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.[...]
Articles
3rd EDE 3 Article on Airway #POCUS
Here is the 3rd and final Airway POCUS article presented by Tom Jelic at the EDE 3 Journal club. The title is “Defining the learning curve for point-of-care ultrasound for confirming and a tracheal tube placement by emergency physicians“. See the end of this post for a video demonstrating what you see on the screen […]
Airway POCUS Article presented by TJ
Here is Article #2 from the EDE 3 Journal Club presented by Dr Tom Jelic. The title is “Ultrasonography for confirmation of endotracheal tube placement: A systematic review and meta-analysis.” This article by Chou et al was published in the May 2015 issue of Resuscitation. Scroll to the bottom and click on play to see […]
EDE 3 Journal Club
As part of the last two EDE 3 events, Dr. Tom Jelic held an online journal club. Tom did a great job summarizing some of the latest articles from the POCUS literature, with comments from several EDE 3 instructors and participants who chimed in with their take and experience. Several JCs were held this fall […]
Say this 3 times fast… “Tricuspid Annular Plane Systolic Excursion”
At the last EDE 3, Dr Andrea Unger presented the parasternal short axis view and some newer Cardiac EDE concepts. Tricuspid annular plane systolic excursion was one of them, a term which I am hard-pressed to remember! Its acronym, TAPSE, is easier to recall, but Andrea wisely renamed this entity as “Base Jump”. While working […]
Ultrasound for skull fractures
Go to Ken Milne’s The Skeptic’s Guide to Emergency Medicine to see his podcast on using ultrasound to diagnose skull fractures featuring yours truly as a guest. Ken leads the charge for using social media to educate the medical masses. Not only does he run the SGEM podcast but is a member of the Best […]
Common Bile Duct Measurements: Not very useful for emergency physicians
Editors note: Lloyd has provided several great biliary scans to the blog and in his previous CBD related post talked about how an incidental finding of dilated CBD helped guide him towards diagnosing a patient with pancreatic cancer. While all of us at the EDE blog are POCUS enthusiasts, we must acknowledge that there is […]
POCUS may improve clinical exam skills
There is a legitimate concern that with newer technologies physicians are failing to develop, or are losing their clinical exam skills. Let’s face it, in the era of CTs and MRIs the quality of many medical practitioner’s neurological exam skills have become sketchy. Not you of course! But I am sure you know a few […]
Necrotizing Fasciitis: Let’s scare you into using POCUS shall we?
Warning: Scary article ahead. Point-of-Care Ultrasound Diagnosis of Necrotizing Fasciitis Missed By Computed Tomography and Magnetic Resonance Imaging It’s one of those diagnoses that scares us. Hard to figure out clinically in many cases at initial presentation. Adjunctive tests can be false negative. How can we increase our sensitivity? Use your POCUS skills of […]
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 […]
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