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Critical Care Ultrasound Course 2013 a Great Success

25 Aug

The 2013 Critical Care Ultrasound course was a tremendous success.  This 2 day course that took place over Aug 22-23 at CSTAR at University Hospital was regarded as the most successful course to date.  The sold out course lead 36 participants through lung and pleural ultrasound, vascular access and a full day of critical care echocardiography.  The course benefited from a deep roster of extremely talented instructors that allowed to provide a 2:1 participant to faculty ratio.  We are already planning for next year’s course – mark your calendar for August 21-22, 2014!  See some pictures from this year’s course below.

Point of Care TEE Arrives in our ICU’s

20 Dec

The point of care, critical care ultrasound (CCUS) program at Western University has become enabled with transesophageal echo (TEE) capability.  The arrival of new TEE transducers that function on the bedside, point of care machines in all our ICU’s will allow for expanded capabilities in properly trained hands.  With several Critical Care Western program faculty (as well as some fellows) being trained in TEE use, the acquisition of these probes takes advantage of our program’s talent and brings our point of care ultrasound program and patient care to a new level.

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POC Echo in PE

2 Nov

An international panel discussion.

See below for a 45 minute panel discussion (hosted by Matt and Mike from Ultrasound Podcast) on the topic of POC ultrasound in the assessment and management of PE.  Was conducted and recorded using Google Hangout.

Panel members include luminaries of the field including:

Scott Weingart, Matt Dawson, Mike Mallin, Cliff Reid, Mike Stone

As well, Western Sono’s own Rob Arntfield was invited to join.

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Case # 4: Post-op shortness of breath

30 Oct

By Rob Leeper, MD, FRCSC

The Critical Care Outreach Team is called to asses a 64 year old male on the thoracic surgery floor complaining of increasing shortness of breath and hypotension. He is status post left upper lobectomy for non small cell lung cancer 1 year ago.  He has been re-admitted for workup of a possible recurrence in his mediastinal nodes.

In the 24 hours prior to CCOT arrival he had become progressively acidotic and hypotensive.  This was presumed to be on the basis of sepsis and appropriate treatments had been instituted.  Despite this the patient remained hypotensive with BP sitting 90’s/50’s.  His gases and clinical state worsened and he was taken to the ICU for further evaluation and monitoring.

As is routine for patients admitted to our ICU’s with circulatory failure, a point of care echocardiogram was performed on arrival to the ICU:

Subcostal 4 Chamber


Parasternal Short Axis


Apical 4 Chamber


What is your impression of the images?  Is there any significant abnormalities seen?  Click HERE for the answers and discussion and to learn the outcome of the case.

Critical Care US for the EP

11 Sep

See below for the talk entitled “Critical Care Ultrasound for the Emergency Physician” where Dr. Rob Arntfield, in speaking to the ultrasound track at CAEP 2012 in Niagara Falls, speaks about the frequently referenced field of “critical care ultrasound” and how it differs and is similar to emergency point of care ultrasound.  Areas of growth for critical patients in the ED are reviewed, including lung ultrasound, valvular pathology and TEE.