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Sonosite: This is Point-of-Care Ultrasound

Read more about Sonosite: This is Point-of-Care Ultrasound

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Sonosite: This is Point-of-Care Ultrasound

Publication Date

Wed, 04/18/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- [Narrator] When time is of the essence,
you want an ultrasound you can count on.
We design our systems with commission input
for intuitive controls, image optimization,
and extreme portability.
All so clinicians can provide outstanding care
to any patient, anywhere, any time.
(dramatic music)
We are Sonosite.
And this is point of care.

Brightcove ID

5508114785001

https://www.youtube.com/watch?v=TYvoFQXaCps

Improving Ultrasound Image Quality with Proper Preparation

Read more about Improving Ultrasound Image Quality with Proper Preparation

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Learn Dr. Carrie Schlachter's best practices for improving ultrasound image quality and which adjustments and products help to provide the clearest images throughout the veterinary exam. Carrie Schlachter, VMD, DACVSMR oversees all rehabilitation and fitness programs at Circle Oak Equine. Dr. Schlachter is responsible for the design of their rehabilitation and fitness programs and ensures that all programs have objective, measurable goals and means of monitoring progress. Educated at the University of Pennsylvania’s Veterinary School and New Bolton Center, she received the Charles F. Reid Clinical Excellence Award for Sports Medicine and Imaging as well as numerous scholarships. She participates in multiple advanced imaging and rehabilitation educational workshops every year and received her board certification in equine sports medicine and rehabilitation through the ACVSMR in early 2016. Dr. Schlachter teaches courses for veterinarians and equine professionals on various sports medicine subjects such as lameness, rehabilitation and ultrasound techniques both at Circle Oak and worldwide.

Publication Date

Wed, 03/28/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- Hello, my name is Dr. Carrie Schlachter,
this is Dr. Melanie Tissier,
and this is Linus.
And we are all here today, in Petaluma, California,
at Circle Oak Equine, to talk to you about
how to get an excellent image on ultrasound.
For this next section of video, we're gonna be talking about
how to prepare a horse's body for ultrasound
in situations where you possibly can't clip
or we could only possibly clip with a 10 blade.
And then, we'll go ahead and show you how to prepare a leg
that's equipped with a 40 blade
in order to get the best possible ultrasound image.
And the tools that we're gonna be using are
a good quality ultrasound machine.
We're gonna be using a standoff for some situations.
We're going to be using ultrasound gel.
Also, we're gonna be using rubbing alcohol
in either a spray bottle,
or you can use it in a pour bottle as well.
And then, most importantly, we're gonna be using a bucket,
full of warm water with a little bit
of chlorhexidine soap and solution in it, and a rag.
I found that the rag does a much better job than roll cotton
because the roll cotton tends to leave a little bit of
debris behind when you're scrubbing it on a leg.
So you can imagine that, with all this hair,
that we also have a lot of debris
that gets caught up underneath it.
So we're gonna give it a really good quality scrub
in the area of the ultrasound,
in fact, expanding beyond the area
of the ultrasound that we're going to do.
It's really important you don't use too much
sudsy soap in scrubbing, especially with hair on,
because the sudsy soap will get,
the air bubbles will get caught underneath the hair,
and that'll prevent your image
from being a good quality image.
So a lot of times, while I'm scrubbing,
at the end of the scrub, I'll wipe downward,
wipe with the hair as I go.
The next step in the process is
to go ahead and take ultrasound gel
and put it on the area of interest.
Put the ultrasound gel on going
against the grain of the hair,
and that will work the ultrasound gel up into
and in between the hair.
And that will oftentimes help
again by filling in all of the little air bubbles
and air gaps that are in that area.
And then, the last thing I'll use is,
once I'm ultrasounding actively,
I'll use alcohol on the leg to try and,
to fill in any of the little gaps that are left.
So then we'll go ahead and start our scan
with just the gel on.
Oftentimes, I'm scanning without a standoff
when I'm scanning an unclipped leg.
I find you get a much better image in that situation.
I will also label the unclipped situation
so that we know that I was scanning the images
unclipped for their record.
I'll just go ahead and spray some alcohol onto the area
and see if that improves my image at all.
I find if I have good preparation,
I don't use a standoff in the lower legs,
and I have a good quality machine,
I can often get by with very little difference in my gain
than I would need in a clipped situation.
Then I would go ahead and scan the leg.
And now we're gonna talk about
how to best prepare a leg to get a good quality image
that's been clipped with a 10 blade.
(clipper buzzing)
So,
when I'm clipping,
I like to clip as wide an area as possible
so that I know that I can clean that area even better
and so that, if my probe slides
out of the area of interest that I'm ultrasounding,
it doesn't slide into a dirty area.
And so that leaves just a short
amount of hair on their legs.
And while that certainly can decrease image quality
in a lot of situations, if you're able to image
what you're looking at without a standoff,
I actually feel like it can increase image quality
in a lot of situations
because the 10 blade leaves just enough hair
to create enough room for the gel to sit in it
and act as a little bit of its own standoff.
So after I've clipped
an area with a 10 blade,
then I go ahead and scrub it really well
to get rid of all of the dirt and the debris
and hair from the clipping.
And again, I'll scrub outside of my clipped area
to make sure that I'm not going to drag any of the dirt
and the debris into the clipped area,
which will decrease image quality again.
And then, I'm going to use the same method
that I used when I had hair on the leg.
I'm gonna put
gel on against the grain of the hair,
and that's gonna help fill in all of the gaps
in between the hair and the skin.
So I'll put the gel on going against the grain
and then going with the grain
and then going against the grain
until it fills in the whole area
and becomes a nice film of gel
over the surface of the skin.
And then, some of these guys, I do scan with a standoff,
some I scan without.
It just depends on the actual image quality.
So I'll go ahead, at this point, and put my probe on the leg
and see what the level of image quality I'll get it is.
I'll adjust my depth and my gain.
I do like to label
that it's only been clipped with a 10 blade,
just like I would label it if it was unclipped.
And then, again, I will check it
at that situation with alcohol as well.
And so again, in this situation,
I may go ahead and just put the standoff on
and see if that improves my image quality at all.
He's giving us a very acceptable image actually.
And so even with just a 10 blade,
we're getting a very diagnostic image.
And then, in the next section,
we'll talk about how to go about preparing
an area for really good image quality using a 40 blade.
In the ideal situation,
you're going to be able to clip with a 40 blade
and take off as much hair as is possible
in the area of interest.
(clipper buzzing)
That's what we're gonna go ahead and do next is
take off as much hair as is possible.
And then, we're gonna talk about some tips as to how
to get the best image quality in the ideal situation.
So once we've gone ahead and clipped,
then the next goal is to get the area as clean as we can,
to get as much debris and dirt off the area as is possible.
So again, I'm going to scrub using warm water,
a little bit of dilute chlorhexidine soap and solution,
and a rag to go ahead and clean the area
as best as possible.
Again, I like to scrub not only the area that I've clipped
but the area surrounding it so that the dirt doesn't bleed
into my ultrasound location and decrease the image quality.
We go ahead and start with some gel
on the leg and on the probe without a standoff.
I put a thin coating of gel on the leg in the clipped area
and right to the outside edge of the clipped area,
and then I use a little bit of gel
on the end of the probe as well.
And then, I go ahead and assess image quality,
turn the gain up and down, get my depth set.
Then I might continue on and scan,
or at that point I'll go ahead and assess
what the image looks like with a standoff.
The object of interest should be
as close to the center of the screen as you can get it.
And so a standoff helps you move the superficial
structures closer to the center of the screen,
and you're gonna get your best imaging
at the center of your screen.
The other reason to use a standoff is
because horses' lower limbs don't have a lot of soft tissue.
They're very tendinous and bony.
And so that means that you're putting a hard structure
against a hard structure,
and that means that your image that you get is very narrow.
You can use a standoff
to widen that image field just a little bit
by using pressure and having it wrap around
the edges of the structure.
And so you can get much better image quality,
a much wider
view of image.
When I'm using a standoff,
I rarely use alcohol in combination with the standoff.
I find that the rubbing alcohol over time
dries out the standoffs,
as well I find that it doesn't add anything
to the image quality when I'm using alcohol and a standoff.
If I'm starting to lose image quality,
I'll either add more gel or I'll rewash the leg
and get rid of the gel that's on it
and then start anew with fresh gel.
And then, in that type of situation,
I get the best image possible.
Thank you for watching the video.
This is Dr. Carrie Schlachter, Dr. Melanie Tissier,
and Linus, telling you that for more information,
please go to sonosite.com/veterinary.

Brightcove ID

5508114785001

https://www.youtube.com/watch?v=6jvs9a3XpVU

Equine Ultrasound of the Hind Suspensory

Read more about Equine Ultrasound of the Hind Suspensory

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Learn Dr. Carrie Schlachter's best practices for scanning the equine hind suspensory ligament with ultrasound. Learn which adjustments and products help to provide the clearest images throughout the veterinary exam. Carrie Schlachter, VMD, DACVSMR oversees all rehabilitation and fitness programs at Circle Oak Equine. Dr. Schlachter is responsible for the design of their rehabilitation and fitness programs and ensures that all programs have objective, measurable goals and means of monitoring progress. Educated at the University of Pennsylvania’s Veterinary School and New Bolton Center, she received the Charles F. Reid Clinical Excellence Award for Sports Medicine and Imaging as well as numerous scholarships. She participates in multiple advanced imaging and rehabilitation educational workshops every year and received her board certification in equine sports medicine and rehabilitation through the ACVSMR in early 2016. Dr. Schlachter teaches courses for veterinarians and equine professionals on various sports medicine subjects such as lameness, rehabilitation and ultrasound techniques both at Circle Oak and worldwide.

Publication Date

Wed, 03/28/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- Hello, I am Doctor Carrie Shlachter.
This is Doctor Melanie Tissier, and this is Linus.
We're here today in Petaluma, California
at Circle Oak Equine to talk to you
about ultrasound of the hind suspensory.
So in ultrasound in the hind suspensory,
there's a number of tools that will
help you document any sort of injury
you might find and also help you get a good image.
The first is a good quality ultrasound machine.
The second is a linear probe,
this is a 15 megahertz linear probe.
The third would be some good quality
ultrasound gel, a standoff is often beneficial,
especially in smaller horses.
In some horses, larger horses or just
really swollen legs or just if you can't clip,
anything you can't get a good image quality in,
a convex probe would help you out.
This is a mid convex, eight megahertz
mid convex probe, and then there's
a five megahertz macro convex probe
that can also help you out to get a good image.
The other things that I use
for a hind suspensory ultrasound are
a measuring tape to tell me where I am
in the leg at any point in time, a dry towel
to keep the excess gel off, a bucket of water
that will help us keep the leg moist.
You can also use alcohol, especially
if you're ultrasounding a non-clipped leg,
the rubbing alcohol will often
give you a better image than ultrasound gel.
I'm gonna wet the leg since it's dried out
since we prepared it a few minutes ago.
To scan the hind suspensory,
I start right underneath the chestnut
on the medial aspect of the horse's leg.
I line up the middle of the probe
to the bottom of the chestnut on
the back of the horse's leg.
I hold the probe in this position
when I'm scanning the proximal third
of the horse's hind suspensory.
What that allows me to do is keep contact
with the leg with my fourth and fifth fingers
and allows me to put good pressure
on the leg using my first two fingers.
I go ahead and seat the probe, again,
the middle of the probe right underneath the chestnut.
I start with it in short axis and
on my ultrasound screen, what I'm attempting
to get as my first reference image
is an image that contains both
the lateral splint bone and the medial splint bone,
so I do that by correcting my depth
and my gain so that I can see
the head of the medial splint bone,
the head of the lateral splint bone,
the back of the cannon bone, and
the origin of the suspensory ligament.
Once that image is set, I'll go ahead
and freeze and save that image as
my base reference image and go on from there.
Once I have that image, I go ahead
and start scanning distally,
keeping the hind suspensory in my view.
If I notice anything abnormal,
I'll stop and go back to it, scan again.
Once I've done that a couple of times,
about the proximal third of the suspensory,
I'll go ahead and switch into long axis.
Again, putting the edge of the probe
right up underneath the chestnut
so that it's seated in the groove between
the deep digital flexor tendon and
the superficial digital flexor tendon
and get a long axis image.
Again, I'll be freezing and taking pictures
as I go, especially if I find something abnormal
or if I'm just trying to document a normal structure.
This is how I would image of
the proximal third of the suspensory ligament.
Once I get to about 18 to 20 centimeters
distal from the point of the hock,
and that's when I would use my measuring tape for,
measuring from the point of the hock
down to 18 to 20 centimeters, at that point
the lateral splint bone is small enough
that you can see the entirety of
the suspensory ligament from the back of the leg.
At that point, I'll go ahead and swing around
to the back of the leg and continue to scan
the mid body of the suspensory from that angle.
Then we'll scan all the way down
to the split in the suspensory.
At the split, then I'll swing medially
or laterally and scan down the branches.
At that point, if I don't have
a standoff on, I'll go ahead and put
a standoff on to help scan the branches
of the suspensory unless the leg is very swollen.
Then I'll go ahead and starting up
right around that 18 to 20 or 22 centimeter mark
I'll go ahead and scan the branches,
decrease my depth because we're
looking much more superficially.
Mess with my gain, up or down to make sure
it's still giving me a good quality image,
and then scan down the suspensory branch
and short axis, all the way to
the insertion onto the sesamoid bone.
I'll do the same on the opposite side of the leg.
Scanning down the branch to
the insertion onto the sesamoid bone.
Once I've done that in short axis,
I'll go back and do the same thing in long axis.
Again, I'll scan all the way down
to the insertion onto the sesamoid bone,
taking pictures as I go of anything that's abnormal.
When I have a lesion, when I find
a problem in the suspensory, then what
I will do is I'll go back to that area,
I'll probably take an image,
just a centimeter or two above it
where I'd consider it to be more normal,
and then I would drop down into
the worst part of the image and at that level
I would go ahead and measure how distal
am I from the point of the hock.
I would take a measurement, an image of that.
Then I would go the next normal stop
in the ligament and take a measurement,
an image of that so that I have
a documented normal, documented abnormal, and
documented normal images of the lesion in the suspensory.
If there's more than one lesion,
then I'll do that for each of the injuries.
I will also use the clip function
that this machine has oftentimes,
especially in a situation when there's abnormal images.
I'll just go ahead and video the whole abnormal section.
If I'm in a situation where I'm not sure
if there is an injury or if I want to
investigate the ligament more fully,
I'll ask the horse to go into a non-weight bearing position.
To do a non-weight bearing scan,
we don't want to use the standoff
so we'll take that out, and then ask Linus
to step into a non-weight bearing position.
Good boy, lot of horses will do this
very nicely for you and then I'll go ahead
and start directly from the back
of the leg and scan down the leg.
In this situation I'm using the flexor tendons
as my standoff and it allows me to get
a very good image of the cannon bone.
That would complete the exam of a suspensory ligament.
Thank you for watching the video,
this is Doctor Carrie Shlachter,
Doctor Melanie Tissier, and Linus
telling you that for more information
please go to sonosite.com/veterinary.

Brightcove ID

5508114785001

https://www.youtube.com/watch?v=aA5v6Vpn70U&l

How to Ultrasound the Equine Stifle Joint

Read more about How to Ultrasound the Equine Stifle Joint

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Learn what supplies, technology, and positioning will allow you to obtain a clear ultrasound image of the equine stifle joint. From prep to scan, Dr. Carrie Schlachter explains the ins-and-outs of imaging the ligaments of the equine stifle joint. Carrie Schlachter, VMD, DACVSMR oversees all rehabilitation and fitness programs at Circle Oak Equine. Dr. Schlachter is responsible for the design of their rehabilitation and fitness programs and ensures that all programs have objective, measurable goals and means of monitoring progress. Educated at the University of Pennsylvania’s Veterinary School and New Bolton Center, she received the Charles F. Reid Clinical Excellence Award for Sports Medicine and Imaging as well as numerous scholarships. She participates in multiple advanced imaging and rehabilitation educational workshops every year and received her board certification in equine sports medicine and rehabilitation through the ACVSMR in early 2016. Dr. Schlachter teaches courses for veterinarians and equine professionals on various sports medicine subjects such as lameness, rehabilitation and ultrasound techniques both at Circle Oak and worldwide.

Publication Date

Wed, 03/28/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- Hello, my name is Dr. Carrie Schlachter,
this is Dr. Melanie Tessier, and this is Linus.
And we're here today, in Petaluma, California,
at Circle Oak Equine, to talk to you
about ultrasounds of the stifle joint.
So to ultrasound Linus's stifle today,
there are some tools that will help us
improve image quality in a stifle ultrasound.
The first is a good quality ultrasound machine.
The second is a linear probe, this is 15 megaHertz
linear probe that we'll be using today.
The third is ultrasound gel, the other probes you can use
to look at different parts of the stifle joint
are mid-convex, this is an 8 megaHertz mid-convex probe,
and a 5 megaHertz macro-convex probe.
You can see the muscles surrounding the stifle joint
using these probes, as well as see the joint
from the caudal aspect of the limb.
Then a dry towel to keep your probe
from getting too slippery, as well as alcohol
is often used in areas of the stifle that you can't clip
to see through the hair more effectively.
And also a bucket of water to keep
the area wet while you're scanning.
To go ahead and wash the joint, I'm using some water
and a little bit of chlorhexidine.
I'm washing to get all of the dirt off of the leg.
As well as to get all the hair from the clipping
off of the leg, and then we'll go ahead
and wash the area all around the clip zone, as well,
to keep any dirt from being dragged into the clipped area.
If there's too many suds on the area, I recommend rinsing it
because that will also decrease image quality.
I apply the gel to the whole area that I'm going to scan.
Against the grain, once the gel is applied,
we'll go ahead and start with the linear probe.
And I'll apply a small amount of gel
to the head of the linear probe.
When I am ultrasounding the stifle,
I start with the structures on the medial side of the leg.
And I start with the probe held between my forefinger
and my thumb, and I use my third, fourth, and fifth finger
to palpate the leg and see where I am.
So I'm palpating for the proximal portion of the tibia.
And I'm palpating for the bony lump
on the proximal portion of the tibia.
And I put the probe right over the bony lump.
And then the medial meniscus should come into your picture.
So you can see femur, medial meniscus, and tibia
in that picture, often times that's my reference picture.
So it's my home base, I know where I am.
And I'll start ultrasounding from there.
So the first structural ultrasound is the meniscus, itself.
So I start looking for any evidence of inflammation
or injury, and I'll slide caudally
over the collateral ligament,
continuing to look at the meniscus
until it disappears from my view.
And then I'll come back to home base
and then slide cranially, basically walking around the front
of the meniscus, looking for any evidence of injury as I go.
Then I'll come back to the bony lump
and the medial meniscus, I'll move very slightly caudally.
And you'll see the medial collateral ligament.
And I'll look at the insertion
of the medial collateral ligament onto the tibia.
And then I will slide proximally to the origin
of the medial collateral ligament on the femur.
And to line up the origin of the medial collateral ligament,
you have to push the proximal portion of the probe
into the gracilis muscle, so that you can flatten out
the fibers, and get a good assessment
of the fiber pattern in that area.
Once the medial collateral ligament
and the medial meniscus have been looked at,
go ahead and come back to home base.
From the bony lump you slide cranially
and just a little bit proximally,
and you see the medial femorotibial joint.
The medial femorotibial joint should be hypoechoic,
it shouldn't have a significant amount
of inflammation in it.
From that point, I'll slide more cranially,
around to the front of the joint.
Switch my probe position so that the tip of my finger
at this point is providing contact with the leg,
palpating the leg, and I'll go ahead and put the probe
directly on the front of the joint.
And that'll be your middle patellar ligament.
Then come proximally to where the middle patellar ligament
comes off of the patella and slide distally,
looking at the middle patellar ligament in cross-section.
You can also assess the cartilage of the femur
as you go down that area, all the way down
to the insertion onto the tibia.
Then I'll go ahead and move to the medial patellar ligament.
And I'll start again proximally,
as it comes off of the patella, slide distally,
looking at it in cross-section until it inserts
onto the proximal section of the tibia.
Often times for the medial patellar ligament,
I'll also look at it in long-access,
and I will start, 'cause I can see it higher in long-access
than I can in short-access, so I can wrap around
the medial malleolus of the femur
and actually look at the origin off of the patella.
Coming around then to the lateral patellar ligament,
I will start off of the patella again,
looking at the ligament in long-access and slide distally
to its insertion onto the tibia.
That can be a difficult one to image,
sometimes it's very irregular looking.
So then I will put my probe back in a vertical orientation
and I will slide caudally from the lateral patellar ligament
until I see the lateral meniscus.
Often times in that situation, I may have to
increase my depth and increase my gain
to look at the lateral meniscus effectively.
Once I had the lateral meniscus assessed in that area,
I'll slide just a little bit caudally
and assess the lateral collateral ligament.
And it originates off of the tibia,
you can just follow it from one direction to the other.
Again, potentially have to press the proximal portion
of your probe into the muscle belly
to straighten out the proximal portion of the ligament.
And those are the structures in the standing position
that we assess on the stifle.
To examine the next part of the stifle joint,
the stifle needs to be put into a flexed, or open position.
You can do that using the foot stand,
or you can do that using a third person, or a technician.
So for this part I'm gonna go ahead and invite Nicole in.
She's gonna hold the leg in a flexed position for us.
To look at the cranial meniscotibial ligament,
I often have the people start with the leg in a position
like you were gonna pick out the foot.
And I take the probe and I find the middle patellar ligament
and I find the medial patellar ligament.
I mess with my gain just a little bit.
And then I just slide down the two ligaments
looking for the ligament on the insertion of the tibia.
You can see the insertion come up right there.
I see the middle and the medial patellar ligaments,
slide down the leg and then you see
the cranial meniscotibial ligament
attachment onto the stifle.
Then from that position, I'll go ahead and turn my probe
into the long-access, or vertical orientation.
Look into the depths of the joint, increase my depth,
turn up my gain just a little bit,
and look for the cranial cruciate ligament,
or the anterior cruciate ligament.
For the lateral cruciate ligament, you'd come around
and look between the middle patellar ligament
and the lateral patellar ligament,
again into the depths of the joint,
see the caudal cruciate ligament,
which is much more difficult to visualize.
And that's the flexed view version of the stifle exam.
Thank you for watching the video,
this is Dr. Carrie Schlachter, Dr. Melanie Tessier,
and Linus, telling you that for more information,
please go to sonosite.com/veterinary.

Brightcove ID

5508114785001

https://www.youtube.com/watch?v=Q5Ddj-5UmV8&l

Inside Sonosite - Steve Miller, VP of Product Realizatio

Read more about Inside Sonosite - Steve Miller, VP of Product Realizatio

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Episode 1 of 3 Steve Miller is the Vice President of Product Realization at FUJIFILM Sonosite, Inc. Steve Miller joined Sonosite in July 2011. His career in ultrasound began in 1987 with Philips Ultrasound where he led advanced development projects in B-mode and Color Doppler. In 1992, he joined GE Healthcare to work on their first high-end digital ultrasound system as a senior systems engineer. While there, he held various positions including Lead Systems Designer, Advanced Development and Systems Engineering Manager, and Principal Engineer, and he led major redesigns of their beamformer and signal path. As GE’s ultrasound business expanded, he was promoted into global principal engineering roles leading new global platform design programs involving engineering teams in several countries. Mr. Miller has over 25 U.S. patents to his name and is a senior member of IEEE. He graduated with a MSEE from Stanford University and alternated his studies at Cal-Poly (Pomona) and Stanford with work in the defense industry, including Rockwell’s SONAR Artificial Intelligence Lab (SAIL). In this interview, Steve Miller discusses his experience working at Sonosite. We ask what he does at the company, what challenges he faces, what motivates him and his team in their work. We recognize the value of point-of-care ultrasound better than anyone else, because it's all we do. FUJIFILM Sonosite is an innovator and leader in point-of-care ultrasound and our portable, compact systems expand the use of ultrasound across the clinical spectrum by bringing high-performance ultrasound to the point of patient care.

Publication Date

Wed, 03/28/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- My name is Steve Miller.
I'm Vice President of Product Realization here at Sonosite.
- [Interviewer] What are some of your main responsibilities?
- Well, my team is product realization.
Realization captures everything
from initial product concept to product design,
all the way to mass production of products.
So we've got teams that are working very early on,
maybe several years before something finds its way
into product, we'll be working on
enabling technologies and advanced development.
And then after a product's designed
and put into mass production, we need
to sustain that product in terms of the supply chain,
into life, and continuously improving the quality
of the product, so up to several years beyond introduction.
- [Interviewer] You used to work for GE Healthcare
and before that, Philips, so you're familiar
with a number of ultrasound companies.
What makes Sonosite unique?
- Sonosite's unique and they're laser-focused on
point-of-care customers.
So they understand point-of-care customers,
they've been intimately related to point-of-care
from the very inception of it,
and the growth of that whole application for ultrasound.
So they understand things that are important,
ease of use, durability, mobility, providing access
to ultrasound imaging and visualization that people
didn't have before in those particular applications.
So it's that focus on the needs of the user
that I think's really different about Sonosite.
- [Interviewer] What do you love about your job?
- What I really enjoy about it is just the interaction
with that diverse set of people, a lot of very creative
and skilled people, a lot of good ideas.
And so, you really get some very creative solutions
that come from that kind of collaboration.
People are motivated, they're excited about
the impact they can have on patients, on our customers.
So there's a lot of really good exchange
and collaboration and invention that goes on.
- [Interviewer] What are some of the challenges
associated with your job?
- Well, one of the challenges is that
there's almost too many ideas.
There's a lot of opportunities,
a lot of great ideas, but we're a business,
and so we have to limit how much we spend in RID
to be within our budget for the amount of revenue
that we've got, and that's a challenge
because if I financed, budgeted everything
that we could work on, everything that
could have a really good impact,
we'd just blow our budget up,
and we would be not well focused anymore.
- [Interviewer] What makes all of your efforts worthwhile?
- Well, it's seeing the impact on patients.
Most of the people working here,
what excites them is being able to see,
either directly or indirectly,
the impact that we have on patient care
and the improvement that they have on a patient care,
and how they're able to solve the problems
that our customers have.
This movie came out recently, Code Black,
starting to show as a documentary around the country,
and the engineers got the chance
to see some of that, and they were pretty excited
because they could see just the extreme challenges
that a lot of emergency medicine departments have,
a lot of trauma centers have, especially
in the public hospitals.
The strain with public care in those hospitals
with a large volume of care that they have to provide,
and with the severity of some of that,
and very difficult situations.
So they're excited that they can provide a product
that can make that easier, so.
On top of that, there's many people in the group
who've had personal experience
with accidents or with sports injuries or other things
where our equipment was used on them or their families.
And so, that's motivating, you see it used
in your own family, people you know and people you love,
and then you'll see the doctors that we're serving
and some of the real challenges that they're facing
and how we're helping with that.
- [Interviewer] Anything else you'd like to share
about your experiences at Sonosite?
- It's been an exciting, invigorating,
and challenging experience here.
We're very targeted on point-of-care,
and they have some very special challenges.
We're trying to provide image quality
that rivals high-end systems, but we need
durability, we need it to be easy to use,
and so those combinations are challenging,
but it's an exciting thing to work on.

Brightcove ID

5839476901001

https://www.youtube.com/watch?v=Nh-S-63Gbmc&i

Sonosite Solutions: Reducing Time and Costs with POCUS Guided Vascular Access

Read more about Sonosite Solutions: Reducing Time and Costs with POCUS Guided Vascular Access

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When you’re working with some of the smallest, most vulnerable patients, every single needle stick, and every single minute spent, truly matters. When St. Joseph’s first introduced their ultrasound-guided vascular access program, which trained nurses in using ultrasound visualization to locate and access hard-to- see vasculature, they didn’t realize what a huge difference the technology would make. Learn more on our Evidence page here: https://www.sonosite.com/uk/evidence/fewer-sticks-millions-savings-pocus-guidance

Publication Date

Mon, 03/26/2018 - 12:00

Media Library Type

Other Videos

Subtitles

(gentle music)
- [Narrator] Five Sisters of Charity started the
hospital 150 years ago.
And they came to Patterson because it was a
factory driven area.
And there was need for poor people to have healthcare.
And the mission is still the same today
as it was 150 years ago.
To provide quality care
with a special concern for the vulnerable populations.
(gentle music)
- [Man] Several years ago I wouldn't even have thought
about point of care ultrasound.
It wasn't something that was even on our radar.
- Before we had the Sonosite Ultrasound Technology
we had a lot of patients with multiple sticks,
bruises.
- Drawing blood on kids is really
sometimes very difficult.
Due to the nature of some of the illnesses
that we treat here, some of the kids
could use four, five, even seven, eight,
nine, 10 vials of blood.
Before we had the Vascular Access Program
we would often have to have multiple nurses
in the room, sometimes to hold the child down
to hold them still enough so we could get them
a line in them.
- [Woman] When they tiny, most of the time they can't
find the vein.
- It's traumatic for the kids.
It's traumatic for the parents.
And sometimes it's traumatic for us.
- [Man] We've essentially changed the entire landscape
of IV insertion.
(gentle music)
- [Woman] As minor as that may sound to people
getting an IV in, is the make or break
to their treatment.
- [Man] With the ultrasound, we can see everything.
So not only can we assess the vein before we stick it,
we can see our needle going into the vein.
- [Woman] Being a medical center we get very
complex patients
of different cultures,
diversity.
And there's one common feeling is I wanna
come to the hospital.
I wanna be treated quickly.
I don't want it to hurt.
And I want to get better as quick as I can.
- [Man] It takes roughly 40 to 45 minutes
at the bedside to do a PICC line.
When we're able to substitute an Ultrasound
Guided Peripheral, it's a five to 10 minute procedure.
At most.
- Since we started using the Sonosite Ultrasound System
we've really been able to cut back on the amount
of sticks we have to perform on patients.
As well as how quickly we're able to do it.
And that really reduces a lot of the fear
and anxiety that the patients and their parents have.
- We've been able to achieve a 96.4%
first attempt success
with three different separate clinicians
from babies, ranging from one kilogram
to a 500 pound adult patient.
- [Woman] I believe its affecting patients
satisfaction tremendously.
We do keep quality data, so we've shown positive
outcomes, cost savings.
- So when I did the math, then I showed them how many
peripheral IVs that we're doing
versus how many PICCs
we've saved close to a million dollars
in just two and a half years.
- [Woman] By investing in the Ultrasound Guided
IV Technology has been a huge impact
to the hospital's bottom line.
- [Man] First patients are a little bit shocked.
They see how easily we're able to do it
with the machine.
And they're just blown away.
- Something that really surprised me about the program
was the fact that patients request
one of the vascular access nurses
when they come to the hospital.
They're given their card when they have their procedure
and many of them, when they come back carry that card back.
So it's really resonated with the patients
that it's a positive experience.
- [Woman] It's wonderful when you see (laughs)
you find a vein (naps fingers) just like that.
And you don't have to see
your baby crying.
- [Man] Our team service the entire hospital.
Every department from the smallest baby
in the neo-natal intensive care unit
to our most sick patient in our adult intensive care unit.
It's been just so exciting
to walk into a room
any room, and be able to tell the patient,
"I'm gonna scan your arm.
"I'm gonna locate a vessel.
"And I'm gonna guide a needle atromatically
"into your vein."
- Usually a program takes time
to grow it, and then to add FTE's
or positions to it.
But in this situation, it just grew.
We're expanding to all of our sites.
We're hoping to go into the community.
I think educating and training more staff
to use the Sonosite Ultrasound.
- [Man] With over 7,000 insertions here
at St. Joseph's, I can tell you
that it works.
- I would tell people, "You're crazy to not have it."
It's really, I can't even tell you
how important it's been to us.
(gentle music)

Brightcove ID

5839476901001

https://www.youtube.com/watch?v=aRSx3j-GHIA&l

Sonosite Ultrasound Machines

Read more about Sonosite Ultrasound Machines

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Sonosite Ultrasound Machines

Publication Date

Fri, 01/05/2018 - 12:00

Media Library Type

Other Videos

Subtitles

- [Narrator] We find it in the everyday,
those everyday moments when we can be there,
the hundreds of sunrises or hours logged on the move.
It's those moments that make us, where the
smallest things can make a difference.
Our decisions and experiences, they shape us
into who we are.
They can take us halfway across the globe
to new places, places that we barely know.
Within these experiences, we gain insight
that allows us to remember that we are all connected.
Like the ripple of a sound wave, our actions
have the power to impact those around us.
Our actions can save lives.
Our tools, training, skillset, education,
it all comes down to one thing: care.
Care is about connection, the connection that
is made with others.
It's about having something that works right every time.
And at the end of the day we know that our job is done.
We sync, concept, and craft every element of what we make.
The time has been spent, and actions and decisions made,
that make it all worth it.
At the end of the day, or at the beginning of a new one,
we are driven by ingenuity and fueled by
the passion to innovate.
It comes back to this, that those everyday moments
are the ones that matter.
This is to all of you that work hard everyday
to care for others, from saving a life
to seeing a new one for the first time,
to those that make the sacrifices,
the hours away from home, time spend on call.
All of you, your experience, your care,
you make us who we are.

Brightcove ID

5839476901001

https://www.youtube.com/watch?v=1EkJwW-6KVk