Putting the Guidelines Ahead of the Evidence for the Use of Transesophageal Echocardiography by Emergency Physicians

Emergency physicians have demonstrated their ability to expeditiously perform and interpret myriad point-of-care ultrasonographic examinations. We have no doubt, therefore, that with proper physician training, transesophageal echocardiography should not be any different. Emergency physicians are often leaders in the adoption of new technologies, and thus we read with great interest the guidelines published by Fair et al1 on the use of transesophageal echocardiography in the emergency department (ED).

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