UltraSound Life Support (USLS) - Advanced Level

This course is meant for the ones who have already attended the basic course, or already have sound knowledge of basic ultrasound and want to improve their technique or apply it in an emergency and critical care setting. The course will provide a detailed teaching on ABCD-assisted ultrasound, with detailed lectures on advanced lung and cardiac ultrasound. Many clinical scenarios have been designed in order to test your understanding and make you confident with the practical application of these techniques. In the hands-on session you will have the occasion to practice on models and a session with an advanced simulator will be organized to mimic common clinical scenarios and their ultrasound-assisted management.

WE SUGGEST

Indicated for: Indicated for: Indicated for:

Anesthesiology

Intensive Care Medicine

Emergency Medicine

Internal Medicine

Surgery

Pediatrics

HOT INSTRUCTION - USLS-AL

  • 4 Workstations (A1,A2,A3,A4)
  • 7 hours of practical works
  • 4 rounds
    • HOT 1 = first day (120 min)
    • HOT 2 = first day (90 min)
    • HOT 3 = second day (120 min)
    • HOT 4 = second day (75 min)
  • 2 parallels Groups (4-5 people for each)
  • Rotation
    • HOT 1 = every 60 min
    • HOT 2 = every 45 min
    • HOT 3 = every 60 min
    • HOT 4 = every 35 min
  • Healty models, laptop, simulations

 

PRACTICAL TOPICS & TRAINERS

HOT 1 PHYSIOLOGICAL SESSION (DAY 1)

WORKST 1 and 3 – Airway management
Each trainee should obtain on a healthy volunteer adequate airways views (according to previous theoretic discussion) commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures.

WORKST 2 and 4 – Breathing management
Each trainee should obtain on a healthy volunteer adequate pulmonary views commenting the technique, the adequacy of image, all visualized structures, etc…, analyzing all principal anatomical structures (A lines, B lines, etc…). Each trainee should: a)recognize the view, b) judge quality of the image, c)indicate the visualized structure.

WORKST 1 and 3 – Echocardiography
Each trainee should obtain on a healthy volunteer adequate subcostal A4-chambers views (comment technique, adequacy of image, visualized structures). Each trainee should:

  • recognize the view
  • judge quality of the image
  • indicate the visualized structure
The main goal is to identify all anatomical structures and start to identify 3-4 principal tips that could help the physician in all emergency situations (tamponade, pulmonary embolism, severe hypovolemia, LV-dysfunction, etc…).

 

WORKST 2 and 4 – Neurological ultrasound
Each trainee should obtain on a healthy volunteer adequate optical nerve evaluation (comment technique, adequacy of image, visualized structures. Each trainee should: recognize the view, judge quality of the image and indicate the visualized structure.

HOT 3 PATHOLOGICAL SESSION (DAY 2)

WORKST 1 and 3 – Global Review
Each trainee should obtain on a healthy volunteer a complete set of global eFAST views (commenting technique, adequacy of image, visualized structures). They’ll be asked to describe the presented anatomical findings/ patterns regarding lung, heart (subcostal view) and major abdominal structures. The structured approach to eFAST interpretation will be proposed as a wrap-up for each clip.

WORKST 2 and 4 – Shock simulation
A severe hypovolemic shock due to severe trauma is simulated on the Laerdal SonoSim™ Simulator: de-shocking procedures are performed according to ALS by the trainees, with execution of complete scan (A, B, C).

HOT 4 PATHOLOGICAL SESSION (DAY 2)

WORKST 1 and 3 – Limbs/procedures
Each trainee should obtain on a healthy volunteer adequate subcostal A4-chambers views (comment technique, adequacy of image, visualized structures. The main goal is to complete ad adequate CORE-scan, searching and identifying all anatomical landmarks to exclude (or confirm) an emergency pathological finding (tamponade, pulmonary embolism, severe LV hypokynesia, severe hypovolemia, etc…). The structured approach to COREscan interpretation will be proposed as a wrap-up for each clip.

WORKST 2 and 4 – ACLS-simulation
A cardiac arrest scenario is simulated on the Laerdal SonoSim™ Simulator: deshocking procedures, CPR manoeuvres are performed according to ALS by the trainees, with execution of complete eFAST.