Clinicians increasingly using ultrasound as part of RA care | Ultrasound of the salivary glands helps find secondary Sjogren's syndrome in RA patients | ED docs can use ultrasound to rule in fractures, study finds

May 19, 2015
Ultrasound SmartBrief
Providing Ultrasound Information to Enhance Patient Care and Safety

Clinical Advancements in SonographyAdvertisement
Clinicians increasingly using ultrasound as part of RA care
Musculoskeletal ultrasound is gaining ground among rheumatologists in the U.S. as more specialized ultrasound training is available and equipment becomes more affordable and accessible. Ultrasound is most commonly used for rheumatoid arthritis diagnosis, but it has benefit for patients with other rheumatologic conditions including polymyalgia rheumatica, spondyloarthropathy and gout. Medscape (free registration) (5/14)
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ED docs can use ultrasound to rule in fractures, study finds
Researchers report in Emergency Nurse that ultrasound evaluation of suspected closed fractures of the limbs was a reliable tool for ruling in fractures, including those of the arm. Ninety-seven patients that went to Cirencester Hospital with a suspected limb fracture underwent X-rays and ultrasound of the area. Ultrasound detected 51 of 60 limb fractures confirmed with X-ray. Science 2.0 (5/14)
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Guidelines could mean many women won't have coverage for breast screening
(Mychele Daniau/AFP/Getty Images)
Avalere Health estimates that 17 million women ages 40 to 49 could lose insurance coverage for breast cancer screening if draft guidelines from the U.S. Preventive Services Task Force are finalized. The draft assigned screening for women in this age bracket a "C" rating, meaning private payers are not required to provide coverage. (free registration) (5/14)
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Ship to Canada and Grow — It's Easy with FedEx®
Taking your business beyond borders is a huge growth opportunity, and we have the tips, tools, and resources to make your entire shipping process as easy as possible, whether you ship packages or freight. Use our collection of resources to expand your business north of the border.

Technology UpdateAdvertisement
3D TEE best for monitoring Lariat patients for leaks, study finds
Atrial leaks occurred in 20% of patients within one year of treatment with SentreHeart's Lariat device used to close off the left atrial appendage, according to a study from the Texas Cardiac Arrhythmia Institute. Of 99 patients in the study, three suffered neurological events due to a leak. The researchers noted that 3D transesophageal echocardiogram is better at identifying the leaks than 2D TEE and that the 3D approach should be used for patient monitoring. The findings were discussed at a meeting of the Heart Rhythm Society. (Boston) (5/14)
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Study: Pulmonary valve implant improves outcomes
Most patients who received the Melody valve during transcatheter pulmonary valve replacement experienced improved hemodynamic and clinical outcomes, according to a study published in Circulation. The researchers monitored 148 Melody valve recipients over 4.5 years using echocardiograms, radiographs and stress tests. In the short term, 140 of the patients had no pulmonary regurgitation and long term, 37 patients required right ventricular outflow tract reintervention and 14 patients had cardiac or blood infections. (5/11)
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Practice News
EHRs may deliver on promise of better care, survey suggests
Clinicians using desktop computer.
(AFP/Getty Images)
According to a Healthcare Information and Management Systems Society survey, 71% of nurses polled prefer using EHRs over paper records, and 72% think EHRs reduce medical errors. Research suggests EHRs do in some cases contribute to errors and that workflow can be a problem, but addressing interoperability and other issues should help. EHR Intelligence (5/11)
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Other News
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Someone who is a good leader knows how to get work done, but a great leader is someone who inspires employees to do their best all the time. Linda Rottenberg, the co-founder and CEO of Endeavor, tells us about some common traits among successful leaders. Watch the video now.

Patient Care in MedicineAdvertisement
Sonogram helps parents prepare for infant's congenital bladder defect
Lila Wonsmos was born with bladder exstrophy, a rare condition in which the fetus' bladder is exposed outside of the body, but thanks to a sonogram at 22 weeks and follow-up, Lila's parents were prepared. The family was able to prepare to care for her and make treatment arrangements. Her treatment involved surgery to place the bladder inside the pelvis and abdomen. (5/13)
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Legislative & Regulatory Update
AMA supports bill to stop ICD-10 transition
The American Medical Association has expressed its support for the Cutting Costly Codes Act of 2015, proposed by Rep. Ted Poe, R-Texas, that would stop HHS from implementing the ICD-10 codes. Dr. Steven Stack, the AMA's incoming president, said that ICD-10 problems are substantial enough that ICD-10 should not be rolled out. He suggested that the industry wait for ICD-11 and transition to the codes properly. Healthcare Finance News (5/15)
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Prepare for an ARDMS examination
Before you take your scheduled examination, visit the specialty examination page to review the "Prepare" section which includes content outline, sample questions, study materials and tips for a successful testing experience. To help you prepare, register for a practice examination.
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ARDMS is seeking your input on eligibility requirements
The ARDMS is offering a unique opportunity to comment on the recommended changes to the eligibility requirements/prerequisites standards. Read more. The public comment period will be open through June 9. Take the survey!
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