Welcome to POCUS Journal

by Amer M. Johri, MD

Welcome to the first issue of the world’s first journal dedicated solely to point-of-care ultrasound. The Point-of-care Ultrasound Journal (POCUS J) is unique in its dedication to showcasing studies performed by any specialty- whether it’s the Emergency Department, Critical Care, Anesthesiology, Cardiology, Primary Care or Allied Health.

Case File: Use of POCUS for assessment of dyspnea in the Emergency Department

by Jennifer Meloche, MD

A 65 year-old man presented to the Emergency Department at Kingston General Hospital with progressive shortness of breath, fatigue, dull chest discomfort that worsened with deep breathing and exertion. The patient was referred to cardiology for congestive heart failure and ordered troponin, chest x-ray (CXR), and electrocardiogram (ECG).

Case File: Cardiac amyloidosis using on routine hand-held ultrasound

by Jeffrey Wilkinson, MD

A 64 year-old man presented to the Kingston General Hospital with cardiac arrest. At the time of EMS arrival, the ECG showed ventricular tachycardia. The patient was intubated and ventilated. Multiple defibrillations were required to convert the patient back to normal sinus rhythm.

Case File: Shocking out with severe hypoxia

by Barry Chan, MD

Clinical Vignette: 36 year old presented in acute respiratory distress, hypotension (BP 70/40 with HR 120), and severe hypoxia (SpO2 80s with partial rebreather). Thoracic auscultation was normal though the heart sounds were masked by her breath sounds. The jugular venous pulse (JVP) was grossly distended with no leg edema.