Colles and POCUS
I like to use POCUS for hematoma blocks and Colles fractures. Here’s one. I first mark the most obvious area of the radial fracture. Then I aim from slightly cephalad at a 45 degree angle to inject the fracture. By the way, I’ve never actually seen the hematoma in the “hematoma” block. I then follow […]
Staghorn Calculus
This fellow had a chronic history of renal stones (also a stent). The POCUS showed his collecting system filled with calculus. The entire calyceal system and pelvis was packed with stones.
Take the appendix challenge
Do you want to improve your imaging skills safely? Then take challenges like this case from Dr. Gordon. When you have someone waiting to get a CT for appendicitis, look for the appendix yourself with POCUS. If you see it and still can’t convince your surgeon to go to the OR, then getting an elective […]
Shoulder pain from eating hamburgers?! Find the Dx with POCUS
While eating a hamburger, an 85 year-old obese woman felt a sudden and sharp pain in her right shoulder. Although she has a past history of rhematoid arthritis, she had no prior shoulder pain. She was also taking coumadin for atrial fibrillation. On arrival, she was unable to move her arm. Several diagnoses come to […]
#POCUS for DVT in the ICU: Can it be Done?
Anton Helman (@EMCases) from EM Cases brought up a recent article on Twitter regarding DVT POCUS performed by internal medicine residents in the ICU. The results were…disappointing… But does this spell the end for DVT EDE? Let’s peel back the layers of the onion & see. If you would like to read the article yourself, […]
POCUS Father’s Day
Not only am I an enthusiast for POCUS, my pre-teen daughters often get roped into being models for workshops and presentations. There was even an occasion when my (very young at the time) daughter claimed she didn’t have to use the washroom before going somewhere to play. I demonstrated to her what a full bladder […]
Don’t let bilious patients get you down
This patient complained of a really vague lateral LUQ discomfort, possibly post prandial (I got that history after I saw the GB on POCUS). She looked fine and the physical exam was unhelpful. I really didn’t know what was going on (doesn’t sound very inspiring) so I just looked around with the probe. Pleura/Lung/CVS/LKKS/IVC/Aorta all […]
Does the heart REALLY stop when you give Adenosine to an SVT patient – find out with POCUS!
I know. It’s a question that you have all asked yourselves. Does Adenosine REALLY stop the heart when given for SVT? Thanks to POCUS/EDE, we have the answer! Rob Simard was in Sudbury last year doing his emergency ultrasound fellowship. He saw a patient with recurrent SVT. We decided to go with Adenosine since it […]
POCUS = Better ED throughput
The E-FAST exam is often discussed in the lit for the evaluation of major trauma cases. But I must use it at least as often in minor trauma. I recently saw a 44 y.o. male who had fallen off a ladder and landed on his right side on hard ground. The fall occurred on the […]
Canadian POCUS educators please take note!
Hello all Canadian POCUS keeners. There is a whole lot of ultrasound love about to happen at the Canadian Association of Emergency Physicians Annual Conference in Ottawa, Ontario May 31-June 4 2014. Sure, we all want to see Mel Herbert and Ian Stiell battle it out during their session on evidence and education but there […]
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