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Rogue waves

Colles and POCUS

July 24, 2014 2 Comments
Colles and POCUS

I like to use POCUS for hematoma blocks and Colles fractures. Here’s one. I first mark the most obvious area of the radial fracture. Then I aim from slightly cephalad at a 45 degree angle to inject the fracture. By the way, I’ve never actually seen the hematoma in the “hematoma” block. I then follow […]

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Staghorn Calculus

July 20, 2014 0 Comments
Staghorn Calculus

This fellow had a chronic history of renal stones (also a stent). The POCUS showed his collecting system filled with calculus. The entire calyceal system and pelvis was packed with stones.

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Take the appendix challenge

July 17, 2014 0 Comments
Take the appendix challenge

Do you want to improve your imaging skills safely?  Then take challenges like this case from Dr. Gordon.  When you have someone waiting to get a CT for appendicitis, look for the appendix yourself with POCUS.  If you see it and still can’t convince your surgeon to go to the OR, then getting an elective […]

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POCUS Father’s Day

June 15, 2014 0 Comments
POCUS Father’s Day

Not only am I an enthusiast for POCUS, my pre-teen daughters often get roped into being models for workshops and presentations.  There was even an occasion when my (very young at the time) daughter claimed she didn’t have to use the washroom before going somewhere to play.  I demonstrated to her what a full bladder […]

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Does the heart REALLY stop when you give Adenosine to an SVT patient – find out with POCUS!

June 11, 2014 0 Comments
Does the heart REALLY stop when you give Adenosine to an SVT patient – find out with POCUS!

I know. It’s a question that you have all asked yourselves. Does Adenosine REALLY stop the heart when given for SVT? Thanks to POCUS/EDE, we have the answer! Rob Simard was in Sudbury last year doing his emergency ultrasound fellowship. He saw a patient with recurrent SVT. We decided to go with Adenosine since it […]

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Canadian POCUS educators please take note!

May 30, 2014 0 Comments
Canadian POCUS educators please take note!

Hello all Canadian POCUS keeners. There is a whole lot of ultrasound love about to happen at the Canadian Association of Emergency Physicians Annual Conference in Ottawa, Ontario May 31-June 4 2014. Sure, we all want to see Mel Herbert and Ian Stiell battle it out during their session on evidence and education but there […]

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Yes, yes you do have time to do POCUS!

May 27, 2014 1 Comment
Yes, yes you do have time to do POCUS!

  I was recently at the North York Emergency Medicine Update in Toronto, Ontario.  An excellent emergency medicine conference, often the largest annual meeting of its type in Canada.  During an amazing talk one of the plenary speakers, who loves ultrasound a lot, made a comment about rarely using it for nerve blocks.  Why?  Because […]

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I can’t feel a pulse! Why not look for it instead?

May 23, 2014 0 Comments
I can’t feel a pulse!  Why not look for it instead?

I love to watch colleagues carefully palpate for pulses and try to listen for bruits, use doptones, etc. all the while desperately hoping they are not dealing with a completely ischemic limb. Then I grab my ultrasound machine and throw some colour doppler on the subject and get a much better picture of what’s going […]

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Time-saving technique for difficult lumbar punctures

April 5, 2014 2 Comments
Time-saving technique for difficult lumbar punctures

Lumbar puncture failure, although not a catastrophic event, is always frustrating and time consuming. Skin marking after identifying spinous processes with ultrasound is an interesting method to increase your success rate. However, real time ultrasound guided lumbar puncture is relatively easy to do and faster than skin marking. I personally use the abdominal probe with […]

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Scrotal U/S-infection

March 31, 2014 0 Comments
Scrotal U/S-infection

Another pearl from Dr. Gordon regarding scanning the testes: When one testicle shows no flow or much reduced flow on the painful side, torsion is likely. In this patient the presentation was not as acute as expected of torsion. Scrotal U/S showed increased flow on the painful side and the painful testicle was also larger […]

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