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Dopplerhead
noun
1. A person with enthusiastic feelings or beliefs about point of care ultrasound. Sometimes referred to as an EMUG 
IN THIS ISSUE

COVID-19 RESOURCES
Webinars - Resources - Peer Support

EVENTS
Rescheduling due to Covid -19

EDUCATION
RCH ED POCUS Project - Sound Cloud -  Dr Adam O’Brien and Ms Tania Griffiths
Ocular Ultrasound Case Study - Blog -  Dr Luke Phillips
Focused Echocardiography Article - Blog - Dr Michael Blaivas

COMMUNITY
EMUGs POCUS Crusaders - Meet our team members at the grassroots
EMUGs opens in the Northern Territory
Tonga Fundraiser - Its takes a community to raise a probe

POCUS DEVELOPMENT
ACEM Policies and Guidelines Update
Sonosite Synchronicity Workflow Manger

Resources To Combat Covid -19

Live Webinars
TOMORROW- April 2nd 2020

Butterfly Round Table
 
Lessons from the Front Lines: A Global Perspective 
Register Now

ASUM - POCUS in a Pandemic
Lung US & Covid-19
Register Now


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Resource Web Pages
EMUGs Covid-19 Quick Guide

FUJI SONOSITE Covid -19 Resources


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EMUGs Covid-19 Peer Support Forum
Join Now
 
In light of COVID-19
existing EMUGs events are being rescheduled

 
POSTPONED UNTIL FURTHER NOTICE
WA (Perth) AAA/Biliary - was April 29th
SA (Adelaide) MSK Day - was May 16th 

Dates to be Announced ASAP
Events in NSW, NT & QLD

Postponed until August 2021
August 2020 SONIC Conference, Queenstown NZ

 

RCH ED POCUS PROJECT
- Soundcloud Podcast -

An interview with Dr Adam O’Brien and Ms Tania Griffiths about the Development of the RCH ED POCUS Project and the work they do in ED and around the hospital to educate doctors and nurses about bedside ultrasound.

Listen Now

DR MOHAMED GABER
Senior Registrar in Emergency Medicine and Intensive Care Medicine
Fellow in Point of Care Ultrasound (POCUS)
Emergency Department, Royal Children's Hospital Melbourne

BLINDED BY THE LIGHT
- Ocular Ultrasound -

By Dr Luke Philips
 
75yo Female presents to the ED with sudden onset right visual loss.  
  • Denies flashes/floaters and has no history of stroke/TIAs in the past.  She denies any symptoms of polymyalgia rheumatica or temporal arteritis.

  • Past history:

    • Cataracts but no surgery.  Wears glasses for reading.

    • Hypertension

    • Type 2 Diabetes

    • Atrial fibrillation – on Xarelto.

    • Non-smoker.

  • On exam:

    • Pupils equal, normal shape and reactive, normal eye movements

    • Normal visual acuity in left eye and unable to see anything from right eye

    • Normal eye pressures, no corneal abrasions and sclera not injected.

    • Non tender temporal artery with easily palpable pulse.

  • Investigations:

    • Normal ESR/CRP.

    • CT Brain – age related changes. No stroke, masses or intra-cranial haemorrhage.

Read on to learn how POCUS expediated the management of this patient and how to do an ocular ultrasound...
PALPATION AND FOCUSED ECHOCARDIOGRAPHYFINDINGS IN ADULT CARDIOPULMONARY ARREST PATIENTS

DR MICHAEL BLAIVAS

Objectives: Define the frequency of agreement between focused bedside echocardiography (Echo) and pulse checks during cardiopulmonary resuscitation (CPR).

Methods: A retrospective review of multi-year quality assurance logs on cardiac arrest patients evaluated with point-of-care Echo during CPR, over a seven year period. 

Results: A total of 693 pulse checks occurred concomitantly with Echo checks in 226 patients. Of the 226 patients, 59 (26.1%) had resumption of spontaneous circulation at some point in their resuscitation based on pulse palpation and electrocardiographic
monitor tracing. A total of 178 (25.7%) Echo checks revealed an EF felt to likely generate a detectable blood pressure. In 47% (84) of those Echo checks, no pulses were palpable. Conversely, in 31 (6%) pulse checks (when electrical cardiac activity was noted
on the monitor) and a healthcare provider felt palpable pulses, the echo showed either myocardial standstill or negligible EF. Echo results and pulse palpation during pulse checks showed poor correlation with a Kappa of 0.52.

Read on...

POCUS CRUSADERS
Just a few of the many faces in our volunteer regional teams...
Making a huge contribution to the EMUGs mission.
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Dr Gabby King - New Zealand
Dr Claire Gorham - NT
Dr Amaali Lokuge - VIC
Dr Warren Adie - NT

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Northern Territory 
Joins EMUGs


We are excited to welcome colleagues from the Northern Territory, hailing from both Darwin and Alice Springs to make up the newest brach of EMUGs.

Meet the Team


Let's send a much needed probe to Tonga
* PLEASE DONATE *

A group of New Zealand emergency physicians have been actively building the capability of emergency care in Tonga for several years. 

As a result  ultrasound is now a core part of
emergency care in Tonga. 

However, access to up to date equipment is a key barrier.

A linear probe is needed in order to utilise this machine for POCUS in the ED.
DONATE NOW

Australasian College for Emergency Medicine

ACEM has recently made a swathe of updates to its ultrasound policies and guidelines. The policies and guidelines are about the use and training of ultrasound in emergency medicine.

The documents accessible via direct links below, and on the ACEM Standards page under ‘Ultrasound’ 
 

P21 - Policy on the Use of Focused Ultrasound in Emergency Medicine

G25 - Guidelines on the minimum criteria for ultrasound workshops

P733 - Policy for credentialing for emergency medicine ultrasonography

S686 - Statement on Cleaning and Disinfection of Ultrasound Transducers that are Used for Needle-Based Procedures

COR742 - Guideline for the Provision of Emergency Department Focused Ultrasound Training and Governance

Fujifilm Sonosite presents...

SYNCHRONICTY
Workflow Management

 
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