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#WouldYouTapThat 72F with simple pleural effusion, on warfarin with INR 2.6. Mildly hypoxic. (clip below)

44F with malignant ascites, very symptomatic, for therapeutic paracentesis. (clip below)

Come play #WouldYouTapThat - bedside procedure edition 😉

This patient with “new ascites, for diagnostic paracentesis” actually had…. …polycystic kidney disease. Obviously hard to tell on a single 4s clip, but it underscores the importance of performing a thorough pre-scan evaluation to ensure the fluid is truly ascites

Always such a pleasure to hang out with the UBCIMPOCUS group. Great #NerdNight chat about perfusion, auto regulation, and CRS - though admittedly, we may have been less sharp after the third bottle of wine 😉 Huge congrats to our graduating fellow - we’ll miss you Ben!!

Lung ultrasound doesn't get the attention it should. It's a basic #POCUS application, but is game-changing in the evaluation of respiratory pathology; superior to CXR; and has a steep learning curve. Learn how to acquire excellent LUS images - ubcimpocus.com/ubcimpocus-tut…

Our latest screencast: learn the game-changing skill of lung ultrasound in this 25-minute screencast from our own Katie Wiskar. It's a basic application with a lot of nuance, so it's worth spending some time to get it right! #POCUS #FOAMed #ultrasound ubcimpocus.com/ubcimpocus-tut…

#POCUS case! One of the best in a while. 50M, Hx HTN only. Comes in after travelling to a tropical country 2 weeks ago. Started having watery diarrhea at the end of the trip, as did his companions. Now also RUQ pain. No chest pain, SOB, cardiac Sx.

Huge day for our UBCIMPOCUS program - finally, a dedicated #POCUS archiving system! 🙌🙌🙌 (Let’s not talk about how nuts it was that we didn’t have one before this 🤦🏼‍♀️) Thanks to Vancouver Coastal Health, CAN Health Network, and Qpath for making this happen. Shane Arishenkoff - we did it!

Local anesthesia for procedures! What is your go-to? (More choices below!)

Local anesthetic go-to:

Potential downsides/reasons to avoid: - excessive vasoconstriction can lead to necrosis in areas with poor perfusion* - often avoided for neuraxial procedures like LP; however epi is used in the anesthesia world for intrathecal and epidural anesthesia pubmed.ncbi.nlm.nih.gov/29782398/

*It used to be maxim that epi should be avoided certain areas: digits, nose, penis, etc. However, this has likely overblown; and epi can likely be added except in areas that may have compromised perfusion for other reasons (ie severe PAD) emdocs.net/wp-content/upl…

A solution on how to remotely mentor for POCUS learners! Congrats to Saskatchewan Emergency Medicine Linden Kolbenson @OlszynskiP Jeremy Katulka and Sydney Murray. Rural Coordination Centre of BC (RCCbc) UBC CPD Tracy DeLeeuw Katie Wiskar UBCIMPOCUS BC PoCUS Caroline Shooner @SRPCanada CAEP Emergency Ultrasound Committee

#POCUS puzzle! 🤓 Can you come up with a unifying diagnosis for these 2 seemingly unrelated POCUS images? (From the same patient) Answer to come tomorrow! 😉

Attempting to measure respiratory variations of transvalvular flow for a patient with a moderate sized pericardial effusion - so cool to assess tamponade physiology in real-time. Have learned an incredible amount on my UBCIMPOCUS elective - can't recommend it enough!

#POCUS trivia 🤓 Patient presents with sore throat, fever, and this scan. What's the eponymous diagnosis? #pocuspuzzle

Thoughts?? Philippe Rola Aman Thind NephroPOCUS Matt Siuba Ashley Miller korbinhaycockmd BenVS very curious to hear your opinions. This was talked about at our UBCIMPOCUS Nerd Night over several 🍷🍺 and we are still a bit perturbed

Katie Wiskar Philippe Rola Gigi Liu Aman Thind NephroPOCUS Matt Siuba Ashley Miller korbinhaycockmd BenVS UBCIMPOCUS It’s my favorite quote to trainees. Don’t think we will ever find that single exam/modality/bio marker that will 100% rule in/rule out any condition. Doesn’t mean we will stop trying, but not gonna happen. Tie it all together + longitudinally otherwise red herrings will get us

New on our UBCIMPOCUS page: handy procedural and POCUS consult checklists to serve as on-the-go resources for trainees. Formatted in easy-to-screenshot sizes. Please use/share if they are helpful! Also found here: ubcimpocus.com/procedureconsu…