02:51.598">and determine exactly what the problem is.</p>
<p begin="00:02:51.598" end="00:02:54.039">By identifying the specific problem</p>
<p begin="00:02:54.039" end="00:02:56.536">and explaining them all<br />the comprehensive options,</p>
<p begin="00:02:56.536" end="00:02:58.289">they're able to make an educated choice</p>
<p begin="00:02:58.289" end="00:02:59.510">about what's the best treatment</p>
<p begin="00:02:59.510" end="00:03:01.097">for them and their philosophy.</p>
<p begin="00:03:01.097" end="00:03:03.446">For some patients it's<br />a cortisone injection,</p>
<p begin="00:03:03.446" end="00:03:06.349">some it may be physical<br />therapy versus acupuncture</p>
<p begin="00:03:06.349" end="00:03:10.695">versus medications versus<br />therapeutic yoga treatment.</p>
<p begin="00:03:10.695" end="00:03:13.668">There are many options for problems</p>
<p begin="00:03:13.668" end="00:03:17.418">depending on their issue<br />on their philosophy.</p>
<p begin="00:03:20.399" end="00:03:22.706">It's really helped increase<br />referrals from both</p>
<p begin="00:03:22.706" end="00:03:26.600">primary care, orthopedists,<br />and then most importantly,</p>
<p begin="00:03:26.600" end="00:03:29.933">from our patients that are so satisfied.</p>
<p begin="00:03:32.214" end="00:03:34.440">I did a demo of a couple<br />of different machines</p>
<p begin="00:03:34.440" end="00:03:36.613">and I was really happy<br />with the Sonosite machine</p>
<p begin="00:03:36.613" end="00:03:39.331">because it was very easy to use.</p>
<p begin="00:03:39.331" end="00:03:42.225">I have very basic needs<br />from my ultrasound machine</p>
<p begin="00:03:42.225" end="00:03:44.650">specifically for musculoskeletal use</p>
<p begin="00:03:44.650" end="00:03:47.737">and I found that the machine<br />was very compact, portable,</p>
<p begin="00:03:47.737" end="00:03:50.255">and most importantly the<br />price was very competitive</p>
<p begin="00:03:50.255" end="00:03:53.658">when it compared to the other systems.</p>
<p begin="00:03:53.658" end="00:03:54.727">But for the most part,</p>
<p begin="00:03:54.727" end="00:03:56.619">I just felt very comfortable<br />with it and ease of use</p>
<p begin="00:03:56.619" end="00:03:59.369">and I've been very happy with it.</p>
<p begin="00:04:03.193" end="00:04:06.050">Perhaps, two of the<br />most talked about topics</p>
<p begin="00:04:06.050" end="00:04:07.637">in orthopedics and sports medicine</p>
<p begin="00:04:07.637" end="00:04:11.804">at conferences and various<br />areas is orthobiologics,</p>
<p begin="00:04:12.956" end="00:04:14.848">which is basically a broad field</p>
<p begin="00:04:14.848" end="00:04:17.004">that describes cutting edge technology</p>
<p begin="00:04:17.004" end="00:04:20.233">maximizing the body's natural<br />ability to heal itself.</p>
<p begin="00:04:20.233" end="00:04:24.400">Including stem cells, platelets,<br />and various growth factors.</p>
<p begin="00:04:25.388" end="00:04:30.217">And the second hot topic is<br />musculoskeletal ultrasound.</p>
<p begin="00:04:30.217" end="00:04:32.936">And so, being able to<br />provide some of these</p>
<p begin="00:04:32.936" end="00:04:34.520">biologic type treatments,</p>
<p begin="00:04:34.520" end="00:04:37.248">we need a means to<br />administer them accurately.</p>
<p begin="00:04:37.248" end="00:04:40.665">So ultrasound allows us<br />to inject the patient's</p>
<p begin="00:04:40.665" end="00:04:43.130">own growth factors,<br />platelets or stem cells,</p>
<p begin="00:04:43.130" end="00:04:45.452">within a millimeter of the target injury</p>
<p begin="00:04:45.452" end="00:04:49.619">to give the patient the<br />best opportunity to recover.</p>

<p begin="00:00:02.308" end="00:00:05.058" style="s2">(sirens wailing)</p>
<p begin="00:00:08.005" end="00:00:10.338" style="s2">(sad music)</p>
<p begin="00:00:19.286" end="00:00:21.258" style="s2">- There are definitely,<br />some of the patients come in</p>
<p begin="00:00:21.258" end="00:00:22.578" style="s2">that they just really get to you.</p>
<p begin="00:00:22.578" end="00:00:25.314" style="s2">- So, it was Merry Christmas,<br />you have breast cancer.</p>
<p begin="00:00:25.314" end="00:00:27.147" style="s2">- And I get off the phone, and I'm like,</p>
<p begin="00:00:27.147" end="00:00:29.213" style="s2">she just thanked me for<br />telling me, for you know,</p>
<p begin="00:00:29.213" end="00:00:30.690" style="s2">me telling her that she had cancer.</p>
<p begin="00:00:30.690" end="00:00:32.514" style="s2">- And we kidded around,<br />and that's what I need.</p>
<p begin="00:00:32.514" end="00:00:34.454" style="s2">I need somebody that can say,</p>
<p begin="00:00:34.454" end="00:00:37.333" style="s2">yeah, you're gonna need a<br />good glass of wine tonight.</p>
<p begin="00:00:37.333" end="00:00:38.793" style="s2">- If I was not using ultrasound,</p>
<p begin="00:00:38.793" end="00:00:40.859" style="s2">she came in with her<br />mammograms and ultrasounds,</p>
<p begin="00:00:40.859" end="00:00:42.387" style="s2">I would look at them on the view box,</p>
<p begin="00:00:42.387" end="00:00:43.726" style="s2">say yeah, there's your tumor.</p>
<p begin="00:00:43.726" end="00:00:45.256" style="s2">But I can't feel anything,</p>
<p begin="00:00:45.256" end="00:00:47.751" style="s2">and the radiologist is<br />gonna stick a wire there,</p>
<p begin="00:00:47.751" end="00:00:49.582" style="s2">and we'll know for sure<br />that we got it out.</p>
<p begin="00:00:49.582" end="00:00:52.895" style="s2">- She just was very sure<br />of what was going on,</p>
<p begin="00:00:52.895" end="00:00:55.674" style="s2">and what was gonna happen to me.</p>
<p begin="00:00:55.674" end="00:00:57.924" style="s2">- Now what I can do is<br />scan them in the office,</p>
<p begin="00:00:57.924" end="00:01:00.203" style="s2">she's here with her husband,<br />they both see the pictures,</p>
<p begin="00:01:00.203" end="00:01:01.981" style="s2">they look exactly like the pictures</p>
<p begin="00:01:01.981" end="00:01:03.714" style="s2">that the radiologist took,</p>
<p begin="00:01:03.714" end="00:01:05.953" style="s2">and they know then that<br />I'm gonna take this</p>
<p begin="00:01:05.953" end="00:01:09.228" style="s2">to the operating room and actually remove</p>
<p begin="00:01:09.228" end="00:01:11.001" style="s2">what needs to be removed.</p>
<p begin="00:01:11.001" end="00:01:12.461" style="s2">- The milestones are<br />really important to me.</p>
<p begin="00:01:12.461" end="00:01:14.863" style="s2">Let's say we're at Tucker's graduation.</p>
<p begin="00:01:14.863" end="00:01:16.028" style="s2">- I love what I do.</p>
<p begin="00:01:16.028" end="00:01:18.377" style="s2">This is pretty much my life.</p>
<p begin="00:01:18.377" end="00:01:20.396" style="s2">- And like we were saying before,</p>
<p begin="00:01:20.396" end="00:01:22.405" style="s2">I guess I would just be really thankful</p>
<p begin="00:01:22.405" end="00:01:23.929" style="s2">I was born in this time.</p>
<p begin="00:01:23.929" end="00:01:26.124" style="s2">That we have doctors that do what they do,</p>
<p begin="00:01:26.124" end="00:01:28.183" style="s2">and we have medicine<br />that does what it does.</p>
<p begin="00:01:28.183" end="00:01:30.351" style="s2">- The fact that I don't have<br />to rely on a radiologist</p>
<p begin="00:01:30.351" end="00:01:33.500" style="s2">allows me to just do what I need to do</p>
<p begin="00:01:33.500" end="00:01:37.667" style="s2">and I think it allows me to<br />take better care of my patients.</p>
<p begin="00:01:40.799" end="00:01:44.966" style="s2">- I'd just be really<br />grateful that I'm still here.</p>
<p begin="00:01:47.976" end="00:01:50.142" style="s2">- And that gives me,<br />actually, a lot of strength</p>
<p begin="00:01:50.142" end="00:01:51.379" style="s2">and a lot of satisfaction.</p>
<p begin="00:01:51.379" end="00:01:53.031" style="s2">To see what they're able to go through.</p>
<p begin="00:01:53.031" end="00:01:55.433" style="s2">I'm not sure I could do that.</p>
<p begin="00:01:55.433" end="00:01:58.600" style="s2">(inspirational music)</p>

<p begin="00:00:01.324" end="00:00:04.324">(slow gentle music)</p>
<p begin="00:00:05.277" end="00:00:07.724">- [Voiceover] This is<br />our work environment.</p>
<p begin="00:00:07.724" end="00:00:10.792">In the back of an<br />ambulance, which is limited.</p>
<p begin="00:00:10.792" end="00:00:13.792">(slow gentle music)</p>
<p begin="00:00:16.256" end="00:00:17.842">What we do isn't in the ER.</p>
<p begin="00:00:17.842" end="00:00:19.357">It's not in a</p>
<p begin="00:00:19.357" end="00:00:20.678">nice clean environment.</p>
<p begin="00:00:20.678" end="00:00:21.761">Sometimes we're in the field,</p>
<p begin="00:00:21.761" end="00:00:22.808">sometimes we're in mud,</p>
<p begin="00:00:22.808" end="00:00:24.801">sometimes we're just out.</p>
<p begin="00:00:24.801" end="00:00:26.213">We bounce down the road.</p>
<p begin="00:00:26.213" end="00:00:27.565">We're never still.</p>
<p begin="00:00:27.565" end="00:00:29.017">The first idea of</p>
<p begin="00:00:29.017" end="00:00:30.926">ultrasound in EMS</p>
<p begin="00:00:30.926" end="00:00:33.518">was brought to me by Jason Bowman.</p>
<p begin="00:00:33.518" end="00:00:34.859">- Most EMS systems that use ultrasound</p>
<p begin="00:00:34.859" end="00:00:36.522">they save it for trauma.</p>
<p begin="00:00:36.522" end="00:00:39.522">(slow gentle music)</p>
<p begin="00:00:40.658" end="00:00:42.852">For the city Keller we<br />don't run much trauma.</p>
<p begin="00:00:42.852" end="00:00:44.519">We talked about the medical uses of it</p>
<p begin="00:00:44.519" end="00:00:46.103">and how we can add in all the extra things</p>
<p begin="00:00:46.103" end="00:00:47.383">that they do in the ER.</p>
<p begin="00:00:47.383" end="00:00:49.261">It's not commonly done in EMS.</p>
<p begin="00:00:49.261" end="00:00:51.322">The most valuable one<br />we've been using it for</p>
<p begin="00:00:51.322" end="00:00:53.000">is cardiac examinations.</p>
<p begin="00:00:53.000" end="00:00:54.779">For our hypotensive patients.</p>
<p begin="00:00:54.779" end="00:00:56.912">Because before we just knew,<br />okay, they're in shock.</p>
<p begin="00:00:56.912" end="00:00:58.279">And we could look at a few small things</p>
<p begin="00:00:58.279" end="00:01:00.143">to try to tell what was going on.</p>
<p begin="00:01:00.143" end="00:01:01.675">But with ultrasound we could tell</p>
<p begin="00:01:01.675" end="00:01:02.844">this is cardiogenic shock.</p>
<p begin="00:01:02.844" end="00:01:03.809">This is septic shock.</p>
<p begin="00:01:03.809" end="00:01:05.385">This is hypovolemia.</p>
<p begin="00:01:05.385" end="00:01:07.254">We can tell exactly what's going on.</p>
<p begin="00:01:07.254" end="00:01:08.453">There's no wasting time.</p>
<p begin="00:01:08.453" end="00:01:10.749">- We've used it to check for new thoraxes.</p>
<p begin="00:01:10.749" end="00:01:13.126">We've used it to check for triple As.</p>
<p begin="00:01:13.126" end="00:01:14.922">One of the better things,<br />I think, that I've used</p>
<p begin="00:01:14.922" end="00:01:16.546">it for is starting IVs.</p>
<p begin="00:01:16.546" end="00:01:18.546">We had a patient who was</p>
<p begin="00:01:19.595" end="00:01:21.687">like we say, if somebody's doing very bad</p>
<p begin="00:01:21.687" end="00:01:22.927">they're circling the drain.</p>
<p begin="00:01:22.927" end="00:01:25.742">A lot of things have to happen very fast.</p>
<p begin="00:01:25.742" end="00:01:27.841">Access for medications to be given</p>
<p begin="00:01:27.841" end="00:01:29.368">is one of our priorities.</p>
<p begin="00:01:29.368" end="00:01:31.554">So, on this patient there were no visible</p>
<p begin="00:01:31.554" end="00:01:33.899">vessels to be able to start an IV on.</p>
<p begin="00:01:33.899" end="00:01:35.969">I grabbed the ultrasound<br />machine and told one</p>
<p begin="00:01:35.969" end="00:01:38.357">of our other paramedics to grab the drill.</p>
<p begin="00:01:38.357" end="00:01:41.428">And we'll see who gets one of them faster.</p>
<p begin="00:01:41.428" end="00:01:43.648">We would much rather<br />have an intravenous line</p>
<p begin="00:01:43.648" end="00:01:46.101">than an intraoceous line in the bone</p>
<p begin="00:01:46.101" end="00:01:47.657">because they run better, they're easier</p>
<p begin="00:01:47.657" end="00:01:49.006">to push strokes through.</p>
<p begin="00:01:49.006" end="00:01:50.437">And they just work better.</p>
<p begin="00:01:50.437" end="00:01:52.713">I actually ended up beating him</p>
<p begin="00:01:52.713" end="00:01:54.367">in getting that IV</p>
<p begin="00:01:54.367" end="00:01:57.191">and being able to give treatment<br />to that patient faster.</p>
<p begin="00:01:57.191" end="00:01:58.727">Which was</p>
<p begin="00:01:58.727" end="00:02:00.576">very impressive to me.</p>
<p begin="00:02:00.576" end="00:02:03.258">I believe that this is the next thing</p>
<p begin="00:02:03.258" end="00:02:05.411">that will help us to do our job better.</p>
<p begin="00:02:05.411" end="00:02:06.926">- We've already pretty<br />well mandated it where</p>
<p begin="00:02:06.926" end="00:02:09.458">you have to have it available<br />in the emergency room.</p>
<p begin="00:02:09.458" end="00:02:11.582">I think it should be the<br />same in the ambulance.</p>
<p begin="00:02:11.582" end="00:02:13.745">- You make a difference<br />in one patient's life,</p>
<p begin="00:02:13.745" end="00:02:15.552">and one patient's outcome</p>
<p begin="00:02:15.552" end="00:02:17.371">and it's worth all the work.</p>
<p begin="00:02:17.371" end="00:02:21.538">That's what sold me, and that<br />should sell anybody else.</p>

<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>

<p begin="00:00:13.225" end="00:00:15.392">(beeping)</p>
<p begin="00:00:23.397" end="00:00:25.064">- I found the fetus.</p>