What's New | Decker

S Patrick Bender, MD, Joshua Farkas, MD, Thomas R Pace, MD

Focused bedside echocardiographic examination, including assessment of ventricular function, volume status, and various cardiac pathologies
Pulmonary ultrasonography, including pleural effusions and thoracentesis, assessment of lung parenchyma, and pneumothorax
Abdominal ultrasonography, including focused assessment with sonography in trauma examination, paracentesis, and pneumoperitoneum
Ultrasound-guided arterial and venous line placement

Erik P Anderson, MD, Borzoo Farhang, DO, MS, Mark P Hamlin, MD, MS, FCCM

Arterial line as an essential tool in determination of volume status and response to fluid therapy
Transesophageal Doppler technology for continuous estimation of multiple physiologic parameters to facilitate early recognition of hypovolemia and guiding intravascular volume replacement
The efficacy of pulse contour analysis devices based on available data
Thoracic electrical bioimpedance and bioreactance devices as well as partial rebreathing technique in assessment of patients in shock

Andrew Goldsmith, MD, MBA

Advanced liver disease results in a decrease in cardiac output secondary to a decrease in systemic vascular resistance, leading to hypervolemic hyponatremia, renal failure, edema, and ascites.
A diagnostic paracentesis to rule out spontaneous bacterial peritonitis should be performed in all emergency department patients who present with ascites and fever or abdominal pain.
Since serum ammonia levels and the severity of hepatic encephalopathy (HE) do not correlate well, patients with known or suspected HE should be treated for hyperammonia regardless of the measured level.
Hepatitis B virus immune globulin effectively prevents transmission if administered within 72 hours of exposure.
Pyrogenic liver abscesses are best treated with a combination of antibiotics and percutaneous drainage.

David E. Beck, MD, FACS, FASCRS

Chemoradiation therapy for epidermoid carcinoma of the anal canal
CT or MRI for preoperative evaluation of presacral tumors
Distal presacral tumors (below S3) can be removed with a perineal approach, whereas proximal lesions are managed with an abdominal approach

Michael Fitzsimons, MD, Maricela Schnur , MD, MBA, Fangfang Xing, MD

Magdalena Anitescu, MD, PhD, John Henry Harrison, MD, Jeffrey Hopcian, MD

Understanding the new diagnostic terminology for substance misuse conditions as defined by the newest DSM-5
Identifying risk factors for substance misuse disorders and subsequently understanding clinical and social factors involved in this condition
Understanding various laboratory techniques used in routine urine drug tests performed in clinical practice

Elyse Cornett, PhD, Justin Creel, Charles Fox, MD, Alan D. Kaye, MD, PhD, Matthew B. Novitch, BS, Shilpadevi Patil, MD, Harish Siddaiah, MD

Maunak V. Rana, MD, Chirag D. Shah, MD, JD

Ultrasound