Highland Emergency Ultrasound
Welcome to Highland Emergency Ultrasound. We are fortunate to work in a remarkable environment for bedside ultrasound, where scanning has been integral to the clinical practice at AHS – Highland Hospital for more than 20 years. From the early days of Dr. Simon and Snoey’s influential ultrasound book, the division has rapidly grown into a dynamic environment for ultrasound teaching and research. Our fellowship was one of the first in the country, producing many leaders in the field of emergency ultrasound.
Medical students who complete our rotation obtain the skills to be independent ultrasonographers for a variety of applications. Our interns complete a month-long ultrasound block, giving them cutting-edge expertise for all emergent applications. These skills are fostered and developed throughout residency, and by graduation, all residents are master-level ultrasonographers, able to integrate bedside ultrasound into clinical practice at the highest level. Fellows receive further training to push the limits of established applications and indications, become educational leaders on an international scale, publish widely, and move on to direct ultrasound divisions and fellowships.
Today, the long tradition of Highland Emergency Ultrasound continues with state-of-the-art ultrasound applications, integration into international and disaster settings, national and international ultrasound education, and a new textbook on ultrasound-guided regional anesthesia.
Highland Emergency Ultrasound Highlights:
6 ED ultrasound systems
2 Ultrasound Fellows per year
Multiple expert ultrasound faculty
Numerous research publications and ongoing research projects
Ultrasound education at local, national, and international conferences through lectures and hand-on courses
Strong relationships with Radiology, Anesthesiology, Internal Medicine, and Surgery
Daily scanning shifts in the department run by either ultrasound fellows or ultrasound attending
Weekly, detailed ultrasound video review and journal club
Access to thousands of teaching files, video clips, and photos
Active ultrasound-guided regional anesthesia teaching
Integrated ultrasound teaching during daily shifts, Wednesday conference, Follow-up conference, etc.
Multiple expert ultrasound faculty, six having completed US fellowships
Click here to visit our Ultrasound Website.
1: Mikell C, Gelber J, Nagdev A. Ultrasound-guided analgesic injection for
acromioclavicular joint separation in the emergency department. Am J Emerg Med.
2019 Aug 14:158397. doi: 10.1016/j.ajem.2019.158397. [Epub ahead of print] PubMed
PMID: 31427163.
2: Mantuani D, Luftig J, Herring A, Dreyfuss A, Nagdev A. A Novel Technique to
Reduce Reliance on Opioids for Analgesia from Acute Appendicitis: The
Ultrasound-guided Erector Spinae Plane Block. Clin Pract Cases Emerg Med. 2019
May 29;3(3):248-251. doi: 10.5811/cpcem.2019.4.42117. eCollection 2019 Aug.
PubMed PMID: 31403099; PubMed Central PMCID: PMC6682230.
3: Nagdev A, Dreyfuss A, Martin D, Mantuani D. Principles of safety for
ultrasound-guided single injection blocks in the emergency department. Am J Emerg
Med. 2019 Jun;37(6):1160-1164. doi: 10.1016/j.ajem.2019.03.045. Epub 2019 Mar 27.
PubMed PMID: 30944067.
4: Mahmoud S, Miraflor E, Martin D, Mantuani D, Luftig J, Nagdev AD.
Ultrasound-guided transverse abdominis plane block for ED appendicitis pain
control. Am J Emerg Med. 2019 Apr;37(4):740-743. doi: 10.1016/j.ajem.2019.01.024.
Epub 2019 Jan 26. PubMed PMID: 30718116.
5: Shaahinfar A, Ghazi-Askar ZM, Siroker H, Nagdev A. Anomalous Left Coronary
Artery From the Pulmonary Artery Presenting as Dilated Cardiomyopathy With
Regional Wall Motion Abnormality on Point-of-Care Ultrasound. Pediatr Emerg Care.
2019 Jul;35(7):516-518. doi: 10.1097/PEC.0000000000001741. PubMed PMID: 30702648.
6: Wroe PC, Clattenburg EJ, Gardner K, Gelber J, Schultz C, Singh A, Nagdev A.
Emergency department use of a mechanical chest compression device frequently
causes unanticipated interruptions in cardiopulmonary resuscitation.
Resuscitation. 2018 Dec;133:e3-e4. doi: 10.1016/j.resuscitation.2018.09.013. Epub
2018 Sep 19. PubMed PMID: 30244046.
7: Clattenburg EJ, Wroe PC, Gardner K, Schultz C, Gelber J, Singh A, Nagdev A.
Implementation of the Cardiac Arrest Sonographic Assessment (CASA) protocol for
patients with cardiac arrest is associated with shorter CPR pulse checks.
Resuscitation. 2018 Oct;131:69-73. doi: 10.1016/j.resuscitation.2018.07.030. Epub
2018 Jul 30. PubMed PMID: 30071262.
8: Sherpa D, Johnson BD, Ben-Youssef L, Nagdev A. Diagnosis of Septic Abortion
with Point-of-care Ultrasound. Clin Pract Cases Emerg Med. 2017 Jul
6;1(3):268-269. doi: 10.5811/cpcem.2017.3.33574. eCollection 2017 Aug. PubMed
PMID: 29849309; PubMed Central PMCID: PMC5965189.
9: Thomas B, Durant E, Barbant S, Nagdev A. Repeat Point-of-Care
Echocardiographic Evaluation of Traumatic Cardiac Arrest: A New Paradigm for the
Emergency Physician. Clin Pract Cases Emerg Med. 2017 May 23;1(3):194-196. doi:
10.5811/cpcem.2017.2.33021. eCollection 2017 Aug. PubMed PMID: 29849292; PubMed
Central PMCID: PMC5965168.
10: Josh Luftig PA, Mantuani D, Herring AA, Dixon B, Clattenburg E, Nagdev A. The
authors reply to the optimal dose and volume of local anesthetic for erector
spinae plane blockade for posterior rib fractures. Am J Emerg Med. 2018
Jun;36(6):1103-1104. doi: 10.1016/j.ajem.2018.03.051. Epub 2018 Mar 21. PubMed
PMID: 29622391.
11: Clattenburg EJ, Wroe P, Gardner K, Losonczy L, Singh A, Nagdev A. Reply to:
Point-of-care ultrasound use in patients with cardiac arrest: More harmful than
useful? Resuscitation. 2018 Mar;124:e23-e24. doi:
10.1016/j.resuscitation.2018.01.015. PubMed PMID: 29502683.
12: Sturchler MLL, Rusoja EA, Nagdev A, Simon BC. A Rare Case of Acute
Right-Sided Colonic Diverticulitis Presenting as Pancreatitis. J Emerg Med. 2018
Apr;54(4):e77-e80. doi: 10.1016/j.jemermed.2017.12.042. Epub 2018 Feb 1. PubMed
PMID: 29397242.
13: Nomura M, Mantuani D, Nagdev A. Syphilis and vision loss: A role for
point-of-care ultrasound. Am J Emerg Med. 2018 Mar;36(3):526.e5-526.e6. doi:
10.1016/j.ajem.2017.12.009. Epub 2017 Dec 6. PubMed PMID: 29306649.
14: Luftig J, Mantuani D, Herring AA, Dixon B, Clattenburg E, Nagdev A.
Successful emergency pain control for posterior rib fractures with
ultrasound-guided erector spinae plane block. Am J Emerg Med. 2018
Aug;36(8):1391-1396. doi: 10.1016/j.ajem.2017.12.060. Epub 2017 Dec 28. PubMed
PMID: 29301653.
15: Quinley KE, Chong D, Prager S, Wills CP, Nagdev A, Kennedy S. Manual Uterine
Aspiration: Adding to the Emergency Physician Stabilization Toolkit. Ann Emerg
Med. 2018 Jul;72(1):86-92. doi: 10.1016/j.annemergmed.2017.10.019. Epub 2017 Dec 13
PubMed PMID: 29248332.
16: Clattenburg EJ, Wroe P, Brown S, Gardner K, Losonczy L, Singh A, Nagdev A.
Point-of-care ultrasound use in patients with cardiac arrest is associated
prolonged cardiopulmonary resuscitation pauses: A prospective cohort study.
Resuscitation. 2018 Jan;122:65-68. doi: 10.1016/j.resuscitation.2017.11.056. Epub
2017 Nov 23. PubMed PMID: 29175356.
17: Gardner KF, Clattenburg EJ, Wroe P, Singh A, Mantuani D, Nagdev A. The
Cardiac Arrest Sonographic Assessment (CASA) exam – A standardized approach to
the use of ultrasound in PEA. Am J Emerg Med. 2018 Apr;36(4):729-731. doi:
10.1016/j.ajem.2017.08.052. Epub 2017 Aug 26. PubMed PMID: 28851499.
18: Lema PC, Mantuani D, Nagdev A, Adhikari S. Asteroid Hyalosis Masquerading as
Vitreous Hemorrhage on Point-of-Care Sonography. J Ultrasound Med. 2018
Jan;37(1):281-284. doi: 10.1002/jum.14317. Epub 2017 Jul 17. PubMed PMID:
28715155.
19: Milligan R, Houmes S, Goldberg LC, Nagdev A, Amini R. Ultrasound-guided
forearm nerve blocks in managing hand and finger injuries. Intern Emerg Med. 2017
Apr;12(3):381-385. doi: 10.1007/s11739-017-1635-7. Epub 2017 Feb 10. PubMed PMID:
28188578.
20: Luftig J, Mantuani D, Herring AA, Nagdev A. Ultrasound-guided retroclavicular
approach infraclavicular brachial plexus block for upper extremity emergency
procedures. Am J Emerg Med. 2017 May;35(5):773-777. doi:
10.1016/j.ajem.2017.01.028. Epub 2017 Jan 15. PubMed PMID: 28126454.
21: Singh A, Johnson B, Nagdev A. Utility of Computed Tomography and Ultrasound
in Elbow Fracture. J Emerg Med. 2017 Mar;52(3):e71-e72. doi:
10.1016/j.jemermed.2016.03.040. Epub 2016 Oct 5. PubMed PMID: 27720287.
22: Durant E, Dixon B, Luftig J, Mantuani D, Herring A. Ultrasound-guided
serratus plane block for ED rib fracture pain control. Am J Emerg Med. 2017
Jan;35(1):197.e3-197.e6. doi: 10.1016/j.ajem.2016.07.021. Epub 2016 Jul 19.
PubMed PMID: 27595172.
23: Wroe P, O’Shea R, Johnson B, Hoffman R, Nagdev A. Ultrasound-guided forearm
nerve blocks for hand blast injuries: case series and multidisciplinary protocol.
Am J Emerg Med. 2016 Sep;34(9):1895-7. doi: 10.1016/j.ajem.2016.06.111. Epub 2016
Jul 11. PubMed PMID: 27461885.
24: Lewiss RE, Adhikari S, Carmody K, Fields JM, Hunt P, Liteplo AS, Nagdev A,
Raio C, Gaspari R. The Society of Clinical Ultrasound Fellowships: An innovation
in the point of care ultrasound fellowship application process. Am J Emerg Med.
2016 Jul;34(7):1303-5. doi: 10.1016/j.ajem.2016.03.070. Epub 2016 Apr 8. PubMed
PMID: 27131632.
25: Johnson B, Lovallo E, Nagdev A. Man With Thrill in Neck. Ann Emerg Med. 2016
May;67(5):e15-6. doi: 10.1016/j.annemergmed.2015.10.011. PubMed PMID: 27106387.
26: Amini R, Kartchner JZ, Nagdev A, Adhikari S. Ultrasound-Guided Nerve Blocks
in Emergency Medicine Practice. J Ultrasound Med. 2016 Apr;35(4):731-6. doi:
10.7863/ultra.15.05095. Epub 2016 Mar 1. PubMed PMID: 26931789.
27: Sohoni A, Nagdev A, Takhar S, Stone M. Forearm ultrasound-guided nerve blocks
vs landmark-based wrist blocks for hand anesthesia in healthy volunteers. Am J
Emerg Med. 2016 Apr;34(4):730-4. doi: 10.1016/j.ajem.2016.01.020. Epub 2016 Jan 21
PubMed PMID: 26920669.
28: Mantuani D, Frazee BW, Fahimi J, Nagdev A. Point-of-Care Multi-Organ
Ultrasound Improves Diagnostic Accuracy in Adults Presenting to the Emergency
Department with Acute Dyspnea. West J Emerg Med. 2016 Jan;17(1):46-53. doi:
10.5811/westjem.2015.11.28525. Epub 2016 Jan 12. PubMed PMID: 26823930; PubMed
Central PMCID: PMC4729418.
29: Chiem AT, Soucy Z, Dinh VA, Chilstrom M, Gharahbaghian L, Shah V, Medak A,
Nagdev A, Jang T, Stark E, Hussain A, Lobo V, Pera A, Fox JC. Integration of
Ultrasound in Undergraduate Medical Education at the California Medical Schools:
A Discussion of Common Challenges and Strategies From the UMeCali Experience. J
Ultrasound Med. 2016 Feb;35(2):221-33. doi: 10.7863/ultra.15.05006. Epub 2016 Jan 13
PubMed PMID: 26764278.
30: Clattenburg E, Herring A, Hahn C, Johnson B, Nagdev A. ED ultrasound-guided
posterior tibial nerve blocks for calcaneal fracture analagesia. Am J Emerg Med.
2016 Jun;34(6):1183.e1-3. doi: 10.1016/j.ajem.2015.11.002. Epub 2015 Nov 9.
PubMed PMID: 26603302.
31: Losonczy LI, Lovallo E, Schnorr CD, Mantuani D. Drinking to near death–acute
water intoxication leading to neurogenic stunned myocardium. Am J Emerg Med. 2016
Jan;34(1):119.e3-4. doi: 10.1016/j.ajem.2015.05.055. Epub 2015 Jun 14. PubMed
PMID: 26238098.
32: Flores S, Riguzzi C, Herring AA, Nagdev A. Horner’s Syndrome after
Superficial Cervical Plexus Block. West J Emerg Med. 2015 May;16(3):428-31. doi:
10.5811/westjem.2015.2.25336. Epub 2015 Apr 6. PubMed PMID: 25987922; PubMed
Central PMCID: PMC4427219.
33: Padrez K, Bress J, Johnson B, Nagdev A. Bedside ultrasound identification of
infectious flexor tenosynovitis in the emergency department. West J Emerg Med.
2015 Mar;16(2):260-2. doi: 10.5811/westjem.2015.1.24474. Epub 2015 Mar 6. PubMed
PMID: 25834667; PubMed Central PMCID: PMC4380376.