Peds ER doc, PoCUS enthusiast, Sens/WPG Jets/Packers fan. Views are my own.
Ottawa, Ontario
Joined May 2010
- Tweets535
- Following294
- Followers512
- Likes598
Pinned Tweet
Wondering which #POCUS applications to teach your PEM Fellows? We answered that here:
onlinelibrary.wiley.com/doi/…
#P2Network #PEM #PEMPOCUS
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.
Almost 2 years to the day. When you do nothing and make no changes you can’t expect different results. Hopefully no one suffers while waiting. The ER is a disaster waiting to happen. #ottawa #canadawaits
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…
Speaking from my CHEO ER experience, this is almost beyond repair. We have 64-80 hours of MD coverage/day (same as 2012-15), we need 110-120/day to meet current demands, nevermind growth. Why?
@egpayne @picardonhealth @CAEP_Docs @CAEP_PedsEM @Avis_Favaro 1/5
Outdated funding model for doctors at CHEO is affecting its ability to deliver care: Alex Munter ottawacitizen.com/news/local…
3. Chronic underfunding of the system and physicians leads to discontent, anger and frustration
4. Non-clinical career goals at academic hospitals tough to attain under clinical loads
5. Covid tore the bandaids off an already broken system, we had surges, never had resets
4/5
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
🚨🚨🚨Pediatrics content!
🎉🎉🎉
ITS HERE!
The 5th Edition of the Ottawa Handbook of Emergency Medicine is OUT!
This bedside handbook is a useful clinical guide to common ED presentations.
5th edition features additions to peds ortho, peds fever and gen sx emergencies!
emottawablog.com/sdm_downloa…
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.🇨🇦🇮🇱
What about emergency departments that can’t/won’t close? We hear a lot about emergency department closures and we need to.
But what about the others?
When one closes, no resources get redirected to help the others.
What about the ED’s that fight tooth and nail to stay open?
The ‘system’ abuses us because it knows we always do what we can, that we will find a way. Yet, will the ‘system’ take/share responsibility for your 18 hour waits? The missed clues of deterioration? Harmful delays in care?
I am not hopeful.
As we hear about how bad fall will be with RSV, COVID & Influenza are we any better prepared for this onslaught than we were last fall? Are we worse off?
Please accept my apologies in advance.
#canadianhealthcare #canadawaits
@CAEP_Docs @alandrummond2 @CanPaedSociety