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Scan a hernia

February 25, 2016 0 Comments
Scan a hernia

Dr.Lloyd Gordon discusses two cases of umbilical lumps that were easily sorted out with POCUS:   This patient had a history of a umbilical hernia which had become larger and painful for a few hours. The patient’s habitus made a manual exam difficult. POCUS showed that there was some small bowel at the tender area […]

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Ultrasound horror stories

February 12, 2016 1 Comment
Ultrasound horror stories

I am looking for tales of patient care gone wrong with POCUS.  Please send me your cases, (or cases you “heard happened to someone else”) where the use of ultrasound at the bedside led to less than ideal outcomes. POCUS is just like any other tool in medicine:  it has its limitations, it can generate […]

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Two bad things at once

February 7, 2016 1 Comment
Two bad things at once

A female patient in her 60s arrives at the emergency department via EMS with acute CP and SOB.  The history is consistent with cardiac ischemia and the EMS ECG shows clear inferior ST elevation with reciprocal changes.  You call the cath lab and they review the ECG and agree to take the patient immediately.  Vitals […]

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Have you ever wondered about using POCUS for C-Spine fractures?

January 18, 2016 0 Comments
Have you ever wondered about using POCUS for C-Spine fractures?

Yes, that’s right. POCUS for unstable C-spine fractures…in children! Tom J found this article and presented it at the EDE 3 Journal Club. Talk about cutting edge! For sure, this one may or may not make it to prime time in the future. But hey, that’s what EDE 3 is about! Exploring new uses for […]

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Peripheral IV placement with POCUS

January 14, 2016 0 Comments
Peripheral IV placement with POCUS

It seems counter-intuitive, but peripheral IV placement with POCUS is the toughest procedure that we teach at EDE 2. Why? Because the target is so small compared to all of the other targets at which we are aiming our needle with the other procedures.This article by McCarthy et al. enrolled an impressive number of patients! […]

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EDE 3 is almost here!

January 14, 2016 0 Comments
EDE 3 is almost here!

EDE 3 is almost here!  Two days of leading edge point-of-care ultrasound goodness and fine powder skiing in beautiful Sun Peaks B.C.  We have assembled over 15 gurus to introduce eager clinicians to the latest and greatest applications. How is this for an itinerary? RV and wall motion assessment Valvulopathy Transcranial Testicular Appendix, bowel obstruction […]

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POCUS for Hip Fractures

January 11, 2016 0 Comments
POCUS for Hip Fractures

Tom presented this article at the EDE 3 Journal club on the topic of POCUS-guided nerve block for hip fractures. The article is courtesy of Brandon Ritcey, Michael Woo, and their team in Ottawa. Here is the link for the full article. Perfect timing for this article given that it is hip fracture season! Here’s […]

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EDE 3: TAPSE for Pulmonary Embolus with Dr. Tom Jelic

January 7, 2016 0 Comments
EDE 3: TAPSE for Pulmonary Embolus with Dr. Tom Jelic

This was the subject of a post this summer. Andrea Unger introduced us to TAPSE at EDE 3 Sun Peaks last year. Definitely seems to have some utility in that possible PE case when you’re just not sure about RV free wall contractility. See the video for Tom’s review of the article by Lobo et […]

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Thrombus in Transit Captured with POCUS

December 23, 2015 0 Comments
Thrombus in Transit Captured with POCUS

Dr. Pete Steinmetz is one of the POCUS leaders at McGill University in Montreal. He runs the POCUS program for the med students. Pete and I go way back. We were in the same med school class at McGill…Class of…never the mind the year…it’s not important 😉 Pete sent us this great case! Take it […]

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Can POCUS replace CT in Blunt Trauma?

December 19, 2015 0 Comments
Can POCUS replace CT in Blunt Trauma?

There was a ton of research in the 1990s comparing POCUS or the FAST scan to CT. The practical conclusion of that research is what Ray Wiss and The EDE Course team members teach. If your Abdominal EDE is negative for free fluid, but you are concerned that your patient might have an intra-abdominal injury, […]

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