Greetings POCUS people! The weather finally seems to have calmed down (this westcoast girl has been sweltering in the humidity - bring on the rain!), the leaves are turning, and the smell of pumpkin spice lattes fills the air. It's officially fall - a whole new season of POCUS goodness. The Case This is a 69-year old male post-PEA arrest admitted with [...]
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Happy Monday POCUS enthusiasts! First off - as Dany mentioned last week, his time with us has sadly ended and I'll be taking the reins as the sole POCUS fellow and COTW curator. I don't expect to be able to match his level of Dad jokes (he did write the answers to last week's COTW below, for those of you needing one last plethora [...]
The last week of August is here already so get your whites out before they go out of fashion (done this mean I need to drop my gain after labor day?). If you're feeling that pre long weekend prostration the POCUS posse is here to help you power(doppler) through. The Case Our case of the week features a 63M admitted in the [...]
A blithesome beginning of the week my B-line chasing brethren (and sisteren?) Hopefully you've all returned home energized from the recent CRUS course and are ready to Make Artefacts Great Again! If you're still looking for a little extra inspiration, the COTW/COTG has you covered, so let's get down to business. The Case Our first case features a 69F admitted with SOB [...]
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 [...]
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 [...]