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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 […]

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Bootcamp EDE April 2015 with apprentice program

December 13, 2014 0 Comments
Bootcamp EDE April 2015 with apprentice program

The next Bootcamp dates are now finalized.   April 25-27, 2015 Brantford, Ontario   Let colleagues who have yet to get their certification know about Bootcamp now.  The positions fill up almost immediately every year. Those who wish to obtain their Canadian Emergency Ultrasound Certification in one weekend can come to Brantford, Ontario and join […]

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Necrotizing Fasciitis: Let’s scare you into using POCUS shall we?

December 13, 2014 0 Comments
Necrotizing Fasciitis:  Let’s scare you into using POCUS shall we?

  Warning: Scary article ahead. Point-of-Care Ultrasound Diagnosis of Necrotizing Fasciitis Missed By Computed Tomography and Magnetic Resonance Imaging It’s one of those diagnoses that scares us.  Hard to figure out clinically in many cases at initial presentation.  Adjunctive tests can be false negative.  How can we increase our sensitivity?  Use your POCUS skills of […]

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Ectopic & Left FAST

December 8, 2014 0 Comments
Ectopic & Left FAST

This patient who was known to be pregnant came in quite shocky. POCUS showed blood around the spleen only, none in Morison’s Pouch or in the pelvis. A bit weird? Maybe because the ectopic was in the left tube? The patient went right to the OR without any further imaging and did well. [Editor’s note: […]

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Sternal Fracture

December 1, 2014 0 Comments
Sternal Fracture

This fellow had an airbag/steering wheel injury. His sternum was tender over the fracture seen on POCUS. These are amazingly easy to find. Using a linear probe in the longitudinal plane, slide it cephalad and caudad along the sternum. I doubt this would have been seen on X-ray, the displacement is around 1 mm. [Editor’s […]

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Scaphoid Fracture

November 24, 2014 0 Comments
Scaphoid Fracture

This is from EDE2. You use the linear probe and slide up the lateral radius up to the snuff box looking for a sort of saddle back mountain shape (on the normal side). You can see the fracture discontinuity on the injured side. [Editor’s note: POCUS is good to rule in a scaphoid fracture. But […]

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Dilated CBD

November 17, 2014 0 Comments
Dilated CBD

This patient initially gave a history of two months of upper abdominal pain. I was looking at his GB, which seemed normal when I came upon this tubular structure with no flow on Doppler. It certainly looked to be a (very dilated) CBD. Once I saw it, it was natural to ask about weight loss, […]

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Localized PCE

November 3, 2014 2 Comments
Localized PCE

I tend to think of pericardial effusions (PCE) as being very uniform around the heart. This one was very localized to the area noted on the image. The CT Abd. (I didn’t order it!) showed the same PCE. The history was severe diarrhea and weakness. I was a bit worried about the dilated right ventricle […]

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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 […]

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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 […]

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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. […]

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