We have specially curated a robust asynchronous curriculum to combine the best of hand-on education, autonomous free-scanning time, and on-demand multimedia to bring structure and flexibility to your ultrasound month
In order to receive a passing evaluation for the month, you are expected to meet or exceed the following requirements:
1. Attendance in your home ER self-scanning on Monday - Friday, 9am - 5pm (not many opportunities in emergency medicine to work banker's hours - nice!)
2. Follow along with the day-by-day tutorial below, complete with scanning targets, keystone articles, and multimedia resources
3. Attendance at WSU Ultrasound Grandrounds on the second Monday of the month. You must bring at least 3 interesting cases to discuss (images on USB drive or QPath will suffice, no powerpoint necessary)
4. In all, you are expected to complete and log 150 scans for the month (easy... less than 8 scans per day x20 days). Log using the HIPAA-compliant logging system of your choice or the ACEP ultrasound log tracker (https://www.acep.org/by-medical-focus/ultrasound/ultrasound-tracker/)
5. You must conclude your month with the creation of a 15 minute Powerpoint presentation on an exceptional case you had during the month. This is to be presented to your peers and faculty at didactics. Discussion points should include case details, key ultrasound images, and literature review of your topic
You will pass the month with honors if you fulfill the minimum requirements above but demonstrate mastery of several of the key components of emergency ultrasound. You do this by earning virtual badges. By completing at least 5 badges you will earn the status of passing with honors, as well as the respect and admiration of your faculty, friends, family, and general passersby on the street.
Earning a badge is easy. Show us you have mastered the scanning technique and have conceptual mastery of the topic, and you have your badge. Do this by:
1. Performing 8 fully complete exams of the topic that meet all the views and imaging requirements for a proper billable scan. (If you don't know which views are required, you may use the template provided by QPath or as directed by the Emergency Ultrasound Standard Reporting Guidelines (https://www.acep.org/globalassets/uploads/uploaded-files/acep/clinical-and-practice-management/policy-statements/information-papers/emergency-ultrasound-standard-reporting-guidelines---2018.pdf)
2. Write a very brief summary of two articles on the topic published in a peer-reviewed journal and how it will affect how you practice emergency medicine
3. Submit this to your faculty to receive credit
To earn your renal badge, you would complete the following:
1. Perform and document 8 patients' GU scans that include right kidney long and short axis, left kidney long and short axis, and bladder sagittal and transverse axis, assessing for presence of hydronephrosis and bladder size.
2. "I learned that The 2014 STONE study demonstrated over 2759 patients that point of care ultrasound was a safe and effective option for diagnosing kidney stones in select ED patients and use of CT is not automatically required for kidney stones. I will consider risk stratifying kidney stone patients and avoiding ionizing radiation in cases where appropriate."
Today you will be covering basic ultrasound physics and the eFAST exam. Please review the Ultrasound Physics video as part of Bootcamp as well as Ma and Mateer's Emergency Ultrasound chapter 2.
The Fast exam or Focused Assessment with Sonography in Trauma is a diagnostic imaging modality whose purpose is to evaluate the pericardial and peritoneal spaces for the presence of absence of blood in the setting of trauma. It is perhaps one of the most frequently used applications of bedside ultrasound.
•Nishijima et al. Does this adult patient have a blunt intra- abdominal injury? JAMA. 2012.
•Bahner et al. AIUM practice guideline for the performance of the focused assessment with sonography for trauma (FAST) examination. J Ultrasound Med. 2008. •Volpicelli et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012.
Focused Assessment with Sonography in Trauma by AIUM
The FAST Scan by SonoSpot
FAST by 5 MIN SONO
Pneumothorax by 5 MIN SONO
Please contact Drew Butki or Doug Stayer
Please contact Eugene Rozen
Please contact Luda Khait