Ultrasound Program
We seek to train our physicians to efficiently incorporate point of care ultrasound (POCUS) into the evaluation and management of our patients. In addition to training our residents, we also have a one-year Emergency Ultrasound fellowship program.
Our emergency medicine residents gain significant experience performing bedside ultrasound. Jacobi Medical Center is a high volume level I trauma center and our residents are exposed to a wide variety of clinical pathology and applications for emergency ultrasound including blunt and penetrating trauma, abdominal and cardiac emergencies, vascular access, ocular pathology, and much more. Residents also have two dedicated GYN blocks in the ED during which time they gain vast experience with OB/GYN ultrasound.
Besides having ultrasound fellowship trained and RDMS-certified EM attendings, Jacobi also has 2-3 Emergency Ultrasound Fellows to provide hands-on teaching at the bedside. In addition, EM residents have a two-week ultrasound rotation during their second year, which is designed to provide a thorough understanding of EM ultrasound through didactics, supervised scanning, and scan review. Our residents also gain hands-on experience through the use of ultrasound-guided simulation models in our new Simulation Center. Many Senior residents choose to spend elective time refining their skills and learning advanced emergency ultrasound applications.
The Jacobi Emergency Ultrasound Fellowship
The Jacobi Emergency Ultrasound Fellowship is a one-year program. Our goal is to produce physicians who not only have expertise in all aspects of emergency ultrasound but who also will become innovative leaders in the field of emergency ultrasound.
Our fellows work 20 clinical hours per week, which is split between Jacobi Medical Center and North Central Bronx Hospital (NCB). Our fellows enjoy one-on-one teaching from the emergency medicine ultrasound fellowship core attendings including Dr. Trevor Dixon, Dr. Michael Halperin, Dr. Alicia Knowles, Dr. Jessica Wang, Dr. Jill Corbo and Dr. Tesfa Young. The fellows also play a large role in resident education and help run the resident ultrasound rotation. In addition, our fellows will have ample opportunity to participate in the numerous ongoing research projects in the department and global health programs in Jamaica.
Applicants
We participate in the Society of Clinical Ultrasound Fellowship match system. You can find more information about our program here, or contact fellowship director Michael Halperin (michael.halperin@nychhc.org)
TRAUMA | JULY
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Everyday Ultrasound – EFAST
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5 Min Sono – EFAST
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Netherton et al. Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. Canad J Emer Med. 2019
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Lobo et al. Caudal edge of the liver in the Right Upper Quadrant (RUQ) view is the most sensitive area for free fluid on the FAST exam. WestJEM 2017
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Inaba et al. FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Ann Surg. 2015
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Press et al. Utility of the cardiac component of FAST in blunt trauma. JEM. 2013
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Moore et al. POCUS. NEJM. 2011
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Fox et al. Test characteristics of FAST for clinically significant abdominal free fluid in pediatric blunt abdominal trauma. Acad Emer Med. 2011
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Melnicker et al. RCT of POC, limited US for Trauma in the ED. Ann Emer Med. 2004
CARDIAC | AUG
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Everyday Ultrasound Cardiac
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5 Min Sono – Cardiac
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Gaspari et al. ED POCUS in out-of-hospital and in-ED cardiac arrest. Resuscitation. 2016
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Blyth et al. Bedside focused echo as predictor of survival in cardiac arrest patients: a systematic review. Acad Emer Med. 2012
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Labovitz et al. Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and ACEP. J Amer Soc Echo. 2010
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Beaulieu et al. Bedside echo in the assessment of the critically ill. Critical Care Med. 2007
AORTA / DEEP VEIN THROMBOSIS | SEPT
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Everyday Ultrasound – DVT
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Everyday Ultrasound – Aorta
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5 Min Sono – DVT
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5 Min Sono – Aorta
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Adhikari S et al. Isolated DVT: implications for 2-point compression ultrasonography of the lower extremity. Ann Emer Med. 2015
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Burnside et al. Systematic Review of Emergency Physician–performed Ultrasonography for Lower‐Extremity Deep Vein Thrombosis. Academic Emergency Medicine. 2008
MSK/NERVE BLOCKS | OCT
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Secko et al. MSK Ultrasonography to Diagnose Dislocated Shoulders: A Prospective Cohort. Ann Emer Med. 2020
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Ritcey et al. Regional nerve blocks for hip and femoral neck fractures in the ED: a systematic review. Canad J of Emer Med. 2016
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Liebmann et al. Feasibility of forearm US-guided nerve blocks of the radial, ulnar, and median nerves for hand procedures in the ED. Ann Emer Med. 2006
GENITOURINARY | NOV
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Everyday Ultrasound – Genitourinary
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5 Min Sono – Genitourinary
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Smith-Bindman et al. US vs. CT for Suspected Nephrolithiasis. NEJM. 2014
PULMONARY | DEC
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Everyday Ultrasound – Pulmonary
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5 Min Sono – Pulmonary
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Mantuani et al. Point-of-care multi-organ ultrasound improves diagnostic accuracy in adults presenting to the ED with acute dyspnea. West JEM. 2016
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Martindale et al. Diagnosing AHF in the ED: a systematic review and meta‐analysis. Acad emer med. 2016
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Al Deeb et al. POCUS for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta‐analysis. Acad Emer Med. 2014
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Nazerian et al. Accuracy of point-of-care multiorgan ultrasonography for the diagnosis of PE. Chest. 2014
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Volpicelli et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive care med. 2012
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Chou et al. Tracheal rapid ultrasound exam (TRUE) for confirming endotracheal tube placement during emergency intubation. Resuscitation. 2011
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Lichtenstein et al. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008
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Volpicelli et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emer Med. 2006
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Lichtenstein et al. The” lung point”: an ultrasound sign specific to pneumothorax. Intensive care med. 2000
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Lichtenstein et al. The comet-tail artifact: an ultrasound sign of alveolar-interstitial syndrome. Amer J Resp and Crit Care Med. 1997.
OB-GYN/TESTICULAR | JAN
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Everyday Ultrasound – Ruptured Ectopic
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Blaivas et al. Emergency evaluation of patients presenting with acute scrotum using bedside ultrasonography. Acad Emer Med. 2001
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Shih et al. Effect of emergency physician performed pelvic sonography on length of stay in the emergency department. Ann Emer Med. 1997
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GASTROINTESTINAL | FEB
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Everyday Ultrasound – Gastrointestinal
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5 Min Sono – Gastrointestinal
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Boniface et al. Diagnostic accuracy and time-saving effects of POCUS in patients with SBO: a prospective study. Ann Emer Med. 2020
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Becker et al. A Prospective, Multicenter Evaluation of POCUS for SBO in the ED. Acad Emer Med. 2019
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Elikashvili et al. The effect of POCUS on ED length of stay and CT utilization in children with suspected appendicitis. Acad Emer Med. 2014
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Peters. Can bedside emergency ultrasonography enhance clinical decision making in ED patients presenting with symptoms of biliary colic? Ann Emer Med. 2013
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Ross et al. Emergency physician–performed ultrasound to diagnose cholelithiasis: a systematic review. Acad Emer Med. 2011
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Summers et al. A prospective evaluation of ED bedside ultrasonography for the detection of acute cholecystitis. Annals of emer med 2010.
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Blaivas et al. Decreasing length of stay with emergency ultrasound examination of the gallbladder. Acad Emer Med. 1999
GLOBAL HEALTH | MARCH
HYPOTENSION | APR
OCULAR | MAY
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Everyday Ultrasound – Ocular
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5 Min Sono – Ocular
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Propst et al. Ocular POCUS to Diagnose Posterior Chamber Abnormalities: A Systematic Review and Meta-analysis. JAMA Network Open. 2020
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Blaivas et al. A study of bedside ocular ultrasonography in the emergency department. Acad emer med. 2002
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Trevor Dixon, MD Emergency
Ultrasound Division Director (Founder of JAHJAH)Michael Halperin, MD, MPH
Emergency Ultrasound Fellowship Director (Creator of Everyday Ultrasound)Alicia Knowles, MD
Jill Corbo, MD, RDMS
Tesfa Young, MD, RDMS
Jessica Wang, MD, RDMS
Nicole Leonard, MD
Han Xu, MD
Gagandeep Singh, MD
Current Fellows:
Aamir Bandagi MD | 2023-2024
Jonathan Maik MD | 2023-2024
Prior Fellows:
Glen Malaret Hernández MD | 2022-2023
Gagandeep Singh MD | 2022-2023
Brian Kohen MD | 2021-2022
Fenil Patel MD | 2021-2022
Nechama Sonenthal MD | 2020-2021
Michelle Montenegro MD | 2020-2021
Jennifer Norton, MD | 2014-15
Andrus Alian, MD | 2010-11
David Begleiter, MD | 2009-2010
Alicia Knowles, MD | 2008-09
Sonali Ruder, MD | 2005-06
Haney R, Halperin M. Clinical Integration of Point-of-Care Ultrasound by Emergency Department Residents: A Single Center Mixed-Methods Study. Academic Emergency Medicine (AEM) Education and Training. 2020 May
Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo Jr CA, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL, Kriesel, D, Ma J, Mallin M, Manson W, Melnikow J, Miglioretti D, Miller S, Mills L, Miner J, Moghadassi M, Noble V, Press G, Stoller M, Valencia V, Wang J, Wang R, Cummings S. Ultrasonography versus computed tomography for suspected nephrolithiasis. New England Journal of Medicine. 2014 Sep 18;371(12):1100-10.
Sivitz A, Dixon T, Hinfey P. Emergency Physician Bedside Ultrasonography of Suspected Acute Appendicitis In Children. Annals of Emergency Medicine. 2010 Sep 1;53.
Tarr M, Halperin M. Lung POCUS Guides Patient Management. Visual Journal of Emergency Medicine. 2021 Jan, Volume 22: 100965
Singh G, Halperin M, Corbo J. A leaking abdominal aortic aneurysm; Negative for hemoperitoneum in Morison’s Pouch, but positive at the caudal tip of the liver. Visual Journal of Emergency Medicine.2020 Oct 1;21:100805.
Selesny S, Singh M. Rapid diagnosis of lens dislocation by POCUS in a patient with traumatic, unilateral vision loss. Visual Journal of Emergency Medicine. 2020 Oct 1;21:100776.
Offenbacher J, Menko J, Lukovic S, Tarr M, Roberts S. Altered Mental Status as the Primary Presentation of Intussusception in a 3-Month-Old Child Diagnosed by Point-of-Care Ultrasonography. Journal of Emergency Medicine. 2020 January.
Berzon B, Gleenberg M, Offenbacher J, West D. Atypical presentation of hemorrhagic shock in pregnancy: a case highlighting the developing field of emergency medicine in Israel. BMC emergency medicine. 2019 Dec 1;19(1):70.
Kimm J, Halperin M, Nguyen V. Cardiac Tamponade Presenting as Leg Swelling. Visual Journal of Emergency Medicine. 2019 October (17)
Sachet M, Singh M. Rapid diagnosis of acute retinal detachment with emergency department point of care ultrasound (POCUS). Visual Journal of Emergency Medicine 2019 July (16).
Tung-Chen Y, Halperin M, Short-Apellaniz J. Orthostatic syncope as a presentation of pulmonary embolism, a not to be missed diagnosis. Visual Journal of Emergency Medicine. 2019 January (14): 5-6.
Halperin, M. Shannon, A. Fournier’s gangrene diagnosis accelerated by emergency physician scrotal ultrasound. Visual Journal of Emergency Medicine. Volume 8. July 2017.
Chinn, E. Splenic abscess diagnosed by emergency department point-of-care ultrasound (POCUS) in a febrile male with left flank pain. Visual Journal of Emergency Medicine. Volume 8. July 2017.
Halperin, M. Washington, M. Silverberg, JZ. Pneumonia diagnosed by emergency department point-of-care ultrasound (POCUS) in a patient with severe undifferentiated dyspnea and equivocal chest radiograph. Visual Journal of Emergency Medicine. Volume
7. April 2017.
Halperin, M. Li, SF. Shannon, A. Severe renal injury detected by Emergency Department Point of Care Ultrasound (POCUS) in a patient with undifferentiated hypotension. Visual Journal of Emergency Medicine. Volume 7. April 2017.
Shokoohi H, Herrala J, Negishi K, Diamond E, Halperin M, Kharasch S, Liteplo A, Goldsmith A. 24 The ULTra Method: Data-Driven Approach to Point-of-Care Ultrasound Machine Upgrade and Replacement. Annals of Emergency Medicine. 2019 Oct 1;74(4):S11.
Alerhand S, Nevel A, Nelson B, Halperin M, Serrano F, Prosen G, Banović T, Doniger SJ, Brvar M, Furman B, Rodríguez PG. Abstracts from the 13th WINFOCUS World Congress on Ultrasound in Emergency & Critical Care. In Critical Ultrasound Journal 2017 Dec (Vol. 9, No. 1, pp. 1-8). SpringerOpen.
Halperin M. “The SHARP exam to risk stratify Right Lower Quadrant Abdominal Pain.” American Academy of Emergency Medicine 26th Annual Scientific Assembly. Phoenix, Arizona. April 2020. [This invited lecture was cancelled due to COVID-19 travel restrictions.]
Halperin M. E-FAST Revisited: A Look at New Developments in the Use of EFAST in Trauma. Mediterranean Emergency Medicine Congress (MEMC19). Dubrovnik, Croatia. Monday, September 23, 2019.
Halperin M. The SHARP Exam: A standardized approach to undifferentiated acute right lower quadrant abdominal pain in young women. Society of Clinical Ultrasound Fellowships (SCUF), fellow lightning presentation competition. The Ohio State University. April 27th, 2019.
Campbell L, Corbo J. Pregnant with Abdominal Pain – a Corneal Pregnancy. American Academy of Emergency Medicine (AAEM). Pheonix, Arizona. April 19-23, 2020 [Cancelled due to COVID-19 travel restrictions]
Barrett B. My Legs are Swollen. Poster presented at the American Academy of Emergency Medicine (AAEM). Las Vegas, Nevada. March 9-13, 2019.
Sheth P, Chiang W, Santavicca N. Stopping for a View: POCUS in postpartum Pathology. Poster presented at the American Academy of Emergency Medicine (AAEM). Las Vegas, Nevada. March 9-13, 2019.
Halperin M, Singh M, Kimm J, Ratanski D. Residents teaching residents point of care ultrasound (POCUS): How a dilated aortic root that broke the ‘rule of 1/3rds’ helped rule in the diagnosis of thoracic aortic dissection. Poster was accepted for presentation at the 6th World Congress Ultrasound in Medical Education (WCUME). Winston-Salem, North Carolina. September 13-16 2018. The conference was cancelled due to a hurricane.
Halperin M, Bourke M, Kimm J, Ratanski D. A right sided distal ureteral stone: It’s not an appendicolith; a potential false positive when performing point of care ultrasound (POCUS) for acute appendicitis. Poster was accepted for presentation at the 6th World Congress Ultrasound in Medical Education (WCUME). Winston-Salem, North Carolina. September 13-16 2018. The conference was cancelled due to a hurricane.
Halperin M, Serrano F. Type A thoracic aortic dissection suspected on resident performed bedside transthoracic echocardiography (TTE) in a patient with initial electrocardiogram (ECG) demonstrating an ST elevation myocardial infarction (STEMI). Poster presented at the 13th WINFOCUS World Congress on Ultrasound in Emergency and Critical Care. Rosario, Argentina. Sept 27-30, 2017.
Jacobi-Montefiore Emergency Medicine
Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY 10461
Montefiore Medical Center
111 East 210th Street, Bronx, NY 10467
