Friday, 27 June 2014

POCUS Rounds June 17, 2014

Hi Everyone,

Our most recent POCUS rounds is now up!
Check out the "POCUS Rounds" page (top right).
Email me for the password...


Monday, 23 June 2014

POCUS Research

We had a very successful POCUS research year. Congratulations to all the staff and residents on their projects!

Here are the following projects that were presented at our annual DEM research day:

Dr. Mark Taylor (Woo, McInnes, Pageau, Watterson, Thompson, Perry)
Ultrasonography for the prediction of surgical intervention in renal colic patients

Dr. Lindsey Forest (Pageau, Worrall, Calder)
Diagnosis in the Fast Lane: the use of point-of-care ultrasound by the Ottawa Hospital Emergency Physicians for the diagnosis of ectopic pregnancy

Dr. Nathan Hecht (Woo, Hurley, Stitt,  Pageau, Worrall, Reardon, Taylor, Thiruganasambandamoorthy)
Test characteristics of point-of-care ultrasonography for the diagnosis of acute posterior ocular pathology in emergency department patients
Also presented at: CAEP Annual Conference - Ottawa; ICEM Annual Conference - Hong Kong; Canadian Ophthalmalogical Society - Halifax.

Dr. Ashley Krywenky (Pageau, Bidlake, Woo, Spacek, Vaillancourt)
Barriers and facilitators to integrating point-of-care ultrasonography into the emergency medicine clinical clerkship

Dr. Brandon Ritcey (Pageau, Woo, Perry)
Femoral nerve blocks and fascia iliaca blocks for emergency department patients with femoral neck and hip fractures: a systematic review

Other presentations:
Dr. Robert Ohle (McIsaac, Woo, Perry)
Ultrasonography of the optic nerve sheath diameter for the detection of raised intracranial pressure: a systematic review and meta-analysis.
CAEP Annual Conference - Ottawa

Dr. Hasan Alzahrani (Woo, Johnson, Pageau, Millington, Thiruganasambandamoorthy)
Can a simplified two view echocardiogram screen for severe aortic stenosis?
CAEP Annual Conference - Ottawa

Dr. Michael Woo (Bradley, Moore, Liew, Lalonde, Stiell)
Pilot prospective cohort study for the use of ultrasound guided 3 in  1 femoral nerve blocks in a tertiary care emergency department in patients presenting with a hip fracture.
CAEP Annual Conference - Ottawa

POCUS Rounds

Great multi-disciplinary rounds last Tuesday with Critical Care, Emerg, and Cardiology represented!

Bottom lines:

  • Look at pleural line to differentiate between cardiogenic vs non cardiogenic B-lines
  • Pericardial effusion can appear larger in subxiphoid view
  • Need multiple views to determine size of pericardial effusion and sonographic signs of tamponade
  • Cardiac tamponade is a clinical diagnosis
  • Beware sludge filled gallbladder that can appear like liver and be missed

Want to learn more? Come to POCUS rounds for enlightened multidisciplinary discussion or catch the recorded versions at

We'll be taking a summer break so next POCUS rounds will be:
Tuesday September 9, 2014 
Civic - McCoy Room (ICU teaching room) with teleconference to General ICU Teaching room

Save the Date!