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Author Archive: Steve Socransky

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Fewer admissions with Hip POCUS

May 30, 2015 0 Comments
Fewer admissions with Hip POCUS

The Canadian healthcare system is perfect, eh? Uh, no not really. One of the more well-publicized and frustrating ways in which this imperfection manifests itself is the wait list for orthopedic consultation and elective surgery, the most notorious being joint replacement. All Canadian EDs probably see patients with some frequency who present with osteoarthritis of […]

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POCUS for that? Really?

May 10, 2015 0 Comments
POCUS for that? Really?

When we first developed The EDE 2 Course and as we continue to develop new topics at the POCUS laboratory that is EDE 3, participants don’t see it but we go through our own phase of doubt that POCUS could possibly be useful for one indication or another. We ask ourselves “Really? For that?!?” One […]

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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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Now that Greg has made you afraid of necrotizing fasciitis…as you should be!

February 9, 2015 3 Comments
Now that Greg has made you afraid of necrotizing fasciitis…as you should be!

Greg posted a couple of cool cases of necrotizing fasciitis in December. We had a case of nec fasc in our department in the last few months that has made everyone quite wary! It has dropped our threshold for worrying about this nasty entity. I saw a patient last month who presented with diffuse cellulitis […]

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Dr Richard with a pneumonia that just won’t go away!

January 13, 2015 1 Comment
Dr Richard with a pneumonia that just won’t go away!

Thoracic EDE is one of the hot topics in the POCUS world. This is Ben Ho’s chapter at EDE 2. Joel Turner (@JTMcGillEM) has presented some newer aspects at EDE 3. Here is a case from Dr Bernard Richard in Valleyfield that illustrates its utility. Incidentally , Bernard will be making his debut as an […]

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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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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. […]

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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 […]

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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 […]

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#POCUS for DVT in the ICU: Can it be Done?

July 6, 2014 1 Comment
#POCUS for DVT in the ICU: Can it be Done?

Anton Helman (@EMCases) from EM Cases brought up a recent article on Twitter regarding DVT POCUS performed by internal medicine residents in the ICU. The results were…disappointing… But does this spell the end for DVT EDE? Let’s peel back the layers of the onion & see. If you would like to read the article yourself, […]

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