Ultrasound Fellow Literature of note

	A	B	C
1	Domain	Paper(s)/Books	Why?
2	1. Image Aquistion and Interpret.
3	1.1.1 Physics	Essentials Of Ultrasound Physics / Edition by James A. Zagzebski Phd	Great diagrams explain artifacts, transducers, color, spectral, etc.
4	1.1.2 Cardiac	Determination of left ventricular function by emergency physician echocardiography of hypotensive patients.	EPs as good as Cardiologists in determining cardiac output (grossly)
5	1.1.2 Cardiac	Weekes AJ: Diagnostic Accuracy of RV Dysfunction Markers in Normotensive ED Patients with Acute PE	Value of RV dysfunction in cases of PE is as good as CT/BNP/Trop
6	1.1.2 Cardiac	Fair: Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography	Valides TEE use in the ED for at least one reason!
7	1.1.3 Chest & Lung	Kirkpatrick AW: Hand-held thoracic sonographyfor detecting post-traumatic pneumothoraces: the EFAST	POCUS more sensitive that CXR at detecting occult PTX following trauma
8	1.1.4 Aorta	Elefteriades 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
9	1.1.4 Aorta	Rubano, E: Systematic review: emergency department bedside ultrasonography for diagnosing suspected abdominal aortic aneurysm	Decent Review of AAA studies done in ED
10	1.1.5 Renal	Smith-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.
11	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.
12	1.1.6 Male gu
13	1.1.7 Biliary	Ross: Emergency physician-performed ultrasound to diagnose cholelithiasis: a systematic review.	Systematic Review on RUQ POCUS. Sensitivity in the high 80s Specificity in high 80s
14	1.1.7 Biliary	Nelson: Stone-In-Neck phenomenom: a new sign of cholecystitis	Prognostic sign and pitfall identified
15	1.1.8 Other Abdomen	Fields: Accuracy of Point-of-care Ultrasonography for Diagnosing Acute Appendicitis: A Systematic Review and Meta-analysis.	Limitations of POCUS acknowledged...what is next?
16	1.1.9 Ocular	Gottlieb: POCUS for the dx of RD: A Systematic Review and Meta-Analysis	Meta Analysis
17	1.1.9 Ocular	Vrablik: The Diagnostic Accuracy of Bedside Ocular Ultrasonography for the Dx of Retinal Detachment: A Systematic Reveiw and MA	Meta Analysis
18	1.1.10 Female Pelvis	Tayal: 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
19	1.1.11 Procedures	Tolbert: An ultrasound training program's effect on central venous catheter locations and complications	Cool little letter to AJEM demonstrating decreased chest tubes from CVCs
20	1.1.11 Procedures	Leung: Real-Time USIJ CVC in the ED Increases Success Rates and Reduces Complications: A Randomized, Prospective Study	RCT
21	1.1.11 Procedures	Milling: RCT clinical trial of point of care limited ultrasonography assistance of CVC: the Third Sonography Outcomes Assessment (SOAP3)	RCT
22	1.1.11 Procedures	Bahl, A: Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. https://www.annemergmed.com/article/S0196-0644(19)31383-6/fulltext	RCT
23	1.1.11 Procedures	Gottlieb: Ultrasound‐assisted Lumbar Punctures: A Systematic Review and Meta‐Analysis.	Meta Analysis: not sure if I believe it though!
24	1.1.12 Venous/Arterial	Kline: EP Performed Compression Ultrasonography for DVT of the LE	Experience Heterogeneity and pretest probability affect POCUS' diagnostic accuracy
25	1.1.12 Venous/Arterial	Crisp: 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
26	1.1.13 Soft Tissue	Gaspari: Abscess Incision and Drainage With or Without Ultrasonography: A Randomized Controlled Trial.	RCT: POCUS decreases risk of clinical failure of abscess drainage
27	1.1.13 Soft Tissue	Mower: Effect of Initial Bedside Ultrasonography on Emergency Department Skin and Soft Tissue Infection Management	Ultrasound makes no difference on ultimate outcome of abscess drainage
28	1.1.14 MSK	Situ-LaCasse: Utility of point-of-care musculoskeletal ultrasound in the evaluation of emergency department musculoskeletal pathology	Joint effusions are so easy to identify and tap!
29	1.1.15 Peds	Daswani: 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!
30	1.1.16 Head & Neck
31	1.1.17 Integrated	Blyth: Bedside focused echocardiography as predictor of survival in cardiac arrest patients: a systematic review.
32	1.1.17 Integrated	Atkinson: Does POCUS Improve Outcomes in ED Patients With Undifferentiated Hypotension? An RCT From the SHoC-ED Investigators	It does not!
33	1.1.17 Integrated	Melniker: Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the SOAP	Decreased time to OR, less resources and lower charges
34	1.1.17 Integrated	Stickles: The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis	POCUS benefit depends on shock type!
35	2 Education Skills
36	2.1 Educational Content
37	2.2. Presentations	Tufte: PRESENTING DATA AND INFORMATION:A ONE-DAY COURSE TAUGHT BY EDWARD TUFTE	Take the one day course...it will change the way you do presentations!
38	2.3 Hands On Teaching	ACEP: Do the teaching fellowship!	Hands down best way to learn how to teach in EM:
39	2.4 Competency Assessment	Stolz: 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
40
41	3. Research Skills
42	3.1 Didactics	Kohn: Understanding the direction of bias in studies of diagnostic test accuracy	Must read if you want a strong understanding of diagnostic research pitfalls, biases,
43	3.2 Project Development	Hulley: Designing Clinical Research (4th ed)	Must read
44	3.3 Abstract and Manuscript Prep	Hulley: Designing Clinical Research (4th ed)	Must read
45	3.4 Education/Admin	Hulley: Designing Clinical Research (4th ed)	Must read
46	3.5 Eval and Assessment
47
48	4. Admin Skills
49	4.1 QI
50	4.2 Leadership	ACEP's "Running a Program" Webpage
51	4.3 Program Systems	Strony: Systemwide Clinical Ultrasound Program Development: An Expert Consensus Model.	Sets guidelines across a system using EM model
52	4.4 Relatioships & Networks	Join ACEP/AEUS/AIUM	Advocacy and leadership
53	4.5 Coding and Billing	ACEP Billing and Coding Guidelines	Definitive source of practical information
54	4.6 Economics	Adhikari: 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

1

Domain

Paper(s)/Books

Why?

2

1. Image Aquistion and Interpret.

3

1.1.1 Physics

Essentials Of Ultrasound Physics / Edition by James A. Zagzebski Phd

Great diagrams explain artifacts, transducers, color, spectral, etc.

4

1.1.2 Cardiac

Determination of left ventricular function by emergency physician echocardiography of hypotensive patients.

EPs as good as Cardiologists in determining cardiac output (grossly)

5

1.1.2 Cardiac

Weekes AJ: Diagnostic Accuracy of RV Dysfunction Markers in Normotensive ED Patients with Acute PE

Value of RV dysfunction in cases of PE is as good as CT/BNP/Trop

6

1.1.2 Cardiac

Fair: Transesophageal Echocardiography During Cardiopulmonary Resuscitation Is Associated With Shorter Compression Pauses Compared With Transthoracic Echocardiography

Valides TEE use in the ED for at least one reason!

7

1.1.3 Chest & Lung

Kirkpatrick AW: Hand-held thoracic sonographyfor detecting post-traumatic pneumothoraces: the EFAST

POCUS more sensitive that CXR at detecting occult PTX following trauma

8

1.1.4 Aorta

Elefteriades 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

9

1.1.4 Aorta

Rubano, E: Systematic review: emergency department bedside ultrasonography for diagnosing suspected abdominal aortic aneurysm

Decent Review of AAA studies done in ED

10

1.1.5 Renal

Smith-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.

11

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.

12

1.1.6 Male gu

13

1.1.7 Biliary

Ross: Emergency physician-performed ultrasound to diagnose cholelithiasis: a systematic review.

Systematic Review on RUQ POCUS. Sensitivity in the high 80s Specificity in high 80s

14

1.1.7 Biliary

Nelson: Stone-In-Neck phenomenom: a new sign of cholecystitis

Prognostic sign and pitfall identified

15

1.1.8 Other Abdomen

Fields: Accuracy of Point-of-care Ultrasonography for Diagnosing Acute Appendicitis: A Systematic Review and Meta-analysis.

Limitations of POCUS acknowledged...what is next?

16

1.1.9 Ocular

Gottlieb: POCUS for the dx of RD: A Systematic Review and Meta-Analysis

Meta Analysis

17

1.1.9 Ocular

Vrablik: The Diagnostic Accuracy of Bedside Ocular Ultrasonography for the Dx of Retinal Detachment: A Systematic Reveiw and MA

Meta Analysis

18

1.1.10 Female Pelvis

Tayal: 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

19

1.1.11 Procedures

Tolbert: An ultrasound training program's effect on central venous catheter locations and complications

Cool little letter to AJEM demonstrating decreased chest tubes from CVCs

20

1.1.11 Procedures

Leung: Real-Time USIJ CVC in the ED Increases Success Rates and Reduces Complications: A Randomized, Prospective Study

RCT

21

1.1.11 Procedures

Milling: RCT clinical trial of point of care limited ultrasonography assistance of CVC: the Third Sonography Outcomes Assessment (SOAP3)

RCT

22

1.1.11 Procedures

Bahl, A: Ultralong Versus Standard Long Peripheral Intravenous Catheters: A Randomized Controlled Trial of Ultrasonographically Guided Catheter Survival. https://www.annemergmed.com/article/S0196-0644(19)31383-6/fulltext

RCT

23

1.1.11 Procedures

Gottlieb: Ultrasound‐assisted Lumbar Punctures: A Systematic Review and Meta‐Analysis.

Meta Analysis: not sure if I believe it though!

24

1.1.12 Venous/Arterial

Kline: EP Performed Compression Ultrasonography for DVT of the LE

Experience Heterogeneity and pretest probability affect POCUS' diagnostic accuracy

25

1.1.12 Venous/Arterial

Crisp: Compression ultrasonography of the LE with POCUS can accurately detect deep venous thrombosis in the emergency department.