Hammering away on the peritonsillar abscess theme…
April 22nd, 2019
Lloyd Gordon sent me this article. It is not a study regarding POCUS guidance for peritonsillar [...]
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 […]
Hammering away on the peritonsillar abscess theme…
Lloyd Gordon sent me this article. It is not a study regarding POCUS guidance for peritonsillar abscess (PTA). PTA drainage procedures in this study appear to have been done by ENT surgeons using old school blind technique. But it is a negative study. So good to tackle nonetheless. The article is by Battaglia et al […]
Transesophageal Echo & a New Podcast!
Transesophageal echo is slowly making inroads into emergency medicine. It has been presented at EDE 3 a couple of times by Dr Laurie Robichaud. I know that Jordan Chenkin and his team are using TEE at Sunnybrook and have had some pretty cool cases already. Ditto for Tom Jelic with some trauma cases in Winnipeg. […]
POCUS/EDE for Peritonsillar Abscess Drainage – An N of 1 Study
OK, this wasn’t really a pre-planned N of 1 study. But it’s a case that illustrates the power of POCUS/EDE to help diagnose and drain peritonsillar abscesses (PTA). A male in his late teens presented to the ED a few months ago with a sore throat. He was seen in a walk-in clinic 2 days […]
Tanzania/ Kenya PoCUS project
I don’t have many heroes. Most of mine were accumulated in childhood, a time when that designation perhaps has fewer and less rigourous criteria. Having grown up in Montréal in the 1970s, Ken Dryden, Maurice “The Rocket” Richard, and Pierre Trudeau were mine. As adults, I think we have a higher threshold for calling someone […]
Not just the tough LP: POCUS is good for them all
We’ve talked about this before, but it’s time for a reminder. POCUS improves the speed and success of performing ALL lumbar punctures, not just the difficult ones. As per one of the laws of emergency medicine, you will not perform a procedure for months and then get hit with multiple cases on your next shift. […]
Lloyd’s Corner: POCUS makes things so easy, even the patient’s spouse can make the diagnosis!
Here is another case from Dr Lloyd Gordon of Humber in Toronto… A 32 year-old man presented to the ED with vague and occasional symptoms of urinary discomfort and mild hematuria for 4 months. He had been given multiple courses of antibiotics. The history was otherwise unremarkable. Physical exam was completely negative. The patient looked […]
Scanning the adnexa…a no-go zone?
Since 2001, The EDE Course has been teaching Obstetrical EDE, both the abdominal and transvaginal approaches. Ever since then, participants have been counseled to simply evaluate for a definitive intrauterine pregnancy. If the answer to the binary question is yes, then an ectopic pregnancy has been effectively ruled out, unless one happens to be concerned […]
Patients love imaging!
A girl in her mid-teens presented with acute suprapubic pain that woke her that morning. It was described as a cramping or burning. It was persistent although not as severe at the time of physician assessment. In fact, it had become rather mild. There was no radiation. She had never had it before. Her last […]
Lloyd’s Corner: Unusual Lung POCUS
Here is another cool case from Dr Lloyd Gordon of Humber in Toronto… A 25 year-old man from the Caribbean had one month history of cough, low grade fevers and chest pain. He was seen 2 weeks prior with right-sided chest pain. A POCUS done at the time showed normal lung sliding. He presented via […]
Cleanliness is next to…
Every so often, we receive a question regarding endocavitary probe cleaning procedures. So I thought I would post some information regarding our process in Sudbury. In essence, you cannot go wrong if you use the same procedure as your radiology department. Our cleaning process has been stable for many years. We involved different stakeholders in […]
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