Saving Brainspace with POCUS
February 8th, 2018
Here is a cool case that Lloyd Gordon recently sent us...
"A 60 year-old woman had a fever of 39.[...]
Rogue waves
Do you use M-mode much?
There are two types of EM POCUS users, those that use M-mode all the time and those that rarely use it. As a POCUS educator I teach M-mode for various applications but admit that I apply it sparingly, often using the “eye-ball” technique for cardiac and pulmonary scans. When it comes to impact on […]
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 […]
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 […]
What’s the diagnosis and what’s the gold standard for POCUS??
A man in his late 50s presented to an ED a while back during the summers months with a 3 day H/O multiple complaints including rhinorhea, sore throat, dry cough, vomiting, loose stool, right frontal headaches, dyspnea, dysuria, and dark urine. So, a mixed picture. Fever of 100.9 was measured at home. No contacts or […]
Belly button mystery
Here’s a really nice case from Dr. Michael Garner. A healthy 17 yo male presents with a 1st episode of peri-umbilical progressive pain for the past 3 days. No nausea or vomiting; Normal stool; Unconfirmed fever. Slight discharge from umbilicus for last 24 hours. Referred by clinic to R/O incarcerated hernia. Examination of the abdomen […]
EDE 3: Scanning, skiing and success!
The third annual EDE 3 course was a huge success. Forty adventurous individuals travelled to Sun Peaks, British Colombia Feb 2-3 to attend the largest EDE course ever. Located at the beautiful Sun Peaks Grand Hotel we had 16 ultrasound machines, 15 instructors, over 30 ultrasound models, and plenty of fresh powder. Amazing presentations were given […]
Ruptured Achilles Tendon
Imaging the Achilles tendon is technically easy and a nice way to rapidly confirm your diagnosis of tear. Always compare to the unaffected side. Beware anisotropy which can make sections of any tendonous structure look black and torn. If the ultrasound beam is interrogating a section of tendon away from 90 degrees it can look […]
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 […]
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