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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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Shoulder pain from eating hamburgers?! Find the Dx with POCUS

July 16, 2014 0 Comments
Shoulder pain from eating hamburgers?!  Find the Dx with POCUS

While eating a hamburger, an 85 year-old obese woman felt a sudden and sharp pain in her right shoulder. Although she has a past history of rhematoid arthritis, she had no prior shoulder pain. She was also taking coumadin for atrial fibrillation. On arrival, she was unable to move her arm. Several diagnoses come to […]

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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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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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Don’t let bilious patients get you down

June 11, 2014 0 Comments
Don’t let bilious patients get you down

This patient complained of a really vague lateral LUQ discomfort, possibly post prandial (I got that history after I saw the GB on POCUS). She looked fine and the physical exam was unhelpful. I really didn’t know what was going on (doesn’t sound very inspiring) so I just looked around with the probe. Pleura/Lung/CVS/LKKS/IVC/Aorta all […]

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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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POCUS = Better ED throughput

June 5, 2014 3 Comments
POCUS = Better ED throughput

The E-FAST exam is often discussed in the lit for the evaluation of major trauma cases. But I must use it at least as often in minor trauma. I recently saw a 44 y.o. male who had fallen off a ladder and landed on his right side on hard ground. The fall occurred on the […]

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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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