Lectures:
Ultrasound physics, knobs & probes
Essential echocardiography need to know in ICU
How to assess dyspnea using pleural ultrasound ?
How to assess volume status and fluid responsiveness ?
How to enhance trauma management with ultrasound ?
Establish central vascular access with great success
Simulator empowers skills and pathologies recognition (Demo on US simulator)
Hands-on training checklists:
(Essential skills: red color ; Optional skills: black color)
Parasternal view
LA/MV/LV/AV/LOVT
Pericardium
Descending thoracic aorta
PSSA on papillary muscle, MV, AV
M mode
Color Doppler
Territory of coronary artery
Apical view
Apical 4 & 5 view (LA/MV/LV; RA/TV/RV; LVOT/AV)
Apical 2 chamber view
Eyeballing on RV:LV ratio & WMA
Color Doppler for MR, TR, AR
Simpson/Modified Simpson’s method for LVEF
PW at AV to calculate SV (LVOT method)
Subcostal view
LV/LA/RV/RA
Pericardium
IVC & Hepatic veins
Aorta with celiac trunk and SMA
Lung scan
Bat sign
Lung sliding & seashore sign
Lung pulse
Diaphragm
Spine sign
B line
Rib
Airway
LV function assessment
Eyeballing on WMA and possible coronary artery territory
M-mode application
Semi-quantitative: EPSS, FS, MAPSE
LVOT method
Simpson’s method
Volume assessment
IVC & M mode measurement
Pleural B line survey
LVEDA
LVOT VTI
Carotid artery Doppler
Passive leg raising test
EFAST
Bilateral anterior pleural scan
RUQ: diaphragm & hepatorenal fossa
Pericardial view: PSLA & Subcostal view
LUQ: diphragm & splenorenal fossa
Pelvis: sagittal and transverse view
Rib fracture
Pubic symphysis
Sternal fracture
Psoas muscle for retroperitoneal injury
Vascular access
Needling on phantom (in-plane & off-plane)
IJV
Brachial artery & vein
Radial artery
Ulnar artery
Subclavian vein
Basilic vein
References:
ACEP Ultrasound Policy Statement(2016)
ACEP Emergency Ultrasound Imaging Criteria Compendium (2014)
International evidence-based recommendations for point-of-care lung ultrasound
International Evidence-Based Recommendations for Focused Cardiac Ultrasound
Focused Assessment with Sonography in Trauma (FAST) in 2017
(official website includes video clips)
POINT OF CARE ULTRASOUND: A WFUMB POSITION PAPER
Ten good reasons to practice ultrasound in critical care
US-guided vascular cannulation in critical care
