Case # 5: What a difference a day makes

17 Dec

In this case you will see 2 echos from the same patient only 1 day apart.  The patient had raging septic shock from a skin source and was requiring significant hemodynamic support.  You can appreciate the cardiac dysfunction from a 2D point of view but also from a quantitative point of view.  The next day – you will see significant changes, now off inotropes (epinephrine, milrinone and norepinephrine).

*Images courtesy of Dr. Vincent Lau, critical care fellow, Western University

Case Highlights:

*Septic cardiomyopathy is a common cause of LV and/or RV dysfunction in the context of severe sepsis or septic shock

*Point-of-care echo can be used repeatedly to recognize  often rapid changes in cardiac function that occur during septic illness

*Quantitative stroke volume determination (using VTI from the LVOT) can additionally support your findings and guide management

For a similar case on septic cardiomyopathy, check out CHEST ultrasound corner here.

Point-of-Care Ultrasound Featured on TV

7 Nov

The innovation and leadership of Western University’s and LHSC’s Point-of-Care Ultrasound program recently garnered regional media attention.  With leading programs in emergency medicine and critical care and emerging programs in anesthesia, internal medicine and surgery, the collaborative, interdisciplinary vision of our POCUS program is being actualized to the betterment of the patient and physician experience.  See the news piece below or the full news story at this link.

 

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The 2014 Western Medical Student Ultrasound Symposium: A Repeat Success!

6 Sep Hands-on scanning time.

It is hard to believe that only one year ago we celebrated the success of the first ever Western Medical Student Ultrasound Symposium. This year’s symposium took place the weekend of August 23rd & 24th and was bigger and better than ever. Continue reading

CCUS 2014: Biggest, best ultrasound course of its kind in Canada

23 Aug

As far as critical care and resuscitative ultrasound courses go – this is the most state of the art, progressive and star-studded faculty-loaded course of its kind in Canada and, dare we say, North America.  2 full days of critical care ultrasound with a flipped classroom format, minimal lecture time and, for those short lectures we did include, high tech 3 screen display.  The course also included a live session from Montreal demonstrating critical care echo, “in vivo” in the ICU environment on a real patient.

Some images of the course are below.  A tremendous achievement for the faculty, for the WesternSono program and a really excellent demonstration of the sophistication and organizational abilities of CSTAR – the hosting facility and personnel in the University Hospital teaching space.

Stay tuned for CCUS 2015: August 20th and 21st 2015 here in London.

2015 Critical Care Ultrasound Course

23 Aug Screen Shot 2012-07-16 at 11.03.38 PM

The 2015 Critical Care Ultrasound Course will be offered August 20-21, 2015.

This annual course is offered as the official course of our Critical Care training program and is attended by all critical care fellows.  Further, it will be the most comprehensive course offered in the country for the intensivist or resuscitative physician who seeks to acquired fundamental skills in the assessment of:

-Thoracic and lung ultrasound
-Vascular access, including peripheral veins and arteries
-Assessment for DVT
-Critical Care Echocardiography including assessment of LV function, RV, pericardium, valves and IVC.

The course will be directed by Robert Arntfield.

Additional faculty, agenda and brochure will be announced closer to the course but for a sense of what is in store for you, see the images from the 2014 course.

If you have interest in attending this course please email Tammy.Mills@lhsc.on.ca who will be able to notify you when registration for this course opens early in 2015.

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