07 September 2009  Bedside Ultrasound in the ED  An interesting
take on ultrasound in community medicine from the EM Blog:
Community Hospital: Ultrasound Free Zones Why is it that every
EM resident training in the USA learns Bedside Ultrasonography
(BSU) during residency, and then upon graduation goes out into
the cold ultrasound-less world of the community hospital ED? Is
rapid ultrasound so available in these hospitals that their
skills in BSU are really not necessary? Hint; NO, THAT IS NOT
IT! Well if that isn’t the explanation, then what is? Another
blogger (Jan Shoenberger) on this site noted the disconnect
between academic environments and the “real world” noting that
many new grads are unprepared for the realities of practice. One
example of this is that they know how to do BSU but will likely
never have a chance to use that skill. The posited reasons why
ultrasound hasn't penetrated community hospitals are part right:
ED Directors who don't keep up, radiology turf battles, etc. 
But I have to say tha