Dalhousie Emergency Medicine Saint John & IWK POCUS Fellowship
The Dalhousie University (DU) Emergency Point of Care Ultrasound Elective and Fellowship Program at Saint John Regional Hospital (SJRH) offers Emergency PoCUS training with an optional placement in Pediatric PoCUS for up to 1-month at the IWK Health Centre Pediatric Emergency Department. Fellows will join a thriving academic PoCUS program with an outstanding research record and a history of PoCUS education that spans over 15 years. This is the only PoCUS Fellowship in the Atlantic Canada, a spectacular location fringed by fresh waterways on one side and the ocean on the other. Saint John is situated in the picturesque Bay of Fundy and is located on one of the finest inland waterways in North America.
Welcome to the Dalhousie University (DU) Emergency Point of Care Ultrasound Elective and Fellowship Program at Saint John Regional Hospital (SJRH) with an optional placement in Pediatric PoCUS for up to 1-month at the IWK Health Centre Pediatric Emergency Department. We are very proud of our program and excited that you are considering joining us.
Fellows will join a thriving academic PoCUS program with an outstanding research record and a history of PoCUS education that spans over 15 years.
- Clinical: optimizing image acquisition and interpretation skills for both core and advanced emergency and point of care ultrasound applications
- Education: developing lecturing and teaching skills by developing an emergency ultrasound lecture portfolio and contributing to the program’s educational mission. Acquiring expertise at bedside ultrasound teaching and assessment.
- Administration: understanding the critical components required to run an emergency ultrasound program, set up and deliver educational events/courses and how to best utilize information technologies for image archiving, database management, and quality assurance.
- Research: understanding the state of emergency ultrasound research by participating in ultrasound journal club activities and developing an independent research project from its inception to publication.
Contact the DirectorProgram WebsitePOCUS Fellowship Program
Director
Dr. David Lewis*,+
Dr. Paul Atkinson (Research)*,+
Dr. Kirstin Weerdenburg#
Affiliation
Dalhousie University*
Saint John+
IWK#
References
Peer Reviewed
Abstracts
Loubani O, Ramrattan B, Middleton J, Taylor L, Dahn T, Hurley S, Mekwan J, Cox C, Henneberry R,
Richardson L, Macsween K, Howlett M, Hunter S, Fraser J, Olszynski P, Lussier D, Fredericks D, Diegelmann, Lamprecht H, Lewis D, Milne J, Van Hoving D, Stocia G, Peach M, Atkinson P. Does point of care ultrasonography improve diagnostic accuracy in emergency department patients with undifferentiated hypotension? The first Sonography in Hypotension and Cardiac Arrest in the Emergency Department
(SHOC-ED1) Study. CJEM 2017; 19((S1)):S29-S29
Lewis D, Fraser J, Leech-Porter K, Atkinson P. Manual pressure (the modified peace sign) as an aid to sonographic aortic visualization-a pilot study. CJEM 2017; 19((S1)):S105.
Stocia G, Fredericks D, Peach M, Taylor L, Dahn T, Hurley K, Macsween K, Cox C, Loubani O, Hunter S, Olszynski P, Fraser J, Van Hoving D, Richardson L, Ramrattan B, Mekwan J, Howlett M, Middleton J, Henneberry R, Pham C, Lussier D, Stander M, Lamprecht H, Diegelmann , Milne J, Atkinson P. Does the use of point of care ultrasonography improve survival in emergency department patients with undifferentiated hypotension? The first Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED1) Study. CJEM 2017; 19((S1)):S43-S43
Van Hoving D, Diegelmann , Stocia G, Loubani O, Richardson L, Hunter S, Cox C, Olszynski P, Macsween K, Hurley S, Dahn T, Peach M, Fredericks D, Middleton J, Mekwan J, Fraser J, Henneberry R, Pham C, Lussier D, Lamprecht H, Lewis D, Milne J, Taylor L, Ramrattan B, Atkinson P, Stander M, Howlett M. Does point of care ultrasound improve resuscitation markers in emergency department patients with undifferentiated hypotension? The first Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED 1) Study. CJEM 2017; 19((S1)):S42-S42.
Verheul G, Mclean D, Hewitson L, Lewis D, Fraser J, French J, Atkinson P, Mekwan J. Does the use of ultrasound improve diagnosis during simulated trauma scenarios? CJEM 2017; 19((S1)):S108
Lambert M, Jarman B, Macsween K, Harris T, Taylor L, Noble V, Connolly J, Atkinson P, Fredericks D, Bowra J, Cox C, Hurley S, Dahn T, Howlett M, Diegelmann , Lewis D, Milne J, Hunter S, Pham C, Peach M, Lussier D, Lamprecht H, Stander M, Mekwan J, Van Hoving D, Ramrattan B, Middleton J, Olszynski P. Initial validation of the core components in the SHoC-Hypotension Protocol. What rates of ultrasound findings are reported in emergency department patients with undifferentiated hypotension? Results from the SHoC-ED1 Study. CJEM 2017; 19((S1)):S42-S43
Lewis D, Atkinson P, Beckett N, French J, Fraser J. Do combined electricardiogram rhythm and point of care ultrasound findings predict outcome during cardiac arrest? The second Sonography in Hypotension and cardiac Arrest in the Emergency Department (SHoC-ED 2) Study. CJEM 2016; 18(S1):S43
Jarman B, Harris T, Noble V, Lambert M, Milne J, Bowra J, Atkinson P, Lewis D. Sonography in Hypotension and Cardiac Arrest (SHoC)- Hypotension: deriviation of an evidence -based consensus algorithm for the integration of point of care ultrasound into resuscitation of hypotensive patients. CJEM 2016; 18(S1):S44
Beckett N, French J, Fraser J, Lewis D, Atkinson P. Is there an association between resuscitation effort and the use of cardiac ultrasound in cardiac arrest? The second Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHoC-ED 2) Study. CJEM 2016; 18(S1):S45
Harris T, , Bowra J, Milne J, Lambert M, Jarman B, Noble V, Lamprecht H, Atkinson P, Lewis D.
Sonography in Hypotension and Cardiac Arrest (SHoC)- Cardiac Arrest: A consensus on the integration of point of care ultrasound into advanced cardiac life support during cardiac arrest. CJEM 2016; 18(S1):S45
Socransky S, Smith A, Atkinson P. Ultrasound -assisted distal radius fracture reduction. CJEM 2016;
Atkinson P, Taylor M, Gadd K, McGivery K, Lewis D. Point of care Ultrasound for lung B-lines in the early diagnosis of acute decompensated heart failure in the emergency department: a systematic review. CJEM 2016; 18(S1):S55
Lewis D, Fraser J, Atkinson P. AP or IP? Introduction of a new assessment of performance tool for PoCUS. CJEM 2016; 18(S1):S67
Fraser J, French J, Lewis D, Beckett N, Atkinson P. Is there an association between the use of cardiac ultrasound and survival outcomes in pts arriving to the emergency department in cardiac arrest? The second Sonography in Hypotension and Cardiac Arrest in the ED Study (SHoC-ED 2). CJEM 2016; 18(S1):S70
Hewitson L, Lewis D, Fraser J, Verheul G, Mekwan J, Atkinson P. ULTRASIM: Ultrasound in Trauma
SIMulation. Does the use ultrasound during simulated trauma scenarios improve diagnostic abilities? CJEM 2015; 17(Supp 1):s32
Atkinson P, Lewis D, Mackay F. Medicus doces te ipsum: a study in self-directed ultrasound learning. CJEM 2015; 17(Supp 1):s44
Gaspari R, Atkinson P, Woo M, Rang L, Theodoro D, Adhikari S, Noble V, Raio C, Lanspa M, Weeks A, Blehar D, Brown S, Caffey T, Crimmins A, Lam S, Nomura J. Sonography in cardiac arrest: Real time Assesment and Evaluation with Sonography- Outcomes Network (REASON). CJEM 2015; 17(Sup 1):s4
Lewis D, Fraser J, Atkinson P, Milne J, Lamprecht H. Does use of point of care ultrasound protocol improve outcome in emergency department patients with undifferentiated hypotension? The first sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHOC-ED 1) study: an interim analysis. CJEM 2014; 16(Supp 1):S20
Atkinson P, Verheul G, Fraser J, Lewis D. ACES high: how realistic is high-fidelity ultrasound simulation for abdominal and cardiothoracic assessment with sonography in shock? CJEM 2013; 15(S 1):s10
Parks A, Verheul G, Atkinson P. Point of CareUltrasound (ACES protocol) improves diagnostic accuracy and confidence in simulated cardiorespratory scenarios. CJEM 2013; 15(S1)
Parks A, Atkinson P, Verheul G. Can Medical learners achieve ultrasound competency using a high fidelity ultrasound simulator? CJEM 2013; 15(S1)
Atkinson P, Verheul G, Fraser J, Lewis D. Aceing it: Can abdominal and cardiothoracic assessment with sonography in shock be learned using a high fidelity simulation? CJEM 2013; 15(S1)
Madan R, Atkinson P. Accuracy of Nurse Practioner performed ultrasound for the detection of soft tissue foreign bodies. CJEM 2012; 14
Blyth L, Lang E, Gadd K, Atkinson P. Does Cardiac Standstill Mean We Can Stop CPR? Focused Ultrasound as a Predictor of Survival on Cardiac Arrest patients. Annals EM 2012; 58(4S)
Articles
Gaspari R, Weekes A, Adhikari S, Noble V, Nomura J, Theodoro D, Woo M, Atkinson P, Blehar D, Brown S, Caffery T, Douglass E, Fraser J, et al. . A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study. Resuscitation 2017; online
Gaspari R, Weekes A, Adhikari S, Noble V, Nomura J, Theodoro D, Woo M, Atkinson P, Blehar D, Brown S, Caffery T, Douglass E, Fraser J, et al. . Emergency department point-of-care in out-hospital and in-ED cardiac arrest. Resuscitation 2016; 10933-39
Smith A, Socransky S, Bromley M, Anawati A, Middaugh , Ross P, Atkinson P, Skinner A. Ultrasound-Assisted Distal Radius Fracture Reduction. Cureus 2016; 8(7)Lamprecht H, Atkinson P, Fraser J, Milne J. Sonography in Hypotension and Cardiac Arrest (SHoC): Rates of Abnormal Findings in Undifferentiated Hypotension and During Cardiac Arrest as a Basis for Consensus on a Hierarchical Point of Care Ultrasound Protocol. Cureus 2016; 8(4)
Desjardins MP, Weerdenburg K, Fischer JW. Emergency point-of-care ultrasound diagnosis of diaphragmatic hernia in the Pediatric Emergency Department. Pediatr Emerg Care 2016 Oct;32(10):685-87.
Yeh JP, Kwan CW, Weerdenburg K, Fischer JW. Point-of-care ultrasound diagnosis of bilateral retinal detachment associated with Vogt-Koyanagi-Harada disease in the Pediatric Emergency Department. Pediatr Emerg Care 2016 Sept;32(9):639-41.
Weerdenburg K, Kwan CW, Fischer JW. Point-of-care ultrasound findings associated with foreign body aspiration in the Pediatric Emergency Department. Pediatr Emerg Care 2016 Jul;32(7):486-8.
Preto-Zamperlini M, Weerdenburg K, Zamperlini-Netto G, Fischer JW. Point-of-care ultrasound findings associated with Langerhans call histiocytosis in the Pediatric Emergency Department. J Ultrasound Med 2016 Feb;35(2):449-51.
Atkinson P, Henneberry R, MacDonald S, Cox C. My patient has abdominal and flank pain: Identifying renal causes. Ultrasound 2015; 1-9
Atkinson P, Bowra J, Lambert M, Lamprecht H, Noble V, Jarman B. International Federation for Emergency Medicine Point of Care Ultrasound Curriculum. Canadian Journal of Emergency Medicine 2015; 17(2):161-
Parks A, Verheul G, Leblanc-Duchin D, Atkinson P. Effect of a point of care ultrasound protocol on the diagnostic performance of medical learners during simulated cardiorespiratory scenarios. Canadian Journal of Emergency Medicine 2015; 11-7
Lewis D, Aman J, Atkinson P, Jarman B. My patient is injured: identifying foreign bodies with ultrasound. Ultrasound 2015
Woo M, Taylor M, Loubani O, Bowra J, Atkinson P. My patient has got abdominal pain; identifying biliary problems. Ultrasound 2014; 22(4):223-228
Atkinson P, Madan R, Kendall R, Fraser J, Lewis D. Detection of soft tissue foreign bodies by a nurse practitioner- performed ultrasound. Critical Ultrasound 2014; 6(1):1-5
Loubani O, Bowra J, Smith A, Talbot J, Jarman B, Atkinson P. My patient is short of breath: is there pleural fluid, and will PoCUS help drain it safely? Ultrasound 2013; 21(2):88-92
Milne J, Atkinson P, Bowra J, Loubani O, Jarman B, Smith A. My patient is short of breath: Is the problem lung tissue? Ultrasound 2013; 21(2):28-7
Parks A, Atkinson P, Verheul G, Leblanc-Duchin D. Can medical learners achieve point-of-care ultrasound competency using a high fidelity ultrasound simulator? A pilot study. Critical Ultrasound 2013; 5(9)
Henneberry RJ, Hanson A, Healey A, Hebert G, Ip U, Mensour M, Mikhail P, Miller S, Socransky S, Woo M, CAEP Ultrasound Position Statement Working Group. Use of point of care sonography by emergency physicians. Canadian Journal of Emergency Medicine. 2012 Mar;14(2):106-12.
Blyth L, Atkinson P, Gadd K, Lang E. Bedside focused echocardiography as predictor of survival in cardiac arrest patients: a systematic review. Acad Emerg Med 2012; 19(10):1119-1126
Pishe T, Ross P, Atkinson P. My Patient has no blood pressure: is their heart working? Ultrasound 2012; 20(1):58-63
Liteplo A, Noble V, Atkinson P. My Patient has no blood pressure: point of care ultrasound in the hypotensive patient- FAST and RELIABLE. Ultrasound 2012; 20(1):64-8
Atkinson P, Milne J, Loubani O, Verheul G. The V-Line: a sonographic aid for the confirmation of pleural fluid. Critical Ultrasound 2012; 4(19)
Gedmintas A, Grabove M, Atkinson P. My Patient has no blood pressure: Have they got an abdominal aortic aneurysm? Point of care ultrasound of the abdominal aorta in the hypotensive patient. Ultrasound 2011; 19(4):236-41
Atkinson P, Daly C. My Patient has no blood pressure: Are they empty or full? Point of care ultrasound of the inferior vena cava in the hypotensive emergency department patient. Ultrasound 2011; 19(3):169-173
Ross M, Brown M, McLaughlin K, Atkinson P, Thompson J, Powelson S, Clark S, Lang E. Emergency Physician-performed Ultrasound to Diagnose Cholelithiasis: A Systematic Review. Acad Emerg Med 2011;
Wong I, Jayatilleke T, Kendall R, Atkinson P. Feasibility of a focused ultrasound training programme for medical undergraduate students. Clin Teach 2011; 8(1):3-7
Hayhurst C, Lebus C, Atkinson P, Kendall R, Madan R, Talbot J, Ross P, Lewis D. An evaluation of echo is life support (ELS) - is it feasible? What does it add? Emerg Med J 2011; 28(2):119-21
Atkinson P, McAuley D, Kendall R, Abeyakoon O, Reid C, Connolly J, Lewis D. Abdominal and Cardiac Evaluation with Sonography in Shock (ACES): an approach by emergency physicians for the use of ultrasound in patients with undifferentiated hypotension. Emerg Med J 2009; 26(2):87-91
Dent B, Kendall R, Boyle A, Atkinson P. Emergency ultrasound of the abdominal aorta by UK emergency physicians: a prospective cohort study. Emerg Med J 2007; 24(8):547-9
Atkinson P, Boyle A, Robinson S, Campbell-Hewson G. Should ultrasound guidance be used for central venous catheterisation in the emergency department? Emerg Med J 2005; 22(3):158-64
Book
Atkinson P, Bowra J, Harris T, Jarman B, Lewis D. Point of Care Ultrasound in Emergency and Resuscitation. Oxford University Press Book. London. 2018 (in press)
Book Chapters
Weerdenburg K. Point-of-Care Ultrasound, Pediatric Emergency Medicine Handbook, unknown publication date - book in editorial process.
Atkinson P, Milne J. Selected Protocols for Cardiac and Critical Care Ultrasound Ch(43). Editors: James, Connolly, Anthony Dean, Beatrice Hoffmann, Robert Jarman. Selected Protocols for Cardiac and Critical Care Ultrasound. John Wiley & Sons. London. 2017
Lewis D. The Lower Limb and the Upper Limb Ch(17). Editors: James Connolly, Anthony Dean, Beatrice Hoffmann, Robert Jarman. The Lower Limb and the Upper Limb. John Wiley & Sons. London. 2017
Atkinson P. Paediatric Musculoskeletal Point-of-Care Ultrasound Ch(22). Editors: James Connolly, Anthony Dean, Beatrice Hoffmann, Robert Jarman. Paediatric Musculoskeletal Point-of-Care Ultrasound. John Wiley & Sons. London. 2017
Atkinson P. Ultrasound in the Management of Fractures Ch(28). Editors: James Connolly, Anthony Dean, Beatrice Hoffmann, Robert Jarman. Ultrasound in the Management of Fractures. John Wiley & Sons.
Atkinson P. Lung and thorax. Emergency Ultrasound Made Easy 2nd Edition. Elsevier. London. 2011
Bowra J, Atkinson P. Lung Ultrasound. Editors: Bowra and McLaughlin. Emergency Ultrasound Made Easy. Churchill Livingstone. 2011
Editorial
Ross P, Atkinson P, Henneberry R. Coming of Age- Emergency Point of Care Ultrasound in Canada. Canadian Journal of Emergency Medicine 2014; 16(4):265-268
Letter
Atkinson P. Emergency Department ECMO and Echo - better together? Emerg Med J 2014;31:440.
Online:
Weerdenburg K. PEMSoft - Point-of-Care Ultrasound Section. http://www.ebscohost.com/biomedical-libraries/pemsoft.
Articles submitted or accepted for publication
Hewitson L, Fraser J, Mclean D, Lewis D, Atkinson P, Mekwan J, French J, Verheul G. ULTRASIM:
ULtrasound in TRAuma SIMulation. CJEM 2018 (Accepted - in press)
Kruger T, Lamprecht H, Atkinson P, Hoppmann R, Lemke G, Wallis L, Van Hoving D. Poor return on
investment: Investigating barriers causing low credentialing yields in a low-resourced clinical ultrasound training program. CJEM 2018
Atkinson P, Hoppmann R, Wallis L, Kruger T, Lamprecht H. Clinical Ultrasound Credentialing Outcomes: A Systematic Review and Critical Analysis. CJEM 2018
McGivery K, Atkinson P, Lewis D, Taylor L, Harris T, Gadd K, Fraser J, Stocia G. Emergency Department Ultrasound for the detection of B lines in the Early Diagnosis of Acute Decompensated Heart Failure: A Systematic Review and Meta-Analysis. CJEM 2018 (Accepted - in press)
P. Atkinson, J. Milne, , L. Diegelmann, H. Lamprecht, M. Stander , D. Lussier, C. Pham , R. Henneberry, J. Fraser, M. Howlett, J. Mekwan , B. Ramrattan , J. Middleton, N. van Hoving, M. Peach, L. Taylor, T. Dahn, S. Hurley, K. MacSween, L. Richardson, G. Stoica, Samuel Hunter, P. Olszynski, D. Lewis. Does point of care ultrasonography improve clinical outcomes in emergency department patients with undifferentiated hypotension? An international randomized controlled trial from the Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHoC-ED1) Series. Annals of Emergency Medicine 2018.
