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 at Jacobi Medical Center.

Our emergency medicine residents gain significant experience performing POCUS. Jacobi is a high volume level I trauma center where our residents are exposed to a wide variety of clinical pathology and applications for emergency ultrasound including trauma, abdominal and cardiac emergencies, vascular access, ocular pathology, and much more. Montefiore Moses and Weiler Campuses are both tertiary academic centers where complex, high-acuity patients present for various complicated care.

EM residents have 2 two-week ultrasound rotation during their junior years, which are designed to provide a thorough understanding of EM ultrasound through didactics, supervised scanning, and scan review. Residents also have two dedicated GYN blocks in the ED during which time they gain vast experience with OB/GYN ultrasound. Our residents also gain hands-on experience through the use of ultrasound-guided simulation models in our Simulation Center. Many senior residents choose to spend elective time refining their skills and learning advanced emergency ultrasound applications.

Besides having ultrasound fellowship trained attendings, Jacobi also has 1-3 Emergency Ultrasound Fellows to provide hands-on teaching at the bedside.

TRAUMA | JULY

Everyday Ultrasound – EFAST

5 Min Sono – EFAST

Netherton et al. Diagnostic accuracy of eFAST in the trauma patient: a systematic review and meta-analysis. Canad J Emer Med. 2019

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

Inaba et al. FAST ultrasound examination as a predictor of outcomes after resuscitative thoracotomy: a prospective evaluation. Ann Surg. 2015

Press et al. Utility of the cardiac component of FAST in blunt trauma. JEM. 2013

Moore et al. POCUS. NEJM. 2011

Fox et al. Test characteristics of FAST for clinically significant abdominal free fluid in pediatric blunt abdominal trauma. Acad Emer Med. 2011

Melnicker et al. RCT of POC, limited US for Trauma in the ED. Ann Emer Med. 2004

CARDIAC | AUG

Everyday Ultrasound Cardiac

5 Min Sono – Cardiac

Gaspari et al. ED POCUS in out-of-hospital and in-ED cardiac arrest. Resuscitation. 2016

Blyth et al. Bedside focused echo as predictor of survival in cardiac arrest patients: a systematic review. Acad Emer Med. 2012

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

Beaulieu et al. Bedside echo in the assessment of the critically ill. Critical Care Med. 2007

AORTA / DEEP VEIN THROMBOSIS | SEPT

Everyday Ultrasound – DVT

Everyday Ultrasound – Aorta

5 Min Sono – DVT

5 Min Sono – Aorta

Adhikari S et al. Isolated DVT: implications for 2-point compression ultrasonography of the lower extremity. Ann Emer Med. 2015

Burnside et al. Systematic Review of Emergency Physician–performed Ultrasonography for Lower‐Extremity Deep Vein Thrombosis. Academic Emergency Medicine. 2008

MSK/NERVE BLOCKS | OCT

Secko et al. MSK Ultrasonography to Diagnose Dislocated Shoulders: A Prospective Cohort. Ann Emer Med. 2020

Ritcey et al. Regional nerve blocks for hip and femoral neck fractures in the ED: a systematic review. Canad J of Emer Med. 2016

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

Everyday Ultrasound – Genitourinary

5 Min Sono – Genitourinary

Smith-Bindman et al. US vs. CT for Suspected Nephrolithiasis. NEJM. 2014

PULMONARY | DEC

Everyday Ultrasound – Pulmonary

5 Min Sono – Pulmonary

Mantuani et al. Point-of-care multi-organ ultrasound improves diagnostic accuracy in adults presenting to the ED with acute dyspnea. West JEM. 2016

Martindale et al. Diagnosing AHF in the ED: a systematic review and meta‐analysis. Acad emer med. 2016

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

Nazerian et al. Accuracy of point-of-care multiorgan ultrasonography for the diagnosis of PE. Chest. 2014

Volpicelli et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive care med. 2012

Chou et al. Tracheal rapid ultrasound exam (TRUE) for confirming endotracheal tube placement during emergency intubation. Resuscitation. 2011

Lichtenstein et al. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008

Volpicelli et al. Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome. Am J Emer Med. 2006

Lichtenstein et al. The” lung point”: an ultrasound sign specific to pneumothorax. Intensive care med. 2000

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

Everyday Ultrasound – Ruptured Ectopic

Blaivas et al. Emergency evaluation of patients presenting with acute scrotum using bedside ultrasonography. Acad Emer Med. 2001

Shih et al. Effect of emergency physician performed pelvic sonography on length of stay in the emergency department. Ann Emer Med. 1997

GASTROINTESTINAL | FEB

Everyday Ultrasound – Gastrointestinal

5 Min Sono – Gastrointestinal

Boniface et al. Diagnostic accuracy and time-saving effects of POCUS in patients with SBO: a prospective study. Ann Emer Med. 2020

Becker et al. A Prospective, Multicenter Evaluation of POCUS for SBO in the ED. Acad Emer Med. 2019

Elikashvili et al. The effect of POCUS on ED length of stay and CT utilization in children with suspected appendicitis. Acad Emer Med. 2014

Peters. Can bedside emergency ultrasonography enhance clinical decision making in ED patients presenting with symptoms of biliary colic? Ann Emer Med. 2013

Ross et al. Emergency physician–performed ultrasound to diagnose cholelithiasis: a systematic review. Acad Emer Med. 2011

Summers et al. A prospective evaluation of ED bedside ultrasonography for the detection of acute cholecystitis. Annals of emer med 2010.

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

Everyday Ultrasound – Ocular

5 Min Sono – Ocular

Propst et al. Ocular POCUS to Diagnose Posterior Chamber Abnormalities: A Systematic Review and Meta-analysis. JAMA Network Open. 2020

Blaivas et al. A study of bedside ocular ultrasonography in the emergency department. Acad Emer Med. 2002
Jacobi Faculty:

Trevor Dixon, MD | Emergency Ultrasound Division Director

Michael Halperin, MD, MPH | Emergency Ultrasound Fellowship Director

Michelle Montenegro, MD | Associate Director Emergency Ultrasound Fellowship, Director of Emergency Ultrasound-North Central Bronx Hospital

Nicole Leonard-Shiu, MD | Director of Resident Ultrasound Education

Philip O'Donnell, MD | Co-Director Resuscitative TEE Program

Montefiore Faculty:

Alicia Knowles, MD | Chief of the Montefiore ED Ultrasound Division

Gagandeep Singh, MD | Ultrasound Site Director at Weiler ED

Han Xu, MD | Ultrasound Site Director at Moses ED
Incoming Fellows:

Hersh Wazir MD | 2025-2026

Kyle Chin MD | 2025-2026

Current Fellows:

Julie Clemmensen DO | 2024-2025

Prior Fellows:

Aamir Bandagi DO | 2023-2024

Jonathan Maik DO | 2023-2024

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
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. Michelle Montenegro, Dr. Nicole Leonard-Shiu, and Dr. Philip O'Donnell. 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).
Publications

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.

Case Reports

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.

Abstracts

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.

Posters

Campbell L, Corbo J. Pregnant with Abdominal Pain – a Corneal Pregnancy. American Academy of Emergency Medicine (AAEM). Phoenix, 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.
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.

Jacobi-Montefiore Emergency Medicine

michael.jones@nychhc.org

Jacobi Medical Center

1400 Pelham Parkway South, Bronx, NY 10461

Montefiore Medical Center

111 East 210th Street, Bronx, NY 10467