Deep Dive Lung PoCUS – COVID 19 Pandemic

SJRHEM Weekly COVID-19 Rounds – May 2020

Dr. David Lewis



Part One covers aspects of core and advanced aspects of lung ultrasound application including: Zones, Technique, and Artifacts

Part Two covers PoCUS in COVID, the recent research, PoCUS findings, Infection Protection and Control, Indications and Pathways.

Part 1


Part 2


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WorkSafeNB 101

ED Rounds – September 2019

Dr. Paul Atkinson

“Sick Note” or  “Off work note”

•Outdated approach: Assumes that common health problems are incompatible with being at work
•Results in people signed off work all together while awaiting or undergoing treatment
•Prolonged and unnecessary sickness absence: can have devastating effects on lives of patients/their families
•Don’t have to be 100% “well” or “better” to do all or some of job


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MSK Injuries – X-Ray Pitfalls

ED Rounds – June 2019

Dr. George Xidos

  • 10-20% of ED visits are for musculoskeletal injuries
  • Unfortunately, most common cause of litigation in Canada
  • Pitfalls include missed injuries, failure to recognise
  • significance of injuries, inadequate initial management, and
  • failure to refer to appropriate specialists in a timely manner


● Complete hx : mechanism of injury, age, risk factors

● Accurate physical (e.g. there is more to the wrist exam than checking the “snuffbox” and more to the ankle exam than included in the Ottawa rules)

● X ray studies:

○ 20% of MSk litigation involves failure to order X rays in the first place

○ Ensure adequate quality of films (e.g. proper lateral views of hands, wrists and elbows) and order additional views if required

○ Be acutely aware of common locations for occult fractures: scaphoid, radial head, hip, talar dome, tibial plateau etc.

○ Most commonly missed fracture is the second fracture.


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How to get FOAM to work for you

ED Rounds – Jan 2019

Dr. Kavish Chandra presents rounds on Free Open Access Medical Education (FOAM) and how to make it work for you

How to get FOAM to work for you

š“If you want to know how we practiced medicine 5 years ago, read a textbook. If you want to know how we practiced medicine 2 years ago, read a journal. If you want to know how we practice medicine now, go to a (good) conference. If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM. — from International EM Education Efforts & E-Learning by Joe Lex 2012


šFOAM (free open access medical education) is a collection of resources, a global community and an ethos for anyone, anywhere and anytime.
Globally, there has been an exponential increase in the number of active emergency medicine and critical care websites, blogs and podcasts.
Cadogan et al. (2014)


What are we doing at

We also have our own online journal channel at Articles are submitted by local as well as international authors, and reviewed by peers and finally approved by local channel editors


The practical guide (adapted from Thoma et al. (2014)

šStep 1 – Get an RSS aggregator
  1. Feedly
  2. Flipboard

Then within the program, search blogs and website by name or URL. The programs above generally search your created list and populate a “to read list” with direct links and the option to defer until you have more time

Examples of websites and blogs

4. Resus.Me
5. EM Literature of Note
7. Academic Life in EM
8. Life in the Fast Lane
9. St. Emlyn’s
10. The SGEM
11. Pediatric EM Morsels
12. Rebel EM
13. Don’t Forget the Bubbles
14. The Poison Review
15. Trauma Pro’s Blog


šStep 2 – connect with social media (SoMe)

Use SoMe to connect with the largest online medical community

Participate in post publication reviews

If anything, take away one of the many pearls

šSJRHEM @sjrhem
šECCU course @eccucourse
šKen Milne @TheSGEM
šThe Bottom Line  @WICSBottomLine
šSaint Emlyn’s @stemlyns
šAcademic Life in EM @ALIEMteam
šRob Bryant @robjbryant13
šTessa Davis  @TessaRDavis
šTeresa Chan  @TChanMD
šRob Rogers  @EM_Educator
šFOAM cast @FOAMpodcast
šFOAM Highlights @FOAM_Highlights
šAnand Swaminathan @EMSwami
šSalim R. Rezaie @srrezaie
šJavier Benitez  @jvrbntz
EM Res Podcast @BobStuntz
š @Radiopaedia
šCasey Parker @broomedocs
šRyan Radecki @emlitofnote
šMinh Le Cong @ketaminh
šChris Nickson @precordialthump
šScott Weingart @emcrit
šMike Cadogan @sandnsurf
šMatta nd Mike @ultrasoundpod
šLeon Gussow @poisonreview
šBryan D. Hayes @pharmERToxguy
šSimon Carley @EMManchester
šSteve Carroll, DO @embasic
šHaney Mallemat @CriticalCareNow
šRob Cooney, MD, MEd @EMEducator
šMichelle Lin @M_Lin
šBrent Thoma @Brent_thoma
šBoring EM @BoringEM
šFOAM Starter @foamstarter

See the attached image for “How to Twitter”



Please find the entire rounds presentation below

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Managing Shocks – not shock…

ED Rounds – Jan 2019

Andrew Lohoar

Dr. Lohoar presents rounds on the topic of ‘Electrical Injuries’ including electrocution, lightening strike and Taser injuries.

X2 Darts have a double barb, X26 Darts come in extra long ‘winter coat’ and standard ‘summer’ varieties.

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