Allan Shefrin

Peds ER doc, PoCUS enthusiast, Sens/WPG Jets/Packers fan. Views are my own.

[Allan Shefrin @shefmd]

Wondering which #POCUS applications to teach your PEM Fellows? We answered that here:
https://t.co/LKWRBS2Agc

#P2Network #PEM #PEMPOCUS

[Katie Wiskar @katiewiskar]

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 @shefmd]

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

[EM Ottawa @emergmedottawa]

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:

https://t.co/GEqZGTONe7

[Dan Kim @dan___kim]

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
🔗https://t.co/r4gUX87FSb

Check out the 🧵 below for our top 5 papers on cardiac & lung POCUS 👇

[Deborah Lyons @DeborahLyonsSE]

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.

https://t.co/JP9NNBuBS4

[Allan Shefrin @shefmd]

Our group cares and constantly tries to cover system issues but at our own peril. Several took leaves or moved to other practices in recent years. It won’t get better unless major change happens.

It’s tough to be committed to a system that’s not committed to you.
-end-

[Allan Shefrin @shefmd]

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

[Ottawa Citizen @OttawaCitizen]

Outdated funding model for doctors at CHEO is affecting its ability to deliver care: Alex Munter https://t.co/ABLAzPRxtx

[Allan Shefrin @shefmd]

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

[P2|Network @pocusnetwork]

10 amazing years of P2!

[CJEM @CJEMonline]

CJEM JC - Snelling 2023: US or radiography for suspected pediatric distal forearm fractures: by Nate Murray
https://t.co/tkkiKhhTcw
In low-risk patients in resource-limited settings, use of US as the initial diagnostic tool is safe, efficient, and non-inferior to radiographs

[EM Ottawa @emergmedottawa]

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:

https://t.co/g9ZFKXt1uv

(The PoCUS clips are beautiful 🤩)

[CJEM @CJEMonline]

⭐️CJEM March Issue⭐️
Link: https://t.co/aKI5bXaAAh

@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

[POCUS Journal @POCUSJournal]

⚡️ Real stories, real impact: Learn how 🧠 #POCUS is expediting care for children with intracranial pathologies
🔗 https://t.co/Lfn52jSubD
#PatientCare #POCUSImpact #FOAMed

[Allan Shefrin @shefmd]

🚨🚨🚨Pediatrics content!
🎉🎉🎉

[EM Ottawa @emergmedottawa]

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!

https://t.co/z8n1D6QiXi

[Allan Shefrin @shefmd]

@tighecrombie Grandma’s spray and kiss.

[EM Ottawa @emergmedottawa]

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:

https://t.co/BESIMH9edn

[Hen Mazzig @HenMazzig]

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.

[Michael Levitt 🇨🇦🎗️ @LevittMichael]

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.🇨🇦🇮🇱