Peds ER doc, PoCUS enthusiast, Sens/WPG Jets/Packers fan. Views are my own.
Ottawa, Ontario
Joined May 2010
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Allan Shefrin retweeted
Setting yourself up for #POCUS success: let’s talk about ergonomic mistakes that I often see novice scanners make.
🧵
1) Machine placement: This is one of the most common.
Do NOT put the machine behind you. You should not have to contort your body to see the screen while scanning 🩻
Unless you are doing a procedure like a central line, the best machine placement is typically to have the machine on one side of the patient’s bed (I like the right side), near the head of the bed.
That way, you are facing your patient and your machine at the same time while scanning.
Allan Shefrin retweeted
I’d consider myself (@DDxDino) pragmatic with my ultrasound use. An ‘everyday user’ as it were.
So this ultrasonic love story from Dr. Murray and Dr. @kookysang gave me some great food for thought:
emottawablog.com/2024/10/tel…
Allan Shefrin retweeted
Hot off the press in @CJEMonline! Our expert panel just tackled cardiac and lung #POCUS for our POCUS literature primer series. @CAEP_EUC @CAEP_Docs @GillianSheppar9 @TomJelic
🔗doi.org/10.1007/s43678-024-0…
Check out the 🧵 below for our top 5 papers on cardiac & lung POCUS 👇
Allan Shefrin retweeted
No one should have to hide their identity in their job. I am heartbroken to read Dr. Gill Kazevman's account in @CmejEditor of anti-Jewish and anti-Israeli discrimination happening in Canadian medical schools. Not only do these actions go against the @CMA_Docs Code of Ethics, they go against basic human dignity. @UofTMedicine and all Canadian medical schools need to ensure safe learning and supportive environments for all students - including Jewish and Israeli-Canadian students.
Personne ne devrait avoir à cacher son identité dans son travail. J'ai eu le cœur brisé en lisant le récit du Dr. Gill Kazevman dans @CmejEditor sur la discrimination anti-juive et anti-israélienne qui se produit dans les écoles de médecine canadiennes. Non seulement ces actions vont à l'encontre du Code d'éthique de l'@CMA_Docs, mais elles vont aussi à l'encontre de la dignité humaine fondamentale. @UofTMedicine et toutes les écoles de médecine canadiennes doivent garantir des environnements d'apprentissage sécuritaires et un soutien pour tous les étudiants, y compris les étudiants juifs et israélo-canadiens.
journalhosting.ucalgary.ca/i…
Allan Shefrin retweeted
CJEM JC - Snelling 2023: US or radiography for suspected pediatric distal forearm fractures: by Nate Murray
rdcu.be/dDPsi
In low-risk patients in resource-limited settings, use of US as the initial diagnostic tool is safe, efficient, and non-inferior to radiographs
Allan Shefrin retweeted
If you use ultrasound at all, this post will influence your practice.
Dr. Murray does a deep dive on the best PoCUS articles of 2023, how to generate images and what you’re looking for:
emottawablog.com/2024/04/pro…
(The PoCUS clips are beautiful 🤩)
Allan Shefrin retweeted
⭐️CJEM March Issue⭐️
Link: link.springer.com/journal/43…
@CAEP_Docs Best practices from @CAEP_EUC
CJEM Journal Club @shefmd
#Simulation for EPA assessment @AKHallMD
#MedEd in US education @PageauP @uOttawamwoo
Errors involved in the use of a modified IV NAC protocol
...and more
Allan Shefrin retweeted
⚡️ Real stories, real impact: Learn how 🧠 #POCUS is expediting care for children with intracranial pathologies
🔗 pocusjournal.com/article/164…
#PatientCare #POCUSImpact #FOAMed
ALT Brain POCUS of a patient with a subdural hemorrhage, coronal view
Allan Shefrin retweeted
We don't want to have to deal with it, but as Emergency providers, pediatric traumatic cardiac arrests are something we see.
Dr. Emery from @CHEO gives us the latest updates and algorithms to approach these difficult and very acute cases:
emottawablog.com/2023/12/ped…
Allan Shefrin retweeted
The more you attack Jews on the streets in the name of Palestine, the more you destroy our synagogues, the more you deny our history and humanity, the more we will believe Israel must exist.
Allan Shefrin retweeted
Jews across 🇨🇦 will wake up this morning, get dressed & live our lives. We won’t be silenced or forced to hide in fear by those peddling terror & hate. I appreciate every non-Jewish friend & ally that’s reached out to ask if I’m ok. I am & hearing from you gives me strength.🇨🇦🇮🇱
Allan Shefrin retweeted
Why not take a moment to re-up my PSA: be sure to know ALL the symptoms of Lyme. It's more than just the classic bull's-eye rash, and some people - myself included - don't get those.
Blacklegged ticks are spreading across Canada — and they’re bringing Lyme disease with them. Learn more in our latest piece by @a_l_hayward:
canadiangeographic.ca/articl…
Allan Shefrin retweeted
I've said it before and I'll say it again:
If you're sending a patient to the ED, please don't tell them you're sending them for admission, CT scan, etc. You are sending them for evaluation. What that entails is up to me. Inappropriate expectations leads to much discontent.
Allan Shefrin retweeted
We always ask about children’s vaccination status - but should this information alter our practice ?
Dr. @CeilidhKinlin hits us with some great peds thoughts:
emottawablog.com/2023/02/vac…
Allan Shefrin retweeted
Establishing the International Research Priorities for Pediatric Emergency Medicine Point-of-Care Ultrasound: A Modified... dlvr.it/SZF9xz
Allan Shefrin retweeted
Establishing the international research priorities for #PEMPOCUS @pocusnetwork @shefmd @thedoctormaz @DGoodAsGold @AaronKornblith @ASiv7475 onlinelibrary.wiley.com/doi/…. #POCUS
Allan Shefrin retweeted
We shouldn’t need to have signs posted reminding us to be kind and respectful to the staff at hospitals, restaurants, coffee shops etc.
What on earth has happened to us that we have to be reminded to simply be nice and patient to folks who are just trying to help us.
Allan Shefrin retweeted
This has been a spring weekend like no other in CHEO’s 48-year history. A 🧵on why a visit to CHEO right now might feel a bit different. +
Allan Shefrin retweeted
Pediatric GERD!
How do you diagnose it?
How do you manage it?
What advice do you give to parents?
Peds ER fellow, Dr. @ceilmacV gives us the Coles notes:
emottawablog.com/2022/03/man…
