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DomainPaper(s)/BooksWhy?
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1. Image Aquistion and Interpret.
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1.1.1 PhysicsEssentials Of Ultrasound Physics / Edition by James A. Zagzebski PhdGreat diagrams explain artifacts, transducers, color, spectral, etc.
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1.1.2 CardiacDetermination of left ventricular function by emergency physician echocardiography of hypotensive patients.EPs as good as Cardiologists in determining cardiac output (grossly)
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1.1.2 CardiacWeekes AJ: Diagnostic Accuracy of RV Dysfunction Markers in Normotensive ED Patients with Acute PEValue of RV dysfunction in cases of PE is as good as CT/BNP/Trop
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1.1.3 Chest & LungKirkpatrick AW: Hand-held thoracic sonographyfor detecting post-traumatic pneumothoraces: the EFASTPOCUS more sensitive that CXR at detecting occult PTX following trauma
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1.1.4 AortaElefteriades JA: LItigation in nontraumaticaortic diseases--a tempest in the malpractice malestrom.
Delay in diagnosis (addressed by POCUS) most common cause of litigation in cases of AAA
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1.1.5 RenalSmith-Bindmand: Ultrasonography versus computed tomography for suspected nephrolithiasis
Large multi site RCT demonstrating that US as sensitive as CT in Renal Colic and that imaging matters little compared to complaints unless there is substantial diagnostic uncertainty.
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1.1.5 Renal
Daniels B: STONE PLUS: Evaluation of Emergency Department Patients With Suspected Renal Colic, Using a Clinical Prediction Tool Combined With Point-of-Care Limited Ultrasonography
Clinical decision rule demonstrating how POCUS may be used in predicting further diagnostic imaging in cases of renal nephrolithiasis.
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1.1.6 Male gu
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1.1.7 BiliaryRoss: Emergency physician-performed ultrasound to diagnose cholelithiasis: a systematic review.Systematic Review on RUQ POCUS. Sensitivity in the high 80s Specificity in high 80s
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1.1.7 BiliaryNelson: Stone-In-Neck phenomenom: a new sign of cholecystitisPrognostic sign and pitfall identified
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1.1.8 Other AbdomenFields: Accuracy of Point-of-care Ultrasonography for Diagnosing Acute Appendicitis: A Systematic Review and Meta-analysis.Limitations of POCUS acknowledged...what is next?
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1.1.9 OcularBaker: Can EPs accurately distnguish retinal detachment from PVD with POCUS?They invited me to speak!
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1.1.9 OcularGottlieb: POCUS for the dx of RD: A Systematic Review and Meta-AnalysisMeta Analysis
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1.1.9 OcularVrablik: The Diagnostic Accuracy of Bedside Ocular Ultrasonography for the Dx of Retinal Detachment: A Systematic Reveiw and MAMeta Analysis
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1.1.10 Female PelvisTayal: Outcome of patients with an indeterminate emergency department first-trimester pelvic ultrasound to rule out ectopic pregnancy.Central topic to EM: have to know what happens to non-ruptured ectopic pregnancies
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1.1.11 ProceduresTolbert: An ultrasound training program's effect on central venous catheter locations and complicationsCool little letter to AJEM demonstrating decreased chest tubes from CVCs
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1.1.11 ProceduresLeung: Real-Time USIJ CVC in the ED Increases Success Rates and Reduces Complications: A Randomized, Prospective StudyRCT
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1.1.11 ProceduresMilling: RCT clinical trial of point of care limited ultrasonography assistance of CVC: the Third Sonography Outcomes Assessment (SOAP3)RCT
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1.1.12 Venous/ArterialKline: EP Performed Compression Ultrasonography for DVT of the LEExperience Heterogeneity and pretest probability affect POCUS' diagnostic accuracy
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1.1.12 Venous/ArterialCrisp: Compression ultrasonography of the LE with POCUS can accurately detect deep venous thrombosis in the emergency department.Contradicts Kline-How dare they? What is going on? Education matters
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1.1.13 Soft TissueGaspari: Abscess Incision and Drainage With or Without Ultrasonography: A Randomized Controlled Trial.RCT: POCUS decreases risk of clinical failure of abscess drainage
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1.1.13 Soft TissueMower: Effect of Initial Bedside Ultrasonography on Emergency Department Skin and Soft Tissue Infection ManagementUltrasound makes no difference on ultimate outcome of abscess drainage
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1.1.14 MSKSitu-LaCasse: Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathologyJoint effusions are so easy to identify and tap!
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1.1.15 PedsDaswani: Accuracy of POCUS Lung Ultrasonography for Dx of Acute Chest Syndrome in Peds with Sickle Cell Disease and Fever.Decrease frequency of cxr in a population receiving them all the time!
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1.1.16 Head & Neck
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1.1.17 IntegratedBlyth: Bedside focused echocardiography as predictor of survival in cardiac arrest patients: a systematic review.
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1.1.17 IntegratedAtkinson: Does POCUS Improve Outcomes in ED Patients With Undifferentiated Hypotension? An RCT From the SHoC-ED InvestigatorsIt does not!
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1.1.17 IntegratedMelniker: Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the SOAPDecreased time to OR, less resources and lower charges
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1.1.17 IntegratedStickles: The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysisPOCUS benefit depends on shock type!
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2 Education Skills
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2.1 Educational Content
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2.2. PresentationsTufte: PRESENTING DATA AND INFORMATION:A ONE-DAY COURSE TAUGHT BY EDWARD TUFTETake the one day course...it will change the way you do presentations!
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2.3 Hands On TeachingACEP: Do the teaching fellowship!Hands down best way to learn how to teach in EM:
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2.4 Competency AssessmentStolz: Emergency Medicine Resident Assessment of the Emergency Ultrasound Milestones and Current Training Recommendations
Residents think they need more practice than milestones and current guidelines suggest
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3. Research Skills
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3.1 DidacticsKohn: Understanding the direction of bias in studies of diagnostic test accuracyMust read if you want a strong understanding of diagnostic research pitfalls, biases,
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3.2 Project DevelopmentHulley: Designing Clinical Research (4th ed)Must read
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3.3 Abstract and Manuscript PrepHulley: Designing Clinical Research (4th ed)Must read
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3.4 Education/AdminHulley: Designing Clinical Research (4th ed)Must read
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3.5 Eval and Assessment
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4. Admin Skills
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4.1 QI
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4.2 LeadershipACEP's "Running a Program" Webpage
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4.3 Program SystemsStrony: Systemwide Clinical Ultrasound Program Development: An Expert Consensus Model.Sets guidelines across a system using EM model
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4.4 Relatioships & NetworksJoin ACEP/AEUS/AIUMAdvocacy and leadership
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4.5 Coding and BillingACEP Billing and Coding GuidelinesDefinitive source of practical information
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4.6 EconomicsAdhikari: Implementation of a novel point-of-care ultrasound billing and reimbursement program: fiscal impact
Makes a case to your admin about WHY an ultrasound program: best economic argument
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