Subscribe via RSS Feed

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? […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

#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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »

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 […]

Continue Reading »