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.

Most Recent Ultrasound Publications


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:




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:




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.