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TEE in the ICU: ECMO Management

8 Nov

Here at Western we use a fair amount of TEE in resuscitation in the ICU, the ED and the trauma bay.  The below video highlights the utility of seeing the heart and guiding procedures in the context of a complex critically ill patient receiving extra-corporeal membrane oxygenation (ECMO).  This is a “photo essay” so there is no sound (your volume isn’t broken!).  We hope to publish more or our illustrative cases that demonstrate the value of TEE at the bedside for your critically ill patients.  Stay tuned.

CRUS Course 2017 – Expanding POCUS Horizons

10 Oct

 

 

A sold out CRUS 2017 brought new teaching strategies and continued legacy of training cutting edge point-of-care ultrasound techniques to a broad cross section of physicians.  Residents and consultants from 8 different specialties took to University Hospital in the middle of August to begin the journey to ultrasound mastery in point-of-care techniques such as lung, cardiac and abdominal ultrasound.

This course marked the introduction of a series of new innovations. We unveiled a new 3rd day of simulation enriched ultrasound teaching, lead by Dr. Rob Leeper.  We also launched an inaugural retention strategy following the course that will allow participants to continue to receive mentorship and support following the course to ensure they sustain and grow their skills.

Timing and location of CRUS 2018 to be announced but please stay tuned and check http://www.resus.us regularly.

See a full repository of images from the course here.

Canadian Resuscitative Ultrasound Course – Registration OPEN!

24 Feb

The 8th Annual Canadian Resuscitative Ultrasound Course is now OPEN for registration.

http://www.resus.us

The 2 day course (with the option of a 3rd half-day) is being held on August 16th, 17th (and 18th) 2017 at the sophisticated CSTAR facility at University Hospital in London, Ontario.  This is the biggest and most comprehensive course of its kind offered in Canada. It is ideal for any clinician involved in resuscitation, such as intensivists, emergency physicians, anesthesiologists or internists.

In the core 2-day course, we emphasize resuscitative ultrasound in the following domains:

-critical care echocardiography
-lung and pleural ultrasound
-abdominal free fluid
-ultrasound guided vascular access (central, peripheral and arterial lines)
-DVT

For those who wish to stay for the 3rd day, a half-day ultrasound enriched simulation experience run by our local sim experts.

NEW this year – we have a new “retention” package that is looking to help those physicians working without much ultrasound mentorship to retain their skills after the course through regular video conference sessions for the year following our course.  Be sure to check out all the different registration options on our course website.173A4905

Introduction to ED Point of Care Ultrasound 2017

23 Jan

 

The Division of Emergency Medicine is once again pleased to host its annual “Introduction to ED Point of Care Ultrasound” course on July 6th, 2017.

This course will emphasize  fundamental techniques in image acquisition and interpretation and  7 indications of point of care ultrasound in the ED. Course content is aimed at practitioners who are beginning their pathway to competence in point of care ultrasound.

Topics covered will be:

  • Abdominal : Presence of intra-peritoneal fluid? (Yes/No)
  • Abdominal : Presence of abdominal aortic aneurysm? (Yes/No)
  • Subcostal Cardiac : Presence of pericardial fluid? (Yes/No)                                                  Cardiac activity during arrest? (Yes/No)
  • Pelvic : Presence of an intra-uterine pregnancy? (Yes/No)
  • Thoracic: Presence of pneumothorax (Yes/No)                                                     Presence of a pleural effusion (Yes/No)

The course will feature an outstanding faculty to learner ratio for hands-on sessions as well as innovative image interpretation sessions.  These small group sessions emphasize image interpretation skills and serve as intimate venues to reinforce clinical integration pathways.

Course director is Dr. Heather Hames. Bedside instructors will include faculty from within the Division of EM’s experienced group of point of care sonographers.

If you have interest in attending as a participant please contact us via email at westernsono@gmail.com (please include Emergency Course in subject line).

Last years course filled up quickly so please contact us if interested.

 

Some pics from our previous courses can be found here.

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Emergency Medicine Ultrasound Fellowship

20 Oct

POCUS Poster-V5.jpg

The Division of Emergency Medicine is pleased to announce we are offering a 1-year fellowship in point-of-care ultrasound and currently accepting applications.

The Westernsono Ultrasound group decided it was time to share our enthusiasm in POCUS with the world and elevate our program to the next level. With a group of wide experience from both Canada and US based training, we aim to combine the best of both worlds to deliver a unique and cutting edge training program. Strong ties and friendships with leading POCUS experts in other fields within our institution gives us the ability to push the frontier of this exciting area of medicine.

We look forward to bringing in trainees that continue to push us, yet can deal with the quirky and lighthearted approach many of us like to teach with. We do from time to time enjoy a few beverages as we review our images together and plan practice changing projects.

Our goal is to provide you with the expertise and ability to run your own Emergency Medicine ultrasound program.

Highlights include:

  • Multi-disciplinary collaboration with Critical Care, Anaesthesia and other specialities
  • Access and teaching from national and international experts in POCUS
  • Established on-line Qpath archiving system for image review
  • TEE and Endocavitary Probes in the ER at both University and Victoria Hospital

Full information can be found here

Questions should be sent to: Renee.Vachon@lhsc.on.ca

**Dec 2016 – Positions are now filled – Thank you for your interest and please stay tuned for future updates.