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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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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 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 […]

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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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