Emergency Department Targeted Ultrasonography II
- emergency department physicians having already completed EDTU
Accreditation: up to 16.0 MainPro-M1 | up to 16.0 Section 1 credits
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
Physics of ultrasound, the FAST exam, Abdominal Aortic Aneurysm, Cardiac ultrasound, Pelvic ultrasound, Ultrasound-guided central venous access
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Canadian Association of Emergency Physicians (CAEP