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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) [...]
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 be great. Concentrating on the fundamental applications, and this year's addition of thoracic POCUS, attendees experienced a flipped [...]
Critical Care Transesophageal Echocardiography (TEE) For most point-of-care needs, one can do both basic and more advanced applications of echocardiography with transthoracic scanning. However, there ARE times whereby having ability to perform transesophageal echocardiography (TEE) can be extremely helpful in the point-of-care. This is especially true when windows are hard to obtain in transthoracic echo (TTE) during a technically difficult study, or when a more sensitive and [...]
