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.[...]
Time is testicle!
Scrotal EDE is one of the topics that Greg presents at EDE 3. While not a life-threatening entity (try telling that to an 18 y.o. male!), it still carries with it significant morbidity. Ultrasound is key to the diagnosis and can help assess the success of attempts at de-torsion. I recently saw an 18 y.o. […]
Supraclavicular vs. infraclavicular: which to use for subclavian lines with POCUS?
Dr Maja Stachura, who is now staff at Vancouver General ED, tried to help answer this question while she was an ultrasound fellow in Sudbury. The results of her project were recently published in the American Journal of Emergency Medicine. Click here for the pub med link. Here’s the lowdown: Methods: Prospective anatomical survey of […]
S/Q saline injection for pediatric art lines placed with POCUS guidance?
I was catching up on back issues of Anesthesia & Analgesia when I came across this article from the May 2014 issue: Nakayama et al. A novel method for ultrasound-guided radial arterial catheterization in pediatric patient. This was actually 2 studies in 1, or 2 phases as the authors call it. Common features of both […]
#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, […]
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 […]
Bloody diarrhea in a baby and no U/S tech on-call
Dr Daren Lin from Guelph, Ontario posted a great case in the last few days on the CEUS discussion list. With his permission, we have reposted it here on the EDE blog. Take it away , Daren! Last night on my evening shift at a community hospital, I had a 13 month old who presented […]
We are now available on iBooks!
In 2012, we published the print book Point-of-Care Ultrasound for Emergency Physicians, combining the course manuals of The EDE course and The EDE 2 Course. Since then, we’ve received numerous requests for an e-book version, so due to popular demand, we have done just that. The e-book is NOW available on the iBooks Store! Retitled Essentials of Point-of-Care […]
Incidental findings on Renal POCUS
One of the exaggerated fears that was voiced by imaging specialists when POCUS/EDE was first developing was that a whole host of abnormalities would be found on bedside ultrasound that would lead to lots of unnecessary confirmatory tests. The reality is that this fear has not been borne out. Incidental findings on POCUS are few […]
Hypothermic Heart on POCUS
This never-ending winter reminded me of hypothermia case that I saw a number of years ago. It was an elderly female in her mid-70s with an unclear history. She was found on the ground at the entrance to her home by family one morning in the middle of winter. EMS was activated. She was found […]
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