Yes, it's time once again for another episode of Best Case Ever, the Mini Podcast Series.

I'm your host, Dr. Rijeev Thavenovina.

Our guest today is Dr. Alan Sheffern.

He's a pediatric emergency physician at Chio, that's the Children's Hospital of Eastern Ontario, and he's cross-appointed to the University of Ottawa Faculty of Medicine's Department of Emergency Medicine. He's currently the PEM Division lead for point-of-care ultrasound, and as such, he's got an interest in how we can incorporate Pocus into PEDs Emerged Care. Dr. Sheffron, thank you so much for being on the show today.

Thanks for having me, and it's a pleasure to be able to be on this forum with you.

When I was a younger staff, just really figuring out my Pocus skill set,

I saw a case that I think changed my view of how to integrate Pocus into rapid clinical assessment at the bedside.

Well, that sounds like something we'd be into. Tell us about the case.

It's your typical day shift, luckily, and a triage nurse comes back to the emergency

physician's area and says, there's a patient that she's worried about. It's a school-age kid

who's come in, and he's had about it's a school-age kid who's come in and he's had a

history of a GI-type illness but he's grunty and looking modeled and she's worried about him

so she's putting him in the resuscitation room so whenever a triage nurse gets that worried

I get worried because they see all these kids

and they have to pick out that needle in the haystack. So I make my way over to the resuscitation room.

And as I'm walking, I'm trying to think about what do I need to do, what's going on with this kid?

And as I enter the room, you see this kid laid out on the stretch

and he's sick. You know, if you think about your pediatric assessment triangle, he's working hard

to breathe, he's modeled, he's alert and talking to us, but he looks sick. And as I approach the

bedside, I see his vital signs are on the monitor. He's quite tachycardic. He's in the mid-100s. His blood pressure

is okay for a school age kid. His oxygen saturations in the mid-80s. So the how does he look?

Question made me nervous. His vitals made me nervous and the triage nurse made me nervous. So this is a kid

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