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We are now available on iBooks!

May 7, 2014 8 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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Appendicitis-perforated

April 21, 2015 0 Comments
Appendicitis-perforated

This patient gave a fairly convincing story for appendicitis. POCUS revealed a “pocket o’ pus” around the caecum (now->perforated appendicitis). I couldn’t see the appendix and the CT showed it hiding underneath the caecum. [Ed. note:  Free fluid around the bowels in the RLQ in someone with a history suspicious for appendicitis should always prompt […]

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Immediate diagnostic and therapeutic feedback with POCUS; one testicle at a time!

April 10, 2015 1 Comment
Immediate diagnostic and therapeutic feedback with POCUS; one testicle at a time!

Dr. Joel Turner, the emergency medicine ultrasound director at McGill University and staff at the Jewish General Hospital in Montreal sends another fantastic case of ultrasound guided testicular torsion reduction.  Is it time for every ED physician to learn this skill?  Time-critical care is our job! [ed]   Case: Immediate diagnostic and therapeutic feedback with POCUS; […]

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National certification standards for advanced applications

April 6, 2015 0 Comments
National certification standards for advanced applications

The Canadian Emergency Ultrasound Society (CEUS) has long provided national certification standards for basic point of care ultrasound applications in the emergency department.  There has been a lot of controversy and debate about these guidelines.   There is little doubt they help protect patient safety and set a high standard of care that allowed the expansion […]

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Clavicle Fracture-Do we need to Xray all of them?

April 6, 2015 0 Comments
Clavicle Fracture-Do we need to Xray all of them?

This young man was body checked. His clavicle was not obviously deformed. POCUS easily showed the fracture. I guess at some point we might not feel the need to do the X-ray.

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Send the right patients home with POCUS

April 4, 2015 0 Comments
Send the right patients home with POCUS

Dr. Tim Van Aerde sent us this great case which illustrates some important points. This lady came in with vaginal bleeding, hCG 2500 and very minor left flank pain. Vitals normal. Hemoglobin normal. In the past I would have sent this patient home with an ultrasound in the morning. Threw on the probe and saw […]

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Swollen finger? Take a bath!

March 31, 2015 2 Comments
Swollen finger? Take a bath!

Dr. Gordon presents a case of a swollen finger worth reviewing. POCUS is becoming extremely useful at investigating these patients as it allows great visualization of the tendon and sheath showing lacerations, foreign bodies and infection.  Being a dynamic exam, you can have the patient move their digits and watch the tendons slide. An important trick is […]

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Good uterus gone bad

March 16, 2015 0 Comments
Good uterus gone bad

The first patient was a week post-partum with some midline pelvic pain. POCUS showed a hyperechoic line in the endometrial cavity: likely gas from endometritis. The second patient had post-menopausal bleeding for over a month. POCUS showed a very bulky post-menopausal uterus with a fluid collection cephalad to the uterus: likely endometrial Ca.   [Ed […]

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Yes, yes it is another scary neck case!

March 12, 2015 1 Comment
Yes, yes it is another scary neck case!

Look, we know you are probably tired of hearing us tell you about all the things you can find with POCUS that are missed on physical exam or other imaging modalities. Well too bad!  Learn this stuff and make a big save yourself! Lloyd Gordon has another nice case involving the neck…[ed.]   This fellow […]

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What’s the diagnosis and what’s the gold standard for POCUS??

March 2, 2015 4 Comments
What’s the diagnosis and what’s the gold standard for POCUS??

A man in his late 50s presented to an ED a while back during the summers months with a 3 day H/O multiple complaints including rhinorhea, sore throat, dry cough, vomiting, loose stool, right frontal headaches, dyspnea, dysuria, and dark urine. So, a mixed picture. Fever of 100.9 was measured at home. No contacts or […]

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Belly button mystery

February 22, 2015 0 Comments
Belly button mystery

Here’s a really nice case from Dr. Michael Garner. A healthy 17 yo male presents with a 1st episode of peri-umbilical progressive pain for the past 3 days.  No nausea or vomiting; Normal stool; Unconfirmed fever.  Slight discharge from umbilicus for last 24 hours. Referred by clinic to R/O incarcerated hernia. Examination of the abdomen […]

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