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Author Archive: Steve Socransky

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Widened symphysis on POCUS

March 30, 2014 0 Comments
Widened symphysis on POCUS

A few of us (@thomas1973, @mikegreenway, @broomedocs) were discussing on Twitter the use of POCUS/EDE to look for a widened symphysis pubis in the setting of major trauma. We were wondering if there is any literature to back that up. I found one article in the EDE database. Bauman et al published their article titled […]

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What’s that red thing doing in an abscess??

March 24, 2014 0 Comments
What’s that red thing doing in an abscess??

At the course and in the book, we suggest that physicians should be wary of important neighboring structures. Even with EDE/POCUS guidance for abscesses, this is still a pitfall. I recently saw a young male who is an IV drug abuser. Yes, we do have those in Sudbury! He had injected himself and developed an […]

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POCUS for the Kissing Disease

March 15, 2014 1 Comment
POCUS for the Kissing Disease

That’s right! You can use POCUS in the workup of the patient with suspected infectious mononucleosis. So say Drs. Sarah Farukhi and JC Fox from UC Irvine. They published their case report in the latest issue of CUJO, the Critical Ultrasound Journal. These are cases that we see all the time. Mid-late teens. Exudative pharyngitis. […]

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Faster, radiation-free approach to Renal Colic with POCUS/EDE

March 7, 2014 6 Comments
Faster, radiation-free approach to Renal Colic with POCUS/EDE

We see LOTS of kidney stones in Sudbury. I’d swear that they mostly contain nickel and not calcium! About 5 years ago, I saw a 31-year-old patient with renal colic. I looked up their medical records on the computer. They had had 12 (!) CT scans in the previous 2 years. Can we do better? […]

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#POCUS for Trauma in pregnancy

February 26, 2014 0 Comments
#POCUS for Trauma in pregnancy

Anton Helman (@EMCases) put up a question on Twitter regarding pregnant trauma patients and whether or not one can see a tiny amount of free fluid later in pregnancy that is physiologic. Or should one assume that it is blood. The answer is the latter. There is actually a Best BETS on using FAST in […]

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POCUS in Renal Failure

February 24, 2014 1 Comment
POCUS in Renal Failure

Ray and I have been teaching bedside ultrasound to the medical students at NOSM for the last couple of years. I taught them Renal/Bladder EDE last month. Kudos to Andrew Skinner from St. Paul’s in Vancouver for creating the powerpoint. I added measurement of the kidney in the long axis to the Renal part of […]

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Lung pulse

February 17, 2014 2 Comments
Lung pulse

Anton Helman (@EM_Cases) from EM Cases sent a tweet asking about the lung pulse and if we use and recommend it. We do. It’s mentioned at the end of the Thoracic chapter by Ben Ho. Jordan Chenkin (@POCUS_Toronto) presented Airway EDE at EDE 3 last month and spoke of the lung pulse. We will include […]

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Best wrist angle for Art line with POCUS

January 23, 2014 0 Comments
Best wrist angle for Art line with POCUS

I was glancing through the latest (January) issue of the Journal of Clinical Monitoring and Computing, because that’s how we roll at the EDE Blog, and I noticed this article… Kucuk et al. Forty-five degree wrist angulation is optimal for ultrasound guided long axis radial artery cannulation in patients over 60 years old: a randomized […]

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Carpal tunnel syndrome

January 12, 2014 1 Comment
Carpal tunnel syndrome

There are quite a number of studies looking at the use of ultrasound to diagnose carpal tunnel syndrome (CTS). The median nerve swells just proximal to the carpal tunnel in patients with CTS. The thought is that one can measure the size of the nerve to make the diagnosis. A recent article was published in […]

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Pseudogestational sac

December 30, 2013 0 Comments
Pseudogestational sac

You all know to be wary of the pseudogestational sac in the setting of a potential ectopic pregnancy. An article by Benson this past March in the Journal of Ultrasound in Medicine gives us a little more data regarding this entity. The pub med link: http://www.ncbi.nlm.nih.gov/pubmed/23443178 The quick and dirty summary‚Ķ This article was from […]

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