Happy to be hosting a satellite event for the CSIM Annual meeting taking place in Montreal. As an internist, I’ve been long wanting to see my colleagues working on the wards integrate bedside ultrasound into their practice. After all, as an ICU guy, i try to catch the patients spiralling down. However, bedside ultrasound in the care of hospitalized patients should actually have a greater impact! Wait, I hope I’m not promoting myself out of a job here… Oh well it is for the patients’ benefit.
But it’s true, preventing deterioration is best done well…prior to the deterioration.
Anyhow, looks like we’re gonna have a pretty good day, focused on lung ultrasound:
The faculty – besides me – is excellent: Andre Denault and Georges Desjardins are pros at doing and teaching, and workshop instructors Ian Ajmo and Philippe St-Arnaud, intensivist colleagues from my shop’s team, are great too.
I’m hoping that the echo-naive participants leave fully convinced that practicing acute care without ultrasound is essentially unethical, given today’s accessibility to the technology. I hope they can see that it out-does the most educated guesses we can muster, most of the time. Because that is what we do when held to the limitations of physical exam, even if DeGowin, Bates and Shapira were doing the physical exams themselves…
We’re in the final stretch of planning for this year’s conference, which will be totally awesome:
CCUS 2014 Master Programme
There are a couple of TBA lectures pending confirmation, as well as finalization of the pediatric side, but this should whet your appetites! Final one will be out by the end of the week!
Montreal (awesome spot to visit!) May 9th (pre-congress courses) 10th-11th (main symposium) filled with some really cool clinical lectures on how to integrate ultrasound in common and critical clinical scenarios.
The faculty is awesome:
Andre Denault, Haney Mallemat (@criticalcarenow), Vicki Noble (@nobleultrasound), Mike Stone (@bedsidesono), Edgar Hockmann, JF Lanctot and Maxime Valois (@EGLS_JFandMax), Robert Chen, Catherine Nix, Ashraf Fayad, Michael Woo and many more….
…and lots of intense workshops!
This isn’t just a “how to”, its a “how to really integrate in into daily practice.” or maybe “how to take your game to a whole new level!”
Registration is open, and figure on the final programme to be out by the end of next week.
if you have any questions, feel free!
Hope to see you all there!
This is what you see on the anterior chest of your patient:
What can you conclude?
scroll below for answers…
The notable findings are:
a. lung sliding – this indicates that there is no pneumothorax in the area you are scanning.
b. there are B lines – this indicates that there is interstitial edema – this has no etiological information and must be coupled with the rest of the ultrasound and clinical examination to make a diagnosis. It could represent CHF, pneumonia, non-cardiogenic pulmonary edema, or any other interstitial process.