Sep 21, 2026 · 20 min · 10 segments
In this episode of ACEP Frontline, Dr. Ryan Stanton is joined by Dr. Igor Middlebrook at Michigan ACEP's Summer Assembly on Mackinac Island to discuss the expanding role of ultrasound-guided regional…
Igor MiddlebrookGuest
Ryan StantonHost
I can kind of see where the transition is because one, yeah, shout out to St. Joseph.
We've interviewed with Alexis LaPietra and others from that program, of course, the Alto program with Dr. Rosenberg as well.
And she actually came down to Kentucky and did one of our first nerve block courses and taught us how to do some of those.
But I'm kind of like that first generation of emergency physicians that came out with certification and ultrasound.
And, you know, so there's still a lot of physicians before me that didn't necessarily have that exposure.
And then, of course, there's the advancements that have taken place, especially with the technology since the time that I came through.
And so kind of dive into why this is a skill that if you don't have a ton of this you haven't done a pain especially a pain fellowship you haven't done any of these types of things why this is something that that is you can do even if you don't feel like you have the skills the ultrasound
well i think there's more and more training programs around at this point um you know we as a um PACE, ASAP PACE group in an addiction care and emergency department.
There's NYSORA, which also does a little more expensive, but also does several of these courses.
Also, most of the ultrasound fellowship trained physicians are proficient in these blocks.
It's getting out there, but I think you can if just taking the time to do it.
There's also so many online resources that you can watch if you forgot how to do a block.
I think we all have the innate skill of holding the ultrasound and holding a needle.
I can kind of see where the transition is because one, yeah, shout out to St. Joseph.
We've interviewed with Alexis LaPietra and others from that program, of course, the Alto program with Dr. Rosenberg as well.
And she actually came down to Kentucky and did one of our first nerve block courses and taught us how to do some of those.
But I'm kind of like that first generation of emergency physicians that came out with certification and ultrasound.
And, you know, so there's still a lot of physicians before me that didn't necessarily have that exposure.
And then, of course, there's the advancements that have taken place, especially with the technology since the time that I came through.
And so kind of dive into why this is a skill that if you don't have a ton of this you haven't done a pain especially a pain fellowship you haven't done any of these types of things why this is something that that is you can do even if you don't feel like you have the skills the ultrasound
well i think there's more and more training programs around at this point um you know we as a um PACE, ASAP PACE group in an addiction care and emergency department.
There's NYSORA, which also does a little more expensive, but also does several of these courses.
Also, most of the ultrasound fellowship trained physicians are proficient in these blocks.
It's getting out there, but I think you can if just taking the time to do it.
There's also so many online resources that you can watch if you forgot how to do a block.
I think we all have the innate skill of holding the ultrasound and holding a needle.
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