EM:RAP’s Emergency Medical Abstracts reviewed our cricothyroid membrane landmarking paper in their most recent May 2021 issue. Despite the reviewer’s concerns about the limitations of the study (single center, patients did not need airway management), they liked the take home point that the position of the cricothyroid membrane moves with a change in the patient’s position.
We had an amazing Virtual Vancouver POCUS21 Symposium yesterday morning. The “king of puns” Ross Prager did a phenomenal job of moderating, and we had fantastic talks from all our speakers. Thank you to everyone who joined us, and if you registered but were unable to join us live yesterday morning, the videos will be made available to you shortly. If you missed out all together, here’s a brief review of the "Top 10 POCUS Papers of 2020” talk.
A new CJEM Just the Facts publication about the role of POCUS for skin and soft tissue infections specifically cellulitis, abscess, and necrotizing fasciitis. It provides guidance about how to perform the scan, as well as how POCUS can be used to assist with incision and drainage of abscesses.
VanPOCUS’s Dan Kim will be speaking at SaskSono21 on Saturday, April 17, 2021 about continuing medical education in POCUS, as well as facilitating workshops on how to give a good POCUS lecture and how to run a scanning course/ultrasound boot camp. If you haven’t yet registered, it’s not too late: https://cmelearning.usask.ca/current-courses/sasksono_21.php.
VanPOCUS’s Dan Kim was part of the team behind this new meta-research study of systematic reviews assessing the diagnostic accuracy of POCUS applications. This study attempted to characterize the completeness of reporting using the PRISMA-DTA checklist. Overall, systematic reviews of POCUS diagnostic accuracy were moderately reported, but the main areas of deficiency were systematic review registration and the identification of a minimally acceptable test accuracy threshold.
Save the date! The 2nd annual Vancouver Point of Care Ultrasound (POCUS) Symposium will be coming back as a virtual conference. The symposium will provide an update on the most recent trends in resuscitative, diagnostic, and procedural POCUS and will feature a panel discussion on POCUS and standard of care with experts from anesthesia, critical care, emergency medicine, and internal medicine.
The Imaging Wire recently summarized the POCUS community’s dissatisfaction with the European Society of Pediatric Radiology’s recently published position statement on POCUS This was prompted by a tweet from VanPOCUS’s Dan Kim, categorically rejecting the idea of a radiology society imposing its control over an imaging modality that is used by clinicians from across all specialties in medicine.
VanPOCUS is presenting a virtual poster at ACEP20 If you’re registered for the conference, check it out - abstract #349: "The Physical Examination is Unreliable in Determining the Location of the Ankle Physis in Healthy Children”. The full abstract is available in the November supplement of Annals of Emergency Medicine.
A new publication from the VanPOCUS group where we assessed the change in the position of the cricothyroid membrane ultrasound landmark from 0° head of bed elevation to 30° and 90°. Check out the full manuscript in the Canadian Journal of Anesthesia.
VanPOCUS ran the UBC R1 ultrasound course in a physically distanced manner, given the current COVID-19 pandemic. The R1 cohort had to be separated into smaller groups and had to act as their own models. We had help from former fellow Neil Long and current fellow Zafrina Poonja.
Neil Long and Justin Ahn are featured in a video by the Burnaby Hospital and the Royal Columbian Hospital Foundations where they describe their participation in Microsoft Philanthropies’ Hack for Good program. They have partnered with Microsoft’s team to develop a low cost pericardiocentesis trainer, using 3D printing and cheap, easily accesible materials like gelatine and balloons.
The Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee has published recommendations on the use of POCUS in the management of patients with suspected COVID-19. Key recomendations focus on the clinical indications for using POCUS, typical lung ultrasound findings, infection control strategies, and a protocol for safely cleaning an ultrasound machine. Check out the full manuscript in the Canadian Journal of Emergency Medicine.
Given the current situation with COVID-19 and recommendations from Vancouver Coastal Health about cancelling all non-essential group meetings and events, the organizing committee has made the decision to cancel our April 18th Vancouver POCUS Symposium and to postpone the event to the fall. This is in keeping with both health authority and provincial recommendations, and at the end of the day, we believe this is the right thing to do. While we're disappointed about this, we hope that all of you will be able to join us for a rescheduled symposium in the fall.
Our fellow Neil Long has worked with Life in the Fastlane to get our VanPOCUS video tutorials on to the Life in the Fastlane blog! Check it out at: https://litfl.com/ultrasound-library/vancouver-pocus/