Emergency Department Targeted Ultrasonography II

Course providers

Intended for:

  • emergency department physicians having already completed EDTU

Accreditation: up to 16.0 MainPro-M1 | up to 16.0 Section 1 credits

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Format: training module to facilitate completion of the 50 recommended supervised scans in each of four areas (aorta, cardiac, abdomen, and pelvis)

Based on: CAEP EDTU

Equipment used: training done on live models/patients in a clinical setting at the designated sites

This course travels across Canada and is available at local hospital upon request and if prerequisites are met

Topics covered:

Physics of ultrasound, the FAST exam, Abdominal Aortic Aneurysm, Cardiac ultrasound, Pelvic ultrasound, Ultrasound-guided central venous access

Learning objectives:

  1. Physics:
    • Use physical principles of ultrasound in emergency targeted studies: piezoelectric effect, frequency, resolution, attenuation and echogenicity, etc.
    • Recognize the role of proper instrumentation in image acquisition: image mode, gain, depth and probe types. c. Recognize artifact and its role in image acquisition: reverberation, shadowing, enhancement, mirror and ring- down.

  2. FAST:
    • Integrate the indications for EDTU into clinical practice: know clinical algorithms and limitations of the FAST exam in penetrating and blunt thoraco-abdominal trauma.
    • Describe the relevant ultrasound anatomy of the liver, spleen, kidneys, bladder, uterus, pericardium and lung bases.
    • Understand and recognize the focused findings and pitfalls related to the detection of hemo-peritoneum, hemo- pericardium, global cardiac function and hemothorax.

  3. Abdominal Aortic Aneurysm:
    • Integrate the indications and limitations of targeted ultrasound in the evaluation of abdominal aortic aneurysms in the practice of clinical medicine.
    • Identify the local anatomy including the aorta, inferior vena cava and spine.
    • Seek and recognize the relevant ultrasound findings and pitfalls when scanning for abdominal aortic aneurysms.
    • Use measurement techniques to augment detail of EDTU findings.

  4. Cardiac ultrasound:
    • Apply the clinical indications and limitations of emergency cardiac ultrasound.
    • Describe the relevant cardiac anatomy.
    • Understand the standard cardiac windows when evaluating for cardiac activity and pericardial effusions.
    • Understand and apply the relevant clinical implication when evaluating for cardiac activity and pericardial effusions.

  5. Pelvic ultrasound:
    • Recognize the indications and limitations of focused ultrasound in first-trimester pain and bleeding.
    • Use a clinical algorithm for the role of EDTU in first- trimester pain and bleeding.
    • Seek and recognize the criteria to identify a definitive intrauterine pregnancy (DIUP).
    • Recognize when no definitive intrauterine pregnancy exists and its relationship to an extrauterine gestation.
    • Understand the trans-abdominal and endocavitary views when performing focused ultrasound in early pregnancy.
    • Recognize the relevant focused findings and pitfalls when scanning for intrauterine pregnancy.

  6. Ultrasound-guided central venous access:
    • Describe the indications and pitfalls when using ultrasound to guide central venous access.
    • Have a solid understanding of the relevant vascular anatomy and surface anatomy.
    • Demonstrate use of the various techniques for identifying the needle tip on ultrasound image.
    • Describe confirmation of central venous access using ultrasound.

Affiliated with:
Canadian Association of Emergency Physicians (CAEP