POCUS Toronto
@POCUS_Toronto
Followers
2K
Following
232
Media
156
Statuses
644
Point-of-Care Ultrasound @ University of Toronto. Ultrasound training from beginner to fellowship level.
Toronto
Joined June 2013
POCUS Journal Club take-home point: In a study of POCUS for cholecystitis, the authors found it has a high specificity but low sensitivity. However the low number of positives and definition of cholecystitis limits the validity of these results.
pubmed.ncbi.nlm.nih.gov
Point-of-care ultrasound was not a better screening test than the modified Tokyo guidelines. We recommend a simplified screening approach for AC using clinical findings and laboratory data, followed...
0
0
0
POCUS Journal Club take-home point: In patients with ruptured ectopic pregnancy, POCUS shortens time to OR compared with radiology US.
pubmed.ncbi.nlm.nih.gov
ED patients with a ruptured ectopic pregnancy who received a PoCUS first had shorter times to diagnosis, obstetric consultation, and OR arrival compared with those who received RADUS.
0
0
3
POCUS Journal Club take-home point: Emergency physicians can accurately screen for AAA at the bedside with limited training.
pubmed.ncbi.nlm.nih.gov
Relative neophytes can perform aortic ultrasound scans accurately. These scans appear useful as a screening measure in high-risk emergency department patients; they may also aid in rapidly verifying...
0
0
2
POCUS Journal Club take-home point #2: Carotid doppler POCUS can help identify large vessel occlusion. It is unclear if this is sensitive enough for prehospital screening purposes.
pubmed.ncbi.nlm.nih.gov
POCUS of the CCA in patients with suspected stroke can predict the presence of ac-LVO. These results need to be replicated in a prehospital setting.
0
1
2
POCUS Journal Club take-home point #1: Consider a transoral approach for POCUS of the carotid arteries if it is difficult to obtain imaging from the neck.
pubmed.ncbi.nlm.nih.gov
Transoral and Transesophageal Point-of-Care Ultrasound in the Diagnosis of Bilateral Carotid Artery and Aortic Dissections
0
0
0
POCUS Journal Club take-home point #2: A large difference between sides in ovarian volume on ultrasound is concerning for ovarian torsion - if identified on ED POCUS further investigation or consultation should be considered.
pubmed.ncbi.nlm.nih.gov
We found that a large size discrepancy between ovaries is indicative of OT. Our data also suggest that presence of Doppler flow on ultrasound cannot be used to exclude OT but that lack of Doppler...
0
1
1
POCUS Journal Club take-home point #1: Intact flow on TVUS does not exclude ovarian torsion. Maintain a high degree of clinical suspicion.
1
1
1
POCUS Journal Club take-home point #2: In a simulated scenario, US-guided cricothyrotomy may facilitate smaller incision size, but leads to longer procedure time.
pubmed.ncbi.nlm.nih.gov
Ultrasound-guided identification of the cricothyroid membrane significantly reduced the recommended vertical incision size with similar success rates. However, there was an increased time when...
0
2
2
POCUS Journal club take-home point #1: POCUS can be used to rapidly diagnose temporal arteritis in patients with temporal headache, expediting appropriate treatment.
0
2
3
POCUS Journal Club take-home point #2: A short educational intervention is feasible to teach testicular POCUS to residents.
pubmed.ncbi.nlm.nih.gov
The scrotal POCUS curriculum was effective and acceptable to both urology and emergency medicine residents. The findings suggest that scrotal POCUS can be learned effectively through a short hands-on...
0
1
0
POCUS Journal Club take-home point #1: Testicular torsion can still be present with preserved flow on POCUS. Consider using POCUS as a rule-in test for torsion; be wary of ruling out torsion even with preserved flow.
pubmed.ncbi.nlm.nih.gov
Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular...
0
1
1
POCUS Journal Club take-home point #2: TEE in cardiac arrest is feasible and may help with decision-making. Randomized studies are needed to determine impact on outcomes.
pubmed.ncbi.nlm.nih.gov
TEE is feasible and clinically impactful during OHCA management. Resuscitative TEE may allow for characterization of cardiac activity, including identification of pseudo-PEA and fine VF, determinat...
0
1
0
POCUS Journal Club take-home point #1: TEE can be used during cardiac arrest to identify potentially reversible causes of PEA/asystole.
pubmed.ncbi.nlm.nih.gov
Acute pulmonary embolism is a frequent potentially reversible cause of sudden cardiac arrest. The early diagnosis is challenging but essential for further treatment. New therapeutic options in...
0
1
0
POCUS Journal Club take-home point #2: POCUS is a valuable diagnostic tool in space. More research is needed to determine whether POCUS can reliably identify individuals at high risk of DVT during spaceflight.
pubmed.ncbi.nlm.nih.gov
Abnormal flow characteristics in microgravity, most prominent in the left internal jugular vein, may signal an increased risk for thrombus formation in some individuals.
0
0
0
POCUS Journal Club take-home point #1: Consider POCUS for the diagnosis of Paget-Schroetter syndrome - look for signs of axillary and subclavian vein thrombosis.
0
0
0
POCUS Journal Club take-home point #2: Hip POCUS has high accuracy for joint effusions in pediatric patients. Combine with your clinical exam to be more efficient with your workups.
pubmed.ncbi.nlm.nih.gov
PoCUS performed by pediatric emergency medicine physicians has reasonably high sensitivity and specificity for diagnosing hip effusion among pediatric patients presenting to the pediatric ED with a...
0
1
0
POCUS Journal Club take-home point: POCUS can rapidly and accurately diagnose occult posterior shoulder dislocations.
0
2
1
POCUS Journal Club take-home point: Emergency providers of various levels can use POCUS to evaluate for bowel obstruction with good sensitivity and moderate specificity. Scan accuracy improves with additional training.
pubmed.ncbi.nlm.nih.gov
POCUS is moderately sensitive for SBO, although less specific, when performed by a diverse group of emergency physicians across multiple EDs. Interpretation of acquired POCUS images is significantly...
0
0
0
POCUS Journal Club take-home point #1: Emergency providers of various levels can use POCUS to evaluate for retinal detachment with high accuracy.
pubmed.ncbi.nlm.nih.gov
These findings suggest that emergency medicine practitioners can use POCUS to accurately identify retinal detachment, vitreous hemorrhage, and vitreous detachment. Point-of-care ultrasonography is...
0
1
0
POCUS Journal Club take-home point: Emergency physicians can identify regional wall motion abnormalities after a brief training module.
pubmed.ncbi.nlm.nih.gov
Objective. Wall-motion abnormality on echocardiogram is more sensitive in detecting cardiac ischemia than the electrocardiogram, but the use of bedside echocardiography by emergency physicians (EPs)...
0
0
0