基礎急重症超音波工作坊參考資料(2016)

 

課程簡介

超音波基本認識

心臟超音波

FoCUS (林俊龍醫師)

如何利用IVC來評估容積

IVC assessment (林俊龍醫師)

胸部超音波

外傷超音波

EFAST (蔡揚名醫師)

超音波輔助之中央靜脈導管放置

臨床個案討論

參考文獻

Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients-Part 1: General ultrasonography

Lung ultrasound in the critically ill

ACEP Trauma Ultrasound eBook

AIUM/ACEP Practice Parameter for the Performance of the Focused Assessment With Sonography for Trauma (FAST) Examination

ACEP Emergency Ultrasound Imaging Criteria Compendium (2014)

International Evidence-Based Recommendations for Focused Cardiac Ultrasound

更新
20160626 Professor Cholley : Vimedix demonstration (18段影片)

急診進階超音波課程-第三場 (奇美)

最近一次參與國內的超音波訓練課程和工作坊,
將會是9月份在奇美醫院的【急診進階超音波課程】,
此次將會有來自北、中、南的專業講師群們來分享經驗,
同時協助參與的學員們如何上手。
我負責的是軟組織和骨骼肌肉的應用,附上相關連結,
建議有參與此次工作坊的學員先行閱讀,上手更快。

台灣急診醫學會報名連結

軟組織及骨骼肌肉超音波參考資料連結

Point-of-Care Ultrasound (POCUS)

一群來自亞洲的專家 (Asian Emergency & Critical UltraSound Network, AEACUS Network), 在日本的Kameda醫師的號召下,共同整理了近年POCUS在急重症的應用。
很榮幸能藉由POCUS分享自身的經驗,
也很榮幸能藉由POCUS和許多的專家們交流,並成為很好的朋友。

Edited by Dr Toru Kameda

This series was published in Journal of Intensive Care.

Portable ultrasound devices, which have become less expensive and higher quality, have come into wide use in emergency rooms and intensive care units. In recent years, the concept of point-of-care ultrasound has been become widely accepted. Point-of-care ultrasound has its value if it gives clinicians useful clinical information in a short time. Various clinical studies on point-of-care ultrasound were carried out based on the ideas of “extraction”, “creation” and “integration”.
The “extraction” was that inspection items suitable for point-of-care ultrasound were extracted from comprehensive ultrasound in diagnostic radiology.
The “creation” was that the findings were created by the clinician at bedside.
The “integration” was that the findings in each region were integrated in patients with shock or dyspnea.

Echocardiography for patients undergoing extracorporeal cardiopulmonary resuscitation: a primer for intensive care physicians

Lung ultrasound—a primary survey of the acutely dyspneic patient

Make it SIMPLE: enhanced shock management by focused cardiac ultrasound

Clinically integrated multi-organ point-of-care ultrasound for undifferentiated respiratory difficulty, chest pain, or shock: a critical analytic review

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

Overview of point-of-care abdominal ultrasound in emergency and critical care

Role of upper airway ultrasound in airway management

An overview of point-of-care ultrasound for soft tissue and musculoskeletal applications in the emergency department

去年和亞洲的專家們一起整理分享了POCUS在急診的應用,我負責的部份是Soft tissue & MSK的領域,也希望藉由經驗的分享讓大家了解POCUS在急診軟組織和骨骼肌肉急症的部份其實可以幫上忙的地方是很多的。

Background:
The skin, soft tissue, and most parts of the musculoskeletal system are relatively superficial anatomical structures and ideal targets for ultrasound examination in the emergency departments. Soft tissue and musculoskeletaultrasound applications are relatively underused compared to traditional emergency applications, such as trauma, abdominal aortic aneurysm, and chest and cardiovascular systems.
Main text:
It is important to have knowledge about sonoanatomy and landmarks within the skin, soft tissue, anmusculoskeletal systems. Portable machines equipped with high resolution transducers are now available to fulfill this field of applications in many emergency departments. After needling practice, emergency physicians can not only diagnose and identify pathological findings but also provide interventional procedures and treatments. In this review, we will introduce point-of-care ultrasound (POCUS) applications regarding the soft tissue and musculoskeletal systems: soft tissue infections, joint effusions, foreign bodies, long bone fractures, muscle and tendon injuries, vascular occlusions, and procedures.
Conclusions:
With POCUS, emergency physicians can visualize the structures beneath t he skin and provide better and safer cares in the emergency departments

PDF全文連結

網站全文連結(含video)

Critical Care UltraSound Enhanced Procedures (急救加護年會工作坊)

超音波已被視為21世紀的視診器,Visual stethoscopy or Echoscopy
選擇適合的探頭,配合不同的操作功能,急重症的醫護人員將更能善用這個利器。

重症醫療的特性,患者有移動的困難性,
診斷、治療和許多的處置常常需要在ICU的單位中進行,
超音波無疑是非常重要的輔助工具。
有鑑於此,急救加護醫學會自2015年開始,
每年的年會都會舉辦重症超音波相關的工作坊,
讓急重症單位的第一線同仁能有高品質的教育訓練和實作的機會。

2015年年會工作坊主題: CCUS- Life Support Ultrasound
2016年年會工作坊主題: CCUS- Vascular Ultrasound

2016年更辦了一個半天【急重症醫師不可不知的十大超音波技巧】工作坊

2015年舉辦了第一次的重症超音波工作坊,
2016年年中起依此架構建立了重症超音波的基礎課程,
2016年和2017年分別舉辦了二場迴響熱烈的工作坊。

重症單位的患者因診斷和治療的需求,常需要接受不同的侵入式醫療處置,
超音波已經在不同的臨床處置上扮演重要的輔助角色,
增加侵入性處置的成功率降低併發症的發生是最常被提及的好處。
因此今年中華民國急救加護醫學會的年會中,
超音波輔助的侵入式醫療處置便成為今年年會工作坊的主題。

2017年年會工作坊主題: CCUS- Procedure Ultrasound

4個小時的工作坊中,藉由簡要重點主題的介紹,
Needling的示範及高達8個分站的示範操作和實作,
期望讓急重症的醫療人員能應用超音波讓侵入性的處置有更高的成功率 !!

重症超音波工作坊:Critical Care UltraSound Enhanced Procedures
時間:2017年10月21日(星期六) 12:30–17:30

地點:中國醫藥大學立夫教學大樓

簡章報名表連結

Echoscopy (EFSUMB)

1. Echoscopy with any marketed ultrasound scanner, pocket size ones included

only one answer, usually in the terms of yes or no, is required to solve a specific clinical question. The answer can be reported in the clinical journal of the patients as an extension of the physical examination and does not require a full report, provided that it is specified that the exam was an Echoscopy performed bedside

2. Point of care ultrasound

ultrasonography performed bedside and interpreted directly by the clinician

3. Comprehensive advanced ultrasound with high-end equipment, moved on wheels to the bedside.

an assessment of the region related to the suspected disease is performed to search for pathology, usually assessing more than one organ (e. g. various abdominal organs, or assessment of the thorax, or the neck, etc). A full report of the examination is always required and images of all examined organs are normally collected

Echoscopy applications

Birth of „Echoscopy“–
The EFSUMB Point of View

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