The utility of MRI in the emergency department
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Emergency Medicine Ultrasound eNewsletter

The utility of MRI in the emergency department
It is important that providers make the correct choice for imaging when dealing with emergent conditions. MRI is a costly choice, but sometimes the most appropriate to evaluate for specific pathology. It is imperative to weigh the risk and benefits of MRI as compared to other imaging modalities. Also, in many facilities, MRI is only available during business hours, which makes obtaining emergent MRIs very difficult. So, when is ordering an MRI in the Emergency Department indicated?

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AHEC Adds New Schedule for Physician CME
Hey! We heard you. AHEC is adding more times and more choices to our webinar and CME schedule. There is a significant addition of times and topics for both webinars and simulcasts. Our broadcast schedule has been extended in June to include physician approved enduring materials at times that should be convenient.

AHEC has increased the remote online offerings by adding Xavier Allen, BA, recent graduate of the University of Oklahoma, to our digital department. Xavier is a special person who can work with our faculty and our attendees to achieve what the best mix of programming will be to provide the most choices at the right times. If you need special help, Xavier will be delighted to walk you through the process of setup for webinars and simulcast. It’s really easy and you can watch our informational "how to" videos at

This month’s CME for physicians will satisfy the requirement for ethics and/or professional responsibility. The Texas Medical Board requires 2 CME hours every 24 months in an area considered ethics or professional responsibility. What better webinar to satisfy this requirement than a topic that includes the radiation dose relative to a CT scanner. After all the controversy about the utilization of CT in the emergency department, this could not be more appropriate. Tune in on your mobile device. We would like to see you there and for a limited time, there is a discount for this webinar. Look under Physician CME Live Events. You may access archived webinars as independent/home studies also approved as enduring materials.

Ultrasound Tip of the Month:

If you are saving your patient’s ultrasound procedures for his medical record, be sure that you mark the patient’s right and left side. This is important as the legal documentation.

Industry News

Summary of Texas Continuing Medical Education for MDs and Dos
Texas Medical Board
Completion of CME requirements is often inconvenient and something that we procrastinate about fulfilling. This is a good time to stop and review the requirement implemented by the TMB in January, 2016. Advanced Health Education Center is accredited by the ACCME to approve and offer Category 1 CME and is assisting physicians to meet their requirements in a convenient and cost conscious way. Review requirements and then join us for a webinar or access our online self study materials.

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Who should read point-of-care ED ultrasound exams?
When radiologists interpret initial ultrasound studies in the emergency department, fewer follow-up imaging studies are needed, according to research presented this week at the American College of Radiology meeting in Washington, DC. After reviewing more than 200,000 ED ultrasound events in Medicare data files, researchers from the ACR's Harvey L. Neiman Health Policy Institute found that ED patients with ultrasound studies interpreted by nonradiologists had an average of 1.34 additional imaging procedures performed over the next month, compared with patients who had their exams read by a radiologist.

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A doctor ponders the dangers of bird poop, and more
Texas Medical Center (commentary)
Gulchin A. Ergun, M.D., writes: "Disgusting is what he said. Then my darling husband delivered an out-loud, tonsil-bragging, uvula-flagging howl and continued his march to get charcoal."

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HIMSS 2017: Q&A with CEO of Physicians for Fair Coverage on why doctors favor limiting 'surprise' bills
At the state level, one of the hottest policy topics discussed at HIMSS 2017 in Orlando was legislation on so-called "surprise" medical bills incurred when a patient unexpectedly receives care from an out-of-network physician. These aren’t isolated incidents, according to recent studies. Of all emergency department visits, 22 percent have included care from an out-of-network physicians, and some specialists could charge up to four times the Medicare rate to those patients.

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Cybersecurity Alert — WannaCry Ransomware
FUJIFILM SonoSite, Inc. is aware of the recent global attack of the WannaCry ransomware worm and has diligently evaluated the potential impact on its ultrasound systems and operating software. After a thorough investigation, SonoSite has determined that its ultrasound systems are NOT affected by this worm.

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Emergency Medicine Ultrasound eNewsletter

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