Tuesday, May 28, 2019 • 13:00 - 14:30
Track 5 - Beyond the Hocus POCUS
Track Chair: Dr. Lyle Thomas

Update in Stroke Imaging - Dr. David Malfair

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

Emergency DI Rule Review - Dr. Ryan Henneberry

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls

Dr. Ryan Henneberry is a full-time Emergency Medicine specialist and Sports Medicine physician from Halifax.  His primary practice is at the QEII Health Sciences Centre, a tertiary care hospital affiliated with Dalhousie Medical School.  He is the Director of PoCUS at the QEII HSC Emergency Department. Ryan is also the past chair of the CAEP PoCUS Committee and a Speaker on the CAEP EDTU course. He has previously taught at the EDE course, the ECCU course and the ICCU course as well.  He has been an examiner for the CCFP(EM) qualifying exam for over ten years and is the team physician for the Halifax Mooseheads Junior Hockey Club.

Myths in Emergency Imaging That Should Change Your Practice - Dr. Daniel Kim

DescriptionThis talk evaluates several common dogmatic practices in emergency imaging to determine if they are supported by the medical literature or are instead myths and misconceptions. Such myths can potentially result in a delay to diagnosis or even fatal misdiagnosis. By the end of this presentation, you should be armed with the tools to avoid these radiology pitfalls!

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Appraise the utility of abdominal x-ray as an initial imaging test in the workup of small bowel obstruction (SBO).
  2. Evaluate the diagnostic yield of computed tomography (CT) scanning of the head for the patient presenting with vertigo.
  3. Clarify the relationship between hypersensitivity reaction to intravenous (IV) radiocontrast media and allergies to shellfish, seafood, and iodine.

Pearls

  1. Abdominal x-ray has poor sensitivity (75%) for SBO and should not be used as an initial imaging test; ultrasound is highly sensitive (92%) and can be quickly and easily performed at the bedside, making it an ideal initial imaging modality.
  2. The diagnostic yield of non-contrast CT head in patients presenting with vertigo is vanishingly low, and negative results may provide false reassurance.
  3. Iodine is not an allergen, and allergies to shellfish and seafood do not increase one’s risk of an allergic reaction to iodinated IV radiocontrast media.

(@dan___kim) Dr. Kim is a Clinical Assistant Professor and the 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.

Head, Shoulders, Knees & Toes...or Elbows & Feet - Radiologic Pearls for Evaluating Elbow & Foot Fractures in Children - Dr. Kirstin Weerdenburg

Description: Review of radiographic findings associated with pediatric elbow and foot fractures in order to optimally evaluate and treat these injuries.

Learning Objectives
At the end of this presentation, participants will be able to:

  1. Appreciate radiographic findings associated with pediatric elbow and foot fractures.
  2. Understand the management associated with the specific pediatric elbow and foot fractures presented.

Pearls

  1. A thorough understanding of elbow and foot anatomy is crucial, especially physes and ossification centres.
  2. Pediatric elbow fractures are associated with a relatively high rate of complications, therefore it’s important to properly recognize and manage these fractures.

Staff Physician and Director of Pediatric Emergency Ultrasound, Research and Quality Assurance at the IWK Health Centre, and Assistant Professor at Dalhousie University in Halifax, Nova Scotia.

Trauma Pan Scan (A One Man Debate) - Dr. Lyle Thomas

Description:

Learning Objectives
At the end of this presentation, participants will be able to:

Pearls