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Bootcamp EDE: Drop and give me 200

March 16, 2014 6 Comments
Bootcamp EDE: Drop and give me 200

The biggest obstacle to beginners embracing POCUS is the initial effort required to master basic skills. Most learners complete an introductory course that takes a day or two. This is followed by supervised scanning sessions and examinations to meet the required numbers and proficiency to be “certified” to apply the skill independently. This can require […]

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Dr. Gordon doesn’t like failed I&Ds

March 16, 2014 0 Comments
Dr. Gordon doesn’t like failed I&Ds

I really don’t like doing an I&D and then finding nothing or no pus anyway. I find it helpful to know just where the pus is, where it goes, if there’s something else besides pus, or if it needs serious surgical intervention. Once I looked at neck swelling that didn’t look too horrible but the […]

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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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3rd Annual EDE 3 Course Announcement!

March 8, 2014 2 Comments
3rd Annual EDE 3 Course Announcement!

I am happy to announce the third annual EDE 3 course! There has been a lot of demand for a Canadian location for the course so it’s going to be a ski vacation this time around. It will be held at the Delta Sun Peaks resort in Sun Peaks British Columbia Feb 2-3 2015. Sun […]

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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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How do you like your liver?

March 4, 2014 0 Comments
How do you like your liver?

With POCUS we teach beginners to focus on the most basic knobology, physics, and imaging of the area that will answer their simple clinical question.  When mastering the FAST scan it’s all about focussing on the free fluid, don’t get distracted by anything else going on. With more experience however, we all start to appreciate […]

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Multiorgan POCUS to rule out P.E.

March 1, 2014 1 Comment
Multiorgan POCUS to rule out P.E.

Diagnosing pulmonary embolism (PE) in the emergency department remains a significant challenge. Deciding on who to scan, who to anticoagulate, and who to discharge home can be difficult. This recent article by Nazerian, et al, in Chest may allow a way for POCUS to significantly rule out PE in a large number of patients. They used […]

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POCUS for Aortic Dissection – A Case

February 27, 2014 3 Comments
POCUS for Aortic Dissection – A Case

It was 10pm on a busy shift in the emergency department. A 69 year-old man presented with sudden onset retrosternal chest pain radiating to his back. The pain lasted an hour and then resolved spontaneously. He drove himself to the ED for assessment. His initial ECG at triage was normal. While in the ED, he […]

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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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How clean is your probe?

February 25, 2014 0 Comments
How clean is your probe?

Journal of Ultrasound in Medicine: Hospital-Wide Survey of Bacterial Contamination of Point-of-Care Ultrasound Probes and Coupling Gel I find the results of this article surprising but welcome.  If your shop is anything like mine, it isn’t unheard of to see a probe covered in partly dried gel or even some blood in the resuscitation room.  There […]

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