Why Ultrasound and the importance of POCUS
Resuscitation is one of the many things that makes emergency physicians stand out amongst the rest of the specialties. We take pride in understanding in how to properly run a medical, traumatic resuscitation with grace and composure. Decisions have been made on clinical judgement, experience, algorithms, contextual clues from vitals, and physical signs. However, with the development of ultrasound and bringing point of care ultrasound (POCUS) to the ER we are doing much more than just deciding if a patient has gallstones or hydronephrosis.
We have begun using POCUS to guide resuscitative measures. W gett a taste of this during our training and it’s drilled into the residents that the ultrasound is your right arm in resuscitation. Will a patient respond to fluids? Is there a pericardial effusion? Is there right heart strain? Are the lungs fluid overloaded? Is CPR adequate? Each of these questions give us a piece of the puzzle and when all the data is collected evidence based clinical decisions can be made on fluid status, thrombolytic treatment, invasive procedures or simply nebulizers and antibiotics. The goal of the fellowship is to master the skills of ultrasound guided medical and traumatic resuscitations.
Sergio Veliz (Class of 2019) is our first fellow.
Daniel Singer MD
After completing his medical residency and fellowships in POCUS and Critical Care Medicine at Icahn School of Medicine at Mount Sinai, Dr. Singer finds his passion in ultrasound guided resuscitation. He thoroughly enjoys spending time with residents discussing not only findings on ultrasound but the physiologic and pathophysiologic changes behind the findings. His goal with this fellowship is to further the field of emergency medicine and expand the critical care aspect to include ultrasound as one of the main components of the initial evaluation.
Sergio Veliz - Fellow
A recent graduate of the Class of 2019, Sergio decided to further hone his skills in POCUS as well as ultrasound guided resuscitation.