VanPOCUS is a group of Vancouver-based ultrasound experts who are dedicated to providing high quality point of care ultrasound education at all levels of training and practice. From full year fellowships to single day conferences, VanPOCUS provides learning opportunities across a range of specialties and disciplines.
Rahim Manji generously hosted the UBC POCUS Fellowship's fall journal club. This journal club evening focused on biliary POCUS, and we reviewed two papers: Hilsden’s "Point of care biliary ultrasound in the emergency department (BUSED) predicts final surgical management decisions” in Trauma Surgery & Acute Care Open and Zitek’s "The use of additional imaging studies after biliary point-of-care ultrasound in the emergency department” in Emergency Radiology. The take home is that biliary POCUS is highly accurate for cholelithiasis and is highly predictive of surgical decision making. However, this is only the case in systems where you have buy-in from your surgical colleagues and where you have image archiving so all members of the treating team can review the point of care imaging.
VanPOCUS’s Dan Kim was part of an international effort led by Bob Jarman, Anna Colclough, and Cian McDermott to provide recommendations on commonly used heart and lung POCUS applications, including the assignment of levels of evidence (LoE) and grading of the recommendations (using the GRADE framework). These clinical practice guidelines were supported by the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB).
The latest VanPOCUS publication is a new paper in Cureus where we used a modified Delphi method to identify the top 5 most influential papers on FAST and E-FAST. This was a national collaborative effort, and best of all, the paper is open access and freely available to all!
The UBC POCUS fellowship kicked off the new academic year with our new fellow Torey Lau. Torey impressed us with his disc golf skills - hopefully his ultrasound skills are even better! Torey joins us after completing his CCFP-EM training at UBC’s St. Paul’s site.
VanPOCUS’s Dan Kim spoke about “POCUS in the ER” today at UBC Radiology’s Vancouver Imaging Review (VIR) 2022. It was a great opportunity to discuss the clinical impactfulness of POCUS with radiologists who may not have the perspective of the clinician at the bedside. A summary of the take home points from this talk can be found here.
A new academic year means reprising the R1 POCUS FUNdamentals workshop and welcoming a new group of R1s to the program. We had an awesome group of instructors, including Melissa Skaugset, Karine Badra, Zafrina Poonja, new POCUS fellow Torey Lau, and UBC emergency medicine residents Kate Eppler and Matt Douglas-Vail.
Congratulations to our graduating POCUS fellows, Nik Humniski and Justin Burton! Regrettably, Justin Burton was unable to attend due to illness, but we celebrated with Nik Humniski at CRAFT English Bay. We’re delighted that both of our fellows will be sticking around the lower mainland. Nik will be the new ultrasound director for the Richmond Hospital emergency medicine group, and Justin is joining the Langley Memorial Hospital emergency medicine group. Wishing our fellows all the best with their future endeavors!