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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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Dr. Gordon: Examples of Hydronephrosis

February 21, 2014 0 Comments
Dr. Gordon: Examples of Hydronephrosis

Hydronephrosis is a nice thing to see. Generally speaking you know the diagnosis when you see it. When it’s severe it’s pretty obvious. One of the pictures here is from a patient with a blocked nephrostomy tube. The pelvis is basically blown up like a balloon in the center of the kidney. Not too hard […]

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Lung pulse

February 17, 2014 0 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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EDE 2/3 Calgary: -35 degree scanning

February 16, 2014 0 Comments
EDE 2/3 Calgary: -35 degree scanning

 The 41st EDE 2 course is officially complete!  We had a fantastic group of enthusiastic physicians attend despite the arctic temperatures.  Sure there were cars that wouldn’t start and the ultrasound models’ goosebumps made it harder to scan them, but we are Canadian and we laugh at the cold!  Particularly when it isn’t us getting […]

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Another reason to use POCUS for Central Lines

February 11, 2014 0 Comments
Another reason to use POCUS for Central Lines

It’s easy to forget that POCUS not only increases our success and reduces our complication rates for inserting central lines, it also helps us avoid putting lines where they don’t belong! While most clots will be visible a significant number can only be appreciated by the lack of compressibility of the vein.  Below is another […]

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More bowel POCUS: A case of diverticulitis

February 4, 2014 0 Comments
More bowel POCUS: A case of diverticulitis

This patient had LLQ pain. POCUS with the linear transducer and virtual concave on showed a tender area over the colon here and a small area of free fluid with the small bowel peristalsing around in the fluid. From this I made the diagnosis of diverticulitis. The CT confirmed this: a small area of oedematous sigmoid […]

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Think about the children! Ruling in appendicitis

February 1, 2014 0 Comments
Think about the children!  Ruling in appendicitis

  A few days ago I was shocked and surprised to have an 8 year old male taken to the O.R. by our surgeon with only a clinical exam and my bedside scan.  The child was seen in the late evening when access to U/S and CT is very limited at our shop. While the […]

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Apocalypse Now! Nonradiologists performing most US-guided procedures

January 29, 2014 0 Comments
Apocalypse Now! Nonradiologists performing most US-guided procedures

  The Increasing Role of Nonradiologists in Performing Ultrasound-Guided Invasive Procedures Journal of the American College of Radiology (November 2013), 10 (11), Complete, pg. 859-863 Richard E. Sharpe; Levon N. Nazarian; David C. Levin; Laurence Parker; Vijay M. Rao In this American study, data shows that as of 2010 non-radiologists were doing more ultrasound guided […]

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Dr. Gordon brings up a case of gastro

January 29, 2014 0 Comments
Dr. Gordon brings up a case of gastro

This child was ~ 5 years old. Previously well. One day history of lots of vomiting and diarrhea. Looked pretty wiped out. Nothing specific to find on exam. POCUS revealed the maximum IVC diameter to be much less than the aortic diameter. According to some paediatric studies in normal patients the two diameters should be […]

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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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