Page 86 - Journal of Special Operations Medicine - Spring 2015
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A Mount Sinai Emergency Medicine–hosted ultrasound   Podcasts and apps for iPod/iPad or handheld devices:
          resource (http://sinaiem.us)  has multiple useful links   iMedicalApps (www.imedicalapps.com/2010/12/pocket
          and plenty of online tutorials on common ultrasound   ­atlas­emergency­ultrasound­ipad­iphone­medical­app
          examinations.                                      ­review) offers great access to EM ultrasound text. The
                                                             app contains extensive information and detailed photos
          Commercial sites                                   and videos. It is an ideal reference for more experienced
          The American College of Emergency Physicians offers   providers.
          a fantastic free website (www.sonoguide.com). The site
          provides an overview, videos, and explanations for all   Emergency Ultrasound app (http://itunes.apple.com/us/
          the relevant ultrasound examinations. It also includes   itunes­u/emergency­ultrasound/id429668403) is a free
          a section on ultrasound­guided procedures,  including   EM ultrasound podcast with video demonstrations of
          IV access, FB identification, and incision and drainage.   the examinations hosted by J. Christian Fox, MD, of
          There is a collection of cases to review findings in a clin­  the University of California, Irvine, School of Medicine.
          ical scenario setting.
                                                             Ultrasound Podcast (www.ultrasoundpodcast.com) has
          Another American College of Emergency Physicians re­  multiple resources and lectures on the core EM ultra­
          source, provided by the Ultrasound Interest Group (www.  sound examinations.
          acep.org/content.aspx?id=32182), includes links to free
          online examinations, a sonoguide, and resources for how   This list of resources is by no means all inclusive, but
          to provide quality assurance for all examinations, includ­  our  goal  is  to  provide  providers  and  instructors  with
          ing the proper documentation procedures for each.  some resources to make your ultrasound training and
                                                             skill sustainment as high yield as possible.
          Sonosite hosts a website (www.sonosite.com) that has
          an educational section that includes the basics of most   Reach Out to the EM Community
          of the ultrasound examinations, with videos. This site
          also includes important information on the “buttonol­  Over the last 10 to 15 years, POCUS examinations have
          ogy” of each of their portable ultrasound devices and   become the standard of care in much of the EM com­
          describes how to use the more advanced features of the   munity. In addition to contacting your local MTF for
          devices.                                           assistance, another option is to involve the EM commu­
                                                             nity at large. Army, Air Force, and Navy all have active­
          The Society of Academic Emergency Medicine–hosted   duty EM training programs. These programs often have
          interest group for ultrasound (www.saem.org/academy­  faculty who have received 1 to 2 years of additional
          emergency­ultrasound) likely has many good resources   “fellowship” training in POCUS. They are experts in
          and links to recent academic research on ultrasound.  the field and are a great resource for instruction. There
                                                             are many commercial companies you can contract with
          CME download (http://cmedownload.com)  has a free   for a specific ultrasound course, but many of the ac­
          section of lectures, including multiple ultrasound lec­  tive­duty emergency physicians can provide similar in­
          tures covering the majority of the major emergency   struction, often at no cost or for the cost of temporary
          medicine (EM) ultrasound examinations. This is a great,   additional duty expenses to your location. If you secure
          free resource.                                     one of these highly trained individuals to help with your
                                                             unit training, you will likely benefit from not only their
          Ultrasound Village (www.ultrasoundvillage.com) is based   medical knowledge and technical skill but operational
          out of Australia. Registration is free and there are multiple   experience with use of POCUS in the deployed setting,
          instruction modules available.                     something unlikely to be available from a commercial
                                                             vendor. The civilian EM community has also embraced
          Emergency Ultrasound (www.emergencyultrasound.org.  POCUS and there are many medical centers with large
          uk) is based in the United Kingdom and has multiple links   training programs. If no MTF facilities are available, the
          to videos and other national EM ultrasound websites.  civilian community can be a great resource for training
                                                             and experience.
          Fee sites
          The Emsono website (www.emsono.com) is a full­     Final Recommendations
          spectrum, online ultrasound resource with instructional
                                                                                                       7
          modules, examinations, and multiple videos. This is a   Recommendations from Keenan et al. in 2008  to in­
          great resource, but it is a subscription service. Many of   corporate the initial standardized skill training and cer­
          the contributors are Department of Defense or former   tification into the initial training pipeline at the Joint
          Department of Defense emergency physicians.        Special Operations Medical Training Center (JSOMTC)



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