VCU has implemented a curriculum for teaching of Emergency Ultrasound based on curricula endorsed by both ACEP and SAEM. There is currently no national certification for Emergency Ultrasound but the certification of such an endorsed curriculum will allow residents to gain institution specific certification for Ultrasound in their respective places of practice. We are developing a system to document our residents proficiency in using ultrasound.

Residents gain experience in using ultrasound to diagnose hemothorax, pericardial effusion, and hemoperitoneum in the context of trauma. The use of the FAST (Focused Assessment with Sonography for Trauma) exam in trauma patients is almost a standard part of our trauma work-up when indicated. Expertise in trans-abdominal sonography (gallbladder, aorta, pelvic pathology) is obtained and trans-vaginal ultrasonography is used to assist in the diagnosis of tubo-ovarian abscess, pelvic masses, and ectopic pregnancy.

Pictured at left is the MicroMaxx™ portable ultrasound machine by Sonosite, inc. We have three such machines which we have placed throughout the emergency department to aid the diagnosis and treatment of medicine, ob/gyn, and trauma patients. Visit www.sonosite.com for more information and interactive educational tutorials.