Tuesday, May 28, 2019 • 10:15 - 11:45
Track 5 - Diagnostic Imaging (1) - PoCUS: The Speed of Sound
Track Chair: Dr. Paul Atkinson
Room: 201

Panel Presentations and Discussion Around Key PoCUS Papers - Drs. Michael Woo, Kirk Magee, Chau Pham, Paul Atkinson

Description: Panel presentations and discussion around key PoCUS papers.

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

  1. Apply the latest evidence for Point of Care Ultrasound (PoCUS) appropriately in their clinical practice.
  2. Integrate new evidence for PoCUS into their approaches to Procedures, Shock, Cardiac Arrest, and Dyspnea.
  3. Consider future approaches to research for PoCUS in Emergency Medicine.

Pearls

  1. Ultrasound can improve outcomes for procedures.
  2. PoCUS may improve outcomes when used in certain clinical scenarios, but perhaps not in all.
  3. Application of PoCUS as a tool within a clinical decision making framework is key

Dr. Michael Woo

Emergency Physician and Trauma Team Leader at the Ottawa Hospital. He is an Associate Professor with the Department of Emergency Medicine at the University of Ottawa and is the Fellowship Program Director for Acute Care Point-of-care Ultrasonography.

Dr. Kirk Magee

Department Head for Emergency Medicine at Dalhousie University. Kirk is also site EM Research Director for The QE2 Hospital in Halifax NS. He has expertise and interest in systematic reviews, working as a Cochrane Collaboration reviewer. Kirk is looking forward to welcoming CAEP members to Halifax.

Dr. Chau Pham

Dr. Pham completed her M.D. and FRCPC-EM at the University of Manitoba and discovered her passion for EM, a profession where she can serve on the front line in a pace that is always exhilarating but yet humbling. Chau also completed a MBA and finds it a fascinating complement to the world of medicine. With her new-found love for ultrasound, Chau is currently the Ultrasound Director for the DEM at the U of M. 

Dr. Paul Atkinson

Professor in Emergency Medicine at Dalhousie University and Saint John Regional Hospital, New Brunswick, Canada, and deputy editor for CJEM, co-director of the Emergency Critical Care Ultrasound (ECCU) course, and is currently VP for ultrasound research for the International Federation for Emergency Medicine (IFEM). He has over 80 peer reviewed publications, as well as being lead editor on two textbooks. 

LO42 - Is point-of-care ultrasound a reliable predictor of outcome during atraumatic, non-shockable cardiac arrest? A systematic review and meta-analysis - Dr. Talia Burwash-Brennan

The PoCUS Debate - Prove It! Motion: To Establish the True Benefit of Pocus in Clinical Care We Need More Comparative Studies - Drs. Kirk Magee, Michael Woo, Ryan Henneberry, Chau Pham

Description: A group of debaters from across Canada will be arguing if we have proven that PoCUS is a useful tool for emergency physicians, and specifically whether we need head to head RCTs for PoCUS to prove its worth.

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

  1. Review what the evidence level is supporting PoCUS.
  2. Reflect on how best to assess this diagnostic tool in EM.
  3. Discuss current and future ways to find benefit and convince others.

Pearls

  1. There is a growing evidence base supporting the use of PoCUS in many settings.
  2. There are few RCTs for PoCUS.
  3. Elevating our game to the RCT approach may be next…

Dr. Kirk Magee
“We Need More Comparative Studies”

Dr. Michael Woo
“We Don’t Need More Comparative Studies”

Dr. Ryan Henneberry
Rebuttal for the motion

Dr. Chau Pham
Rebuttal against the motion