Controversies in Emergency Ultrasound: The Debate Rages On (AEUS-Sponsored)
This engaging session will explore two contentious topics in emergency ultrasound. First, learn how to use Optic Nerve Sheath Diameter (ONSD) measurement to detect increased intracranial pressure, while examining its controversies, including measurement variability and the lack of standardized cutoff values. Second, discover the potential of carotid ultrasound to guide CPR without interrupting chest compressions. The expert panel will debate the evidence, discuss practical applications, and highlight research gaps, providing valuable insights into these critical techniques. Enhance your emergency ultrasound skills and knowledge with a deeper understanding of these emerging approaches in patient care.
Learning Objectives:
- Demonstrate how point-of-care carotid ultrasound can be integrated into cardiopulmonary resuscitation (CPR).
- Describe the pros and cons of using point-of-care ultrasound to measure the optic nerve sheath diameter (ONSD).
- Identify areas needing further research in the use of point-of-care ultrasound for cardiac arrest and elevated ICP.
Presenters:
- Srikar R. Adhikari, MD, MS
- Di F. Coneybeare, MD, MHPE
- Lori Stolz, MD
- Stephen D. Haight, MD, FPD AEMUS
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Srikar R. Adhikari, MD, MS
University of Arizona
Dr. Adhikari is a tenured professor and currently chief of the Emergency Ultrasound section, Ultrasound Fellowship Director and Ultrasound Curriculum Director for medical students at the University of Arizona. He has presented extensively at both national and international forums. As an established investigator, he has garnered funding from the NIH and DOD for POCUS-AI research and has contributed to more than 150 peer-reviewed POCUS publications. Dr. Adhikari also serves on the editorial boards and peer review panels of numerous journals and is an active member of several national committees dedicated to point-of-care ultrasound. He is a recipient of NIH R21 award, Department of Defense CDMRP award, AIUM Endowment for Education & Research award and Society for Academic Emergency Medicine award for outstanding achievement in Emergency Ultrasound Research. -
Di F. Coneybeare, MD, MHPE
Columbia University Medical Center
Di Coneybeare is an associate professor of emergency medicine at the Columbia University Medical Center. She serves as the fellowship director for emergency ultrasound. She graduated from emergency ultrasound fellowship and concurrently completed her MHPE from Maastricht University. She founded the emergency ultrasound fellowship at Columbia University Medical Center. Her research focus in medical education resolves around professional identity formation and was the 2023 SAEMF Education Project Grant recipient to study professional identity formation in fellowship.
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Lori Stolz, MD
University of Cincinnati College of Medicine
Dr. Lori Stolz, MD is the Director of Emergency Ultrasound at the University of Cincinnati. -
Stephen D. Haight, MD, FPD, AEMUS
UCSF Fresno
Dr. Haight is an assistant professor of emergency medicine and the Director of Emergency Ultrasound ay UCSF Fresno. He completed his emergency medicine residency at UCSF Fresno in 2020, where he served as chief resident and was awarded resident teacher of the year. He graduated from a clinical ultrasound fellowship at the University of Arizona in 2021 and currently holds the focused practice designation in advanced emergency medicine ultrasonography through the American Board of Emergency Medicine. He has lectured on point-of-care ultrasound topics at both regional and national venues, including SAEM, SEMPA , and the High Sierra Wilderness and Travel Medicine Conference previously. He recently published a chapter on musculoskeletal ultrasound and the ultrasound-guided serratus anterior block for EM:RAP CorePendium. His main areas of interest include speckle tracking/strain echocardiography, vascular ultrasound, musculoskeletal ultrasound, and regional anesthesia. In his free time, he enjoys exploring the nearby Sierra Nevada Mountains and playing squash.