Emergency Medicine

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Welcome to UCR (University of California Riverside Emergency) Ultrasound at Riverside Community Hospital!

Welcome Statement

Our emergency medicine residency ultrasound education is led by fellowship-trained faculty committed to dynamic teaching, research and clinical integration of ultrasound. During the first month of residency interns are introduced to the fundamentals of point-of-care ultrasound (POCUS) through our ultrasound bootcamp. Through dedicated ultrasound rotations in both the intern and senior year, residents hone their skills in the core and advanced POCUS applications. POCUS education is integrated into the didactic and simulation curriculum, critical care ultrasound is practiced in our ICU rotations, advanced ECHO reviewed during our Cardiology rotation, and there is an ultrasound mini-fellowship opportunity, with plans for a post residency ultrasound fellowship. Additionally, our residents have opportunities to participate in regional and national ultrasound games and workshops.

Furthermore, the high-volume, high-acuity setting in which we practice provides our residents with ample experience to learn and master image acquisition and interpretation, incorporating POCUS into clinical practice and utilizing POCUS in ultrasound-guided procedures, including nerve blocks, vascular access, arthrocentesis, thoracentesis, paracentesis, pericardiocentesis, PTA aspiration, ETT confirmation, lumbar puncture. Our goal is for our residents to graduate with the tools necessary to apply POCUS to optimize the care they provide to their patients.

We have several ultrasound systems (GE, Zonare, and Sonosite) for scanning in our emergency department. We have an integrated web-based image archival system (QPath) to manage quality assurance, image feedback, teaching, credentialing, and place our images into the patient record.

Faculty (Pics/bios)

  • Lucas Friedman, MD, M.Ed., Associate Professor - Section Chief, Emergency Ultrasound; Director, Emergency Ultrasound Education
  • Residency Training: Emergency Medicine and Pediatrics, Combined Residency, Departments of Emergency Medicine and Pediatrics, University of Arizona
  • Fellowship Training: Emergency Ultrasound Fellowship, University of Arizona
  • Eva Tovar Hirashima, MD, MPH - Associate Director, Emergency Ultrasound Education
    • Residency Training: Harvard Affiliated Emergency Medicine Residency
    • Fellowship Training: Emergency Ultrasound, University of Maryland School of Medicine

EM Ultrasound Curriculum

  • Intern US Bootcamp
  • 2 weeks (½ block) PGY-1 year
  • 2 weeks (½ block) PGY-3 year
  • In between the formal EM US rotations, residents will participate in the longitudinal US curriculum that includes numerous didactics and skills sessions throughout the 3 years of residency training.
  • Residents can gain further US experience via elective blocks and Mini-Fellowships
  • Topics include but are not limited to:
    • Cardiac
    • Thoracic:
      • Lung
      • Airway
    • Abdominal:
      • Aorta
      • IVC
      • Biliary
      • Renal
      • Bowel
    • OB/GYN
    • DVT
    • Musculoskeletal
    • Soft Tissue
    • HENT
    • Ocular
    • Protocols: E-FAST, RUSH, etc.
    • Pediatric US
    • US-guided procedures

Excellence in Ultrasound Award

This award recognizes the top performer on the intern Ultrasound rotation

Award winners:

2018 - Adrian Thomas, MD

2019 - Devan Pandya, MD

Photo Gallery

EM residents practicing various techniques during pre-scanning shift sessions

Our Ultrasound Director leading a team of UCR SOM students at the World Congress of Ultrasound in Medical Education Ultrasound World Cup

Our Ultrasound Director at American Institute of Ultrasound in Medicine SonoSlam, you get the picture.

We were honored to have Dr. Jacob Avila from 5 Minute Sono visit as a guest-lecturer

More coming soon...

Emergency Ultrasound Fellowship:

Coming soon…

Emergency Ultrasound Tools:

Coming soon…

Recommended Websites and Resources