Fewer admissions with Hip POCUS: Part Two
In part two of our discussion regarding hip POCUS-guided arthrocentesis and injections we have just received this case from Dr. Chris Keefer from Brantford General Hospital’s emergency department. A patient in her late 30s presented with severe hip pain of rapid onset. No recent trauma. Recent flu-like illness. Otherwise healthy with no significant medical conditions. He […]
POCUS at CAEP 2015
Yours truly will be at ÉDU 2 CHUM in Montréal on June 1-2, so I’ll be missing out on the POCUS fun at CAEP. For those of you who will be there, here’s a summary of everything POCUS: 3 consecutive meetings on Monday, June 1, all in salon 6 Ultrasound practice committee, Ryan Henneberry, 930-1030 […]
Fewer admissions with Hip POCUS
The Canadian healthcare system is perfect, eh? Uh, no not really. One of the more well-publicized and frustrating ways in which this imperfection manifests itself is the wait list for orthopedic consultation and elective surgery, the most notorious being joint replacement. All Canadian EDs probably see patients with some frequency who present with osteoarthritis of […]
POCUS for that? Really?
When we first developed The EDE 2 Course and as we continue to develop new topics at the POCUS laboratory that is EDE 3, participants don’t see it but we go through our own phase of doubt that POCUS could possibly be useful for one indication or another. We ask ourselves “Really? For that?!?” One […]
EDE Bootcamp
Once again we are offering a complete certification program for physicians in core point of care ultrasound. July 4-6 2015 at the Best Western Plus in Brantford Ontario we will have over 100 models to scan and over 20 instructors to supervise. All three sets of examinations are conducted and upon successful completion, attendees […]
Why I prefer LOOKING at hearts
Seriously, if you haven’t yet learned how to LOOK at hearts with bedside ultrasound you are doing your patients a disservice. The amount of critical information you are likely missing with auscultation is scary. I saw a 48 year old female currently receiving chemotherapy via portacath for metastatic colon CA. Presents in the middle of […]
Unexpected PCE
If you only look for PCE when you expect it, you will probably miss some. The first patient had some sort of unexplained febrile illness with a left shift and a creatinine of ~540 or so. Her IVC didn’t indicate marked hypovolemia. I looked at her heart to see the chamber function and found a […]
Appendicitis-perforated
This patient gave a fairly convincing story for appendicitis. POCUS revealed a “pocket o’ pus” around the caecum (now->perforated appendicitis). I couldn’t see the appendix and the CT showed it hiding underneath the caecum. [Ed. note: Free fluid around the bowels in the RLQ in someone with a history suspicious for appendicitis should always prompt […]
Immediate diagnostic and therapeutic feedback with POCUS; one testicle at a time!
Dr. Joel Turner, the emergency medicine ultrasound director at McGill University and staff at the Jewish General Hospital in Montreal sends another fantastic case of ultrasound guided testicular torsion reduction. Is it time for every ED physician to learn this skill? Time-critical care is our job! [ed] Case: Immediate diagnostic and therapeutic feedback with POCUS; […]
National certification standards for advanced applications
The Canadian Emergency Ultrasound Society (CEUS) has long provided national certification standards for basic point of care ultrasound applications in the emergency department. There has been a lot of controversy and debate about these guidelines. There is little doubt they help protect patient safety and set a high standard of care that allowed the expansion […]
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