Tag: procedures
POCUS/EDE for Peritonsillar Abscess Drainage – An N of 1 Study
OK, this wasn’t really a pre-planned N of 1 study. But it’s a case that illustrates the power of POCUS/EDE to help diagnose and drain peritonsillar abscesses (PTA). A male in his late teens presented to the ED a few months ago with a sore throat. He was seen in a walk-in clinic 2 days […]
I’m afraid to do this…
A young woman presented with four days of a sore throat. Her voice was muffled. She couldn’t open her mouth very wide. She had trouble swallowing her own spit. She had had strep throat a few times. She also had two episodes of peritonsillar abscess in the last two years, one of which required drainage. […]
The Elephant in the Room of #POCUS-guided (and other) Procedures
Can I tell you a secret? I did 5 years of residency, 2 years of family medicine in Canada (Quebec City) and 3 years of EM in the United States (Milwaukee). Both programs were really good and I got to do a variety of procedures and many of them. But even with all that training, […]
Dipping sauce
EDE 3 is coming up this weekend at Sunnybrook. Ben, Greg, and the gang will be teaching a bunch of new nerve blocks. When doing these and other sterile ultrasound-guided procedures, the setup is key. To use a term from Dr. Scott Weingart (@emcrit), many microskills come up…right down to the ultrasound gel. Instead of […]
What’s that red thing doing in an abscess??
At the course and in the book, we suggest that physicians should be wary of important neighboring structures. Even with EDE/POCUS guidance for abscesses, this is still a pitfall. I recently saw a young male who is an IV drug abuser. Yes, we do have those in Sudbury! He had injected himself and developed an […]
Apocalypse Now! Nonradiologists performing most US-guided procedures
The Increasing Role of Nonradiologists in Performing Ultrasound-Guided Invasive Procedures Journal of the American College of Radiology (November 2013), 10 (11), Complete, pg. 859-863 Richard E. Sharpe; Levon N. Nazarian; David C. Levin; Laurence Parker; Vijay M. Rao In this American study, data shows that as of 2010 non-radiologists were doing more ultrasound guided […]
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