Subscribe via RSS Feed

We are now available on iBooks!

May 7, 2014 2 Comments
We are now available on iBooks!

In 2012, we published the print book Point-of-Care Ultrasound for Emergency Physicians, combining the course manuals of The EDE course and The EDE 2 Course. Since then, we’ve received numerous requests for an e-book version, so due to popular demand, we have done just that. The e-book is NOW available on the iBooks Store! Retitled Essentials of Point-of-Care […]

Continue Reading »

Smith’s Fracture

October 28, 2014 0 Comments
Smith’s Fracture

This patient had a displaced looking wrist. However the POCUS didn’t look particularly displaced at all. I was wondering about the discrepancy but not enough to get the old brain in gear (do U/S waves cause dementia in the operator?). I should have learned from my last POCUS on a Smith’s that they look very […]

Continue Reading »

Dr. Richard on Armpits, Metal Rods, Pus, and T-shirts

October 20, 2014 1 Comment
Dr. Richard on Armpits, Metal Rods, Pus, and T-shirts

Here’s a neat case from Dr Bernard Richard from Valleyfield in la belle province… A 30 y.o. man fell on a metal rod a week ago. He was seen in the ED and had his 10 cm right axillary wound sutured. I saw him a week later for 4 cm lump that was located 15 […]

Continue Reading »

Nobody expects the liver abscess

October 14, 2014 0 Comments
Nobody expects the liver abscess

I reviewed the computer charting, elderly lady with one day history of fever, vomiting, diarrhea and confusion. Sounded like a boring old gastro, give her fluids, take cultures and refer. No need to drag the U/S to the room when I’m already behind and pressed for time. Still, spare the probe and spoil the patient. […]

Continue Reading »

Time is testicle!

October 10, 2014 2 Comments
Time is testicle!

Scrotal EDE is one of the topics that Greg presents at EDE 3.  While not a life-threatening entity (try telling that to an 18 y.o. male!), it still carries with it significant morbidity.  Ultrasound is key to the diagnosis and can help assess the success of attempts at de-torsion. I recently saw an 18 y.o. […]

Continue Reading »

Weird Symptoms

October 6, 2014 0 Comments
Weird Symptoms

This patient was in his 70s with the usual litany of diseases and medications. He actually looked quite well. He complained of pain from his R neck to his R flank. The physical exam was not helpful. I had no inkling of what was wrong. I POCUS’ed his carotids/jugulars/CVS/Aorta/Kidneys/liver/spleen/bladder and all looked fine. His GB […]

Continue Reading »

Supraclavicular vs. infraclavicular: which to use for subclavian lines with POCUS?

September 29, 2014 0 Comments
Supraclavicular vs. infraclavicular: which to use for subclavian lines with POCUS?

Dr Maja Stachura, who is now staff at Vancouver General ED, tried to help answer this question while she was an ultrasound fellow in Sudbury. The results of her project were recently published in the American Journal of Emergency Medicine. Click here for the pub med link. Here’s the lowdown: Methods: Prospective anatomical survey of […]

Continue Reading »

S/Q saline injection for pediatric art lines placed with POCUS guidance?

September 21, 2014 1 Comment
S/Q saline injection for pediatric art lines placed with POCUS guidance?

I was catching up on back issues of Anesthesia & Analgesia when I came across this article from the May 2014 issue: Nakayama et al. A novel method for ultrasound-guided radial arterial catheterization in pediatric patient. This was actually 2 studies in 1, or 2 phases as the authors call it. Common features of both […]

Continue Reading »

Ruptured Achilles Tendon

September 15, 2014 0 Comments
Ruptured Achilles Tendon

Imaging the Achilles tendon is technically easy and a nice way to rapidly confirm your diagnosis of tear.  Always compare to the unaffected side.  Beware anisotropy which can make sections of any tendonous structure look black and torn.  If the ultrasound beam is interrogating a section of tendon away from 90 degrees it can look […]

Continue Reading »

Don’t become Jaundiced about POCUS

September 8, 2014 0 Comments
Don’t become Jaundiced about POCUS

This patient came in with jaundice and the LFTs were elevated. They had had a cholecystectomy in the past. POCUS revealed a large dilated fluid-filled structure in the RUQ. After looking at the kidneys/liver +/- Doppler it became clear it was a very dilated CBD. CT confirmed the biliary dilatation and obstructing mass. [Ed. note: […]

Continue Reading »

Gas Gangrene

August 28, 2014 1 Comment
Gas Gangrene

An elderly woman was sent to the ER by her senior’s residence in the middle of the night for bloody stools. The triage nurse found out that there was no blood but there was pus coming from her rectum.  There was a very red and swollen area starting from the anus and extending onto her […]

Continue Reading »