Presents

“Selected Topics in Emergency Ultrasound”

Hot Topics Pre-Conference Offering

Tuesday, February 10, 2009

Physics of Emergency Ultrasound

This lecture is designed to introduce the emergency physician to concepts needed to understand and perform focused ultrasound scanning.  Topics include basic physics, image refinement as well as probe orientation and selection.

Basic Abdominal Imaging

This lecture will introduce the emergency physician to the ultrasound appearance of normal abdominal anatomy.  Examples of organ systems to be reviewed will include the liver, spleen, kidney, bladder and vasculature.  Examples of pathologic conditions will be provided to contrast with normal anatomy.  Concepts of optimal image visualization including probe placement and image refinement will be reinforced in this lecture.

Trauma FAST Exam

This lecture will provide the emergency physician with the knowledge and ability to identify hemoperitoneum and pericardial tamponade in the acutely traumatized patient.  Concepts of imaging including probe placement and image optimization will be discussed.  The ability of ultrasound to detect hemothorax and pneumothorax will be introduced.

Ultrasound Guided Vascular Access

Participants will become familiar with the rational and techniques used to obtain vascular access using ultrasound guidance.  An evidenced-based approach will be used to introduce optimal sites and techniques.  The need and techniques to differentiate between veins and arteries will be reinforced.  Alternative sources of access beyond the deep venous system will be introduced.

Resuscitation

This lecture will provide an introduction to basic concepts of a focused ultrasound and its benefits during evaluation and resuscitation of the critical patient.  Concepts and examples of both normal and abnormal conditions of the heart will be presented. Probe positioning and differences between cardiac planes of view will be explained.  Case studies will be presented that will help to illustrate the benefits of bedside ultrasound in various clinical scenarios including hypovolemia, hemoperitoneum, pulmonary embolism, cardiac tamponade, aortic dissection and cardiogenic shock.

Emergency Ultrasound Scanning Lab

This session will provide participants with an opportunity to practice the knowledge and techniques learned in the morning lecture series.  Participants will work in small groups with a course instructor.  Each participant will be expected to demonstrate the ability to properly image abdominal organs on simulated patients.  The participant will be expected to demonstrate proficiency in the imaging of the gallbladder, aorta, spleen and kidneys.   Participants will also be expected to properly perform a transvaginal ultrasound and identify the female reproductive anatomy.

 

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