Adrienne Alice Yarnish

Interests

Research

point-of-care ultrasound, medical education, advanced practice provider ultrasound skills acquisition, rural ultrasound, lung ultrasound, biliary ultrasound

Teaching

emergency ultrasound, echocardiography, transesophageal echocardiography, ultrasound guided regional anesthesia, pelvic ultrasound

Courses

Scholarly Contributions

Chapters

• Yarnish, A., Mosier, J. M., & Natt, B. (2023). Chapter 10: Applied Airway Ultrasound. In Manual of Airway Management in Critical Care.

Journals/Publications

• Situ-LaCasse, E., Yarnish, A., McNinch, N., Adhikari, S., & Acuña, J. (2024). Does Size Matter? A Prospective Study on the Feasibility of Using a Handheld Ultrasound Device in Place of a Cart-Based System in the Evaluation of Trauma Patients. Journal of Emergency Medicine, 66(4). doi:10.1016/j.jemermed.2023.11.012
  More info

  Background: As emergency physicians are looking at handheld devices as alternatives to the traditional, cart-based systems, concerns center around whether they are forsaking image quality for a lower price point and whether the handheld can be trusted for medical decision making. Objective: We aimed to determine the feasibility of using a handheld ultrasound device in place of a cart-based system during the evaluation of trauma patients using the Focused Assessment with Sonography for Trauma (FAST) examination. Methods: This was a prospective study of adult trauma patients who received a FAST examination as part of their evaluation. A FAST examination was performed using a cart-based machine and a handheld device. The results of the examinations were compared with computed tomography imaging. Images obtained from both ultrasound devices were reviewed by an expert for image quality. Results: A total of 62 patients were enrolled in the study. The mean (SD) time to perform a FAST examination using the handheld device was 307.3 (65.3) s, which was significantly less (p = 0.002) than the 336.1 (86.8) s with the cart-based machine. There was strong agreement between the examination results of the handheld and cart-based devices and between the handheld and computed tomography. Image quality scores obtained with the handheld device were lower than those from the cart-based system. Most operators and reviewers agreed that the images obtained from the handheld were adequate for medical decision making. Conclusions: Data support that it is feasible to use the handheld ultrasound device for evaluation of the trauma patient in place of the cart-based system.
• Acuna, J., Pacheco, G., Yarnish, A., Haight, S., Carter, J., Coe, I., & Adhikari, S. R. (2022). A Novel Simulation Model for Training Emergency Medicine Residents in the Ultrasound Identification of Landmarks for Cricothyrotomy. Cureus, 12(12). doi:10.7759/cureus.33003
• Acuna, J., Yarnish, A., & Adhikari, S. R. (2022). The Status of Women in Emergency Ultrasound Fellowships: A Potential Light for the Future of Gender Inclusion in Academic Medicine. Cureus, 14(9).
• Acuna, J., Yarnish, A., Situ-LaCasse, E., Amini, R., & Adhikari, S. (2021). The Use of Point-of-Care Ultrasound for Arthrocentesis Among Emergency Medicine Residents. Open access emergency medicine : OAEM, 13, 161-167.
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  The objective of this study is to determine if EM resident physicians are able to successfully utilize POCUS to perform an arthrocentesis in the ED. This is a retrospective review of ED patients who received an ultrasound-guided or ultrasound-assisted arthrocentesis performed in the ED over a 6-year period by an EM resident physician.

Poster Presentations

• Acuna, J., Pacheco, G., & Yarnish, A. (2022, spring). Assessment of a Novel Anterior Neck Model for training emergency medicine residents in the ultrasound identification of anatomic landmarks for cricothyroidotomy. The Society for Academic Emergency Medicine (SAEM) Annual Meeting. New Orleans, LA.
• Acuna, J., Acuna, J., Yarnish, A., Yarnish, A., Situ-LaCasse, E., Situ-LaCasse, E., Amini, R., Amini, R., Adhikari, S. R., & Adhikari, S. R. (2021, April). Teaching Arthrocentesis Protocol in Trainess (TAPiT) An Educational Intervention to Facilitate the Use of Point-of-Care Ultrasound when Performing Arthrocentesis. American Institute of Ultrasound in Medicine Annual Convention. Virtual: American Institute of Ultrasound in Medicine.