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.[...]
Think about the children! Ruling in appendicitis
A few days ago I was shocked and surprised to have an 8 year old male taken to the O.R. by our surgeon with only a clinical exam and my bedside scan. The child was seen in the late evening when access to U/S and CT is very limited at our shop. While the […]
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 […]
Dr. Gordon brings up a case of gastro
This child was ~ 5 years old. Previously well. One day history of lots of vomiting and diarrhea. Looked pretty wiped out. Nothing specific to find on exam. POCUS revealed the maximum IVC diameter to be much less than the aortic diameter. According to some paediatric studies in normal patients the two diameters should be […]
Best wrist angle for Art line with POCUS
I was glancing through the latest (January) issue of the Journal of Clinical Monitoring and Computing, because that’s how we roll at the EDE Blog, and I noticed this article… Kucuk et al. Forty-five degree wrist angulation is optimal for ultrasound guided long axis radial artery cannulation in patients over 60 years old: a randomized […]
When superficial thrombophlebitis isn’t benign
A 57 year old woman presented to the ED with left leg pain and swelling for a week. She had no past medical history, and no risk factors for DVT. On examination there was a palpable superficial cord running along the medial leg from the knee to the groin. This cord was erythematous, warm and […]
A very scary abscess story
Dr. Andrea Unger is an emergency physician and avid POCUS educator. She has recorded some of the scariest images you will ever see when it comes to abscesses, reinforcing why ultrasound should be a crucial part of your exam of potential fluid collections. [Ed.] I was asked to come and see a patient, by a […]
Carpal tunnel syndrome
There are quite a number of studies looking at the use of ultrasound to diagnose carpal tunnel syndrome (CTS). The median nerve swells just proximal to the carpal tunnel in patients with CTS. The thought is that one can measure the size of the nerve to make the diagnosis. A recent article was published in […]
Beware of the carpet
Identifying tendon ruptures is usually straightforward clinically but there are many cases where POCUS can help greatly. For the acutely swollen and tender knee, it is often difficult to do a thorough exam and the patient is often left non-weight bearing and gets reassessed several days or weeks later. However, POCUS can help identify significant […]
EDE 3 Leading Edge POCUS Conference
The second annual EDE 3 conference has just wrapped up in Turks and Caicos. Despite the horrible Canadian weather making it miserable to travel, 30 brave families succeeded in attending the sold-out course. Topics included: confirmation of ETT placement, US-guided cricothyrotomy, US assessment of appendicitis, diverticulitis, bowel obstruction Testicular US Shoulder assessment Thorax (pneumonia, pulmonary […]
Pseudogestational sac
You all know to be wary of the pseudogestational sac in the setting of a potential ectopic pregnancy. An article by Benson this past March in the Journal of Ultrasound in Medicine gives us a little more data regarding this entity. The pub med link: http://www.ncbi.nlm.nih.gov/pubmed/23443178 The quick and dirty summary… This article was from […]
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