Happy Monday A-line Aficionados, The best week of the year is finally here, CRUS week! It's time to see old friends, share some laughs and rediscover the pleasure of finding the costodiaphragmatic angle in healthy volunteers. But for now, lube up it's COTW time! The Case Our COTW case comes from ED POCUS Pro Pedagogue Drew Thompson. It features a young gentleman with testicular cancer and a history of [...]
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Transesophageal Echocardiography: Image Acquisition Rob Arntfield, MD, FRCPC and Atul Jaidka, MD, PGY2 takes us through the fundamentals of performing a transesophageal echocardiography (TEE). This video uses a live demonstration to introduce probe manipulation, how to obtain different views, and how to landmark for these different views. The techniques being presented will help you in performing goal-directed TEE in critically [...]
The Case: A 62M patient with ascites requires paracentesis. POCUS is performed to help landmark. What do you think of these images? Is there ascites present? Is this a safe location to perform paracentesis? If not, why not? COTG: A patient post MVC with C-spine injury and tracheostomy. Here are an M-mode image and 2D clip of the diaphragm while on trach [...]
The COTW: A young male with a collagen-vascular disorder presents with shock. Here is one view from his POCUS, what do you think? Leave a comment below! Answer from Last week: This young man has a very broken looking heart, and it wasn't because his true love crushed him on Valentine's day - he has a dilated cardiomyopathy. Vince Lau, our POCUS alumnus and echo-aficionado [...]
Medical Student Ultrasound Symposium 2015 Western Student Ultrasound Symposium 2OCT Once again, students from across Canada came to London’s own CSTAR facility for the 3rd Annual Western Student Ultrasound Symposium. Focusing on basic principles and techniques of Point-of-Care Ultrasound, the Western Student Ultrasound Symposium strives to provide medical students with exposure and training with beside ultrasound. The highlight of the weekend was once again [...]
Cases Case #6 – ED TEE for Cardiac Arrest 27JAN In this case a sudden deterioration in the emergency department prompts a TTE which shows some concerning physiology. It is not until the TEE is inserted, however, that the culprit disease can be identified. *Images courtesy of Dr. Drew Thompson, Division of EM, Western University Case Highlights: *TEE in the ED is valuable for critically [...]
Echocardiography LV Function McConnell’s Sign: Acute Pulmonary Embolism Stroke Volume Determination Regional Wall Motion Abnormalities Aortic Stenosis vs. Sclerosis Point of Care Hemodynamic Series Critical Care Transesophageal Echocardiography
Critical Care Ultrasound Fellowship: Dr. Vincent Lau Critical Care Western and the Critical Care Ultrasound Program are extremely pleased to announce that Dr. Vincent Lau, FRCPC (internal medicine and critical care) is the new critical care ultrasound fellow! Dr. Lau will embark on a 6 month fellowship here at Western designed to position him as a national leader in the performance and oversight of critical [...]
Emergency Medicine Courses : ‘Introduction to POCUS’ & ‘Introduction to Extended Applications’ Ring in the 2017 Academic Year 12JUL The Division of Emergency Medicine 2017-2018 academic year has kicked off with our annual educational showcase in POCUS. With 32 participants from across Canada, including undergraduates from several institutions, resident trainees in EM, Peds EM and Vascular Surgery, as well as local community physicians, the day was bound to [...]
Faculty Dr. Arntfield is a trained emergency physician, intensivist and traumatologist who is active with point of care ultrasound in all clinical areas. He is co-author of the textbook: Point-of-Care Ultrasound and is director of the critical care ultrasound program at Western University. He is a past course leader for the American College of Chest Physicians (ACCP) [...]