The first text on emergency ultrasound of the eye, written for and by Emergency Physicians and Ophthalmologists. The Emergency Physician and Ophthalmologist can easily learn to assess causes of traumatic and non-traumatic vision loss, such as lens dislocation, foreign body, retinal detachment, vitreous hemorrhage, vitreous detachment and eye masses with bedside ultrasound. Conditions that result in changes to the posterior orbit, such as orbital cellulitis and increased intracranial pressure are also presented.
Emergency Ultrasound of the Eye and Orbit was written and published to provide a basic reference to emergency physicians and ophthalmologists. While the intended audience includes emergency physicians and ophthalmologists who already are using bedside ultrasonography for the evaluation of their patients, this book includes the basics of physics and instrumentation, scanning techniques, and effects and artifacts that apply to other uses beyond ophthalmic ultrasound. This book will focus on grey scale applications of ophthalmic ultrasound that can easily be learned by those performing other non-ophthalmologic grey scale studies. A growing body of literature supports the use of ultrasound by practitioners to diagnose a variety of significant eye pathologies. This book emphasizes the use of ultrasound to evaluate emergent and urgent ophthalmologic conditions. While some chronic or non-urgent findings will be discussed, these are generally addressed in the context of differentiating these from more emergent conditions. Clearly, there are a number of vision-threatening conditions for which ultrasonography can help the physician secure the appropriate and timely treatment. We submit this book as both a teaching tool and a bedside reference for emergency ophthalmic ultrasound.
Dietrich Jehle and Emergency Ultrasonography: I have co-authored several leading textbooks on emergency bedside ultrasonography, including “Ultrasound in Emergency Medicine,” the first text in its field in 1995 with a second edition in 2002, and more recently “Ultrasonography in Trauma: The FAST Exam” published in 2003 by the American College of Emergency Physicians. The FAST Exam, Focused Assessment with Sonography for Trauma, has now been incorporated into Advanced Trauma Life Support as an integral part of the care of the trauma patient. I published the first study on the use of ultrasonography in blunt abdominal trauma by emergency physicians in the United States and the first emergency medicine study of the use of bedside ultrasound to evaluate gallbladder, aortic, renal and first trimester pregnancy pathology. I am currently completing work on an emergency eye ultrasound text that should be finished in 2011. In my role as Director of Emergency Ultrasonography, I recently set up a full time emergency ultrasound fellowship at SUNY at Buffalo that has graduated its first fellow, who accepted a teaching position at John’s Hopkins. Academic emergency physicians from all parts of the United States and Canada have participated in my mini-fellowship in bedside sonography over the last 18 years. Approximately 15% of all emergency ultrasound fellowship directors in the United States and Canada received part of their ultrasound training here in Buffalo.
I was appointed Vice Chairman of the Department of Emergency Medicine at SUNY @ Buffalo in 1993 and served in that capacity for 15 years. I also served as the Clinical Director of the Department of Emergency Medicine at Erie County Medical Center (ECMC) for 17 years and was promoted to Professor of Emergency Medicine and became the Associate Medical Director for ECMC (responsibilities for Emergency Medicine, Surgery, Surgery Subspecialties, Radiology and the Lab) in 2008. The ECMC Lifeline Foundation selected me as the 2008 recipient of the Distinguished Physician’s Award and the 2008 Springfest Gala Physician Honoree in recognition of outstanding dedication and service to ECMC, a primary affiliate of SUNY @ Buffalo. In 2009, I was appointed as a voting member of the Board of Directors for the Erie County Medical Center.
I was appointed a Board Examiner for the American Board of Emergency Medicine. I also served on the Board of the New York Chapter of the American College of Emergency Physicians and served as a National Institute of Health Research Grant Reviewer in the Small Business Innovation and Research Program. My role in the local trauma system has given me the foundation to serve as a Trauma Site Surveyor for both New York and Illinois.
In addition to pioneering ultrasound research, I have done significant work in resuscitation, investigating motor vehicle crashes and bringing new technologies to emergency medicine. I have published 6 books/book sections, 15 book chapters, 54 peer reviewed publications and 39 abstracts in the medical literature.
For the last 19 years, I have provided supervision of medical care given to Buffalo Bills fans on game day at Ralph Wilson Stadium in Orchard Park, NY and this past two years, I have also assisted with medical care for the professional football players at the Bills home games. In 2007, Buffalo Business First awarded me the “Health Care 50” award for my level of involvement in medical care in the Buffalo community and the Buffalo News recently awarded me the “Buffalo Outstanding Citizen of 2009” award. In 2010, NYACEP presented me the "Advancing Emergency Care" award.