Danny Peterson & Conor McKaigney

Tuesday, May 29, 2018 • 13:00 - 14:30
Track 6 - ADVANCED ULTRASOUND IN THE MODERN ED
Track Chairs: Dr. Danny Peterson, Dr. Conor McKaigney

From Gray to Black & White: Cases where PoCUS Made EM Easier - Dr. Louise Rang

Description: We will review cases where the use of PoCUS allowed the clinician to make a diagnosis more efficiently and/or with more certainty, or where using PoCUS made for simpler management.

Learning Objectives:

  1. Understand the potential breadth of PoCUS applications in ED practice.
  2. Appreciate how PoCUS can reduce one’s cognitive load in the ED.

Pearls:

  1. PoCUS skills allow you to make diagnoses more efficiently and with more certainty.
  2. Nerve blocks are great for patients and save time.
  3. The chest and abdomen can be a black box—until you use PoCUS

Biography: Louise Rang serves as the Emergency Ultrasound Director at Queen’s University, where she also works as an emergency physician.

POCUS the Next Generation: The Future of Ultrasound in Canada - Dr. Daniel Kim

Description: Point of care ultrasound (POCUS) has rapidly developed to become an integral part of emergency medicine practice in Canada in the past decade. This talk briefly reviews how this happened, and it explores exciting current developments in education, training, research and technology that will shape how POCUS evolves in the future.

Learning Objectives:

  1. Understand the current evidence to support the use of POCUS in emergency medicine practice
  2. Learn about POCUS medical school education, fellowship training, patient oriented research, and technology evolution that will inform the future of POCUS
  3. Become inspired to (further) integrate POCUS into your emergency medicine practice tomorrow

Pearls:

  1. Medical schools across the country are integrating POCUS education into their undergraduate medical training, so all new graduating medical students will have basic POCUS competency
  2. Other specialties like critical care, internal medicine, anesthesia, and family medicine are increasingly adopting the use of POCUS, and cross-specialty collaboration will become increasingly more important
  3. Technology evolution has resulted in the development of hand held ultrasound units that are being as low as $2000 a unit, so this will empower any health care practitioner to own an ultrasound unit

Biography: Dr. Daniel Kim is a Clinical Assistant Professor and the Point of Care Ultrasound Fellowship Director for the Department of Emergency Medicine at the University of British Columbia. He is also a Staff Emergency Physician at Vancouver General Hospital. His interests include point of care ultrasound, medical education, and strategies to make emergency medicine easier.

Transesophageal Echocardiography in Resuscitation - Dr. Rob Arntfield

Description: This talk will explore the theoretical and technical elements of echocardiography in resuscitation with a special focus on applying goal direct transesophageal echocardiography in shock and cardiac arrest.

Learning Objectives:

  1. Understand that echocardiography is a standard of care in resuscitation
  2. Appreciate that when factors prohibit or complicate traditional echo, TEE is indicated
  3. Understand that goal directed transesophageal echocardiography is easily learned and applied by emergency physicians

Pearls:

  1. TEE provides more reliable, higher quality images than the transthoracic approach.
  2. The application of TEE in cardiac arrest affords unique ability address diagnostic questions during CPR.
  3. Don’t bring a knife to a gun fight. Your sickest patients deserve high resolution, reliable imaging.

Biography: Dr. Arntfield is an emergency physician and intensivist working at Western University in London, Ontario.  He is co-author of the textbook “Point-of-Care Ultrasound”and has a special interest in resuscitative ultrasound, including transesophageal echocardiography.