Emergency Medicine Specialists Advances Care with Bedside Ultrasound
Contributing Authors: Spyridon Boukouris, M.D., RDMS and Leonard V. Bunting, M.D., F.A.C.E.P

With a focus on providing bedsideultrasound care in the emergency room,Emergency Medicine Specialists (EMS)has established programs in the emergencydepartments at St. John Hospital andMedical Center and St. John MacombOakland Hospital, Oakland Center. Byincorporating the use of ultrasound as atool in emergent situations, EMS physicians are better able to promptly and efficiently diagnose patients presenting at these two sites.

Dr. Anthony C. Southall, president of Emergency Medicine Specialists, P.C.explains, "The use of bedside ultrasoundhas greatly improved the diagnosis and management of patients seen in the emergency department. I am convinced this modality will become standard practice in the future. I am proud that EMS, PC is leading the way both in practice an din the training of our residents.

"Leading the ultrasound initiative and serving as director of emergency ultrasonography at St. John Hospital in Detroit is EMS physician, Dr. Leonard Bunting. Dr. Bunting completed an Emergency Ultrasound Preceptorship at the University of Massachusetts and is a Michigan College of Emergency Physician (www.MCEP.org) faculty lecturer in basic and advanced ultrasound courses. He recently contributed a chapter for ACEP’s ultrasound website (www.sonoguide.com) on ultrasound guided regional anesthesia which will be released early this year. Dr. Bunting has emphasized the importance of training in the use of bedside ultrasound at St. John’sED. "I’d like to congratulate the emergency medicine physicians at SJHMC for their participation and enthusiasm for the program. Thanks to their hard work,we are the first hospital group in Michigan to have all of our doctors credentialed in emergency ultrasound. It is this kind of dedication that keeps EMS at the head of the pack.

"Dr. Robert B. Takla, medical director and chair of the department of emergency medicine at the hospital concurs, "Bedside ultrasonography is quickly becoming the new stethoscope for emergency physicians.Current residents are being well trained in its multiple applications and physicians who have been in practice for sometime are truly appreciating the added diagnostic support and applications to facilitate and make procedures safer for our patients."EMS physician and director of emergency ultrasonography at St. John Macomb Oakland Hospital’s Oakland Center,Dr. Spyridon Boukouris, has met the rigorous qualifications in achievement as a new ARDMS Registrant. Dr. Boukouris’certification by the premier credentialing organization for ultrasound professionals, the American Registry for Diagnostic Medical Sonography(ARDMS) represents the highest level of competence in the medical-imaging modality of sonography testing.With the strength of his background, Dr. Boukouris is able to lend his expertise to the group of emergency medicine physicians at St. John Oakland Center located in Madison Heights, Michigan.Bedside Ultrasound Dr. Boukouris is an enthusiastic promoter of the program and elaborates, “It’s exciting to use such real time information at the bedside to narrow down your differential diagnosis and quickly derive the answer to your clinical question.A prompt diagnosis can help drive down the cost of hospitalizations by decreasing length of stay and improving turnaround times. It can also improveutilization of resources by focusing on the clinical problem.

"Dr. Antonio Bonfiglio, medical director of the emergency department at St. John Oakland Center supports the use of ultrasound in the ED. “It’s really standard care in emergency medicine in 2010. The residents we train will need these skills to practice emergency medicine in the future. Its use represents further advancement for our specialty in providing the highest quality care to our patients’ real time." Summing up the importance of bedside ultrasound in the future, Dr. Boukouris adds, "Hopefully one day, bedside ultrasonography will become standard across all emergency departments and will become integrated into the practice patterns of all emergency physicians."

For more information about the American Registry for Diagnostic Medical Sonography (ARDMS) please visit: www.ARDMS.org.

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Posted: Sunday, February 28, 2010