UltraSound Life Support (USLS) - Basic Level

This course is meant for beginners. It has been designed to provide a solid ground on which you can build a sound knowledge in emergency and critical care ultrasound. It starts with an introduction about the physics of ultrasound, with the aim of getting you acquainted with the basic principles with the aim of teach you how the machine works and how its setting can be optimized to obtain good images. An introduction to the ultrasound-assisted ABC will follow, explaining how echography can help you in managing airway management and common cardio-respiratory emergencies. Ultrasound-guided intravenous access will also be thought. Lot of time will be dedicated in the afternoon to hands-on sessions on models and simulators.

WE SUGGEST

Indicated for: Indicated for:

Anesthesiology

Intensive Care Medicine

Emergency Medicine

Internal Medicine

Surgery

Pediatrics

HOT INSTRUCTION - USLS-BL

  • 4 Workstations (A1,A2,A3,A4)
  • 6 hours of practical works
  • 3 rounds
    • HOT 1 = first day
    • HOT 2 = second day
    • HOT 3 = second day
  • 4 Groups (4-5 people for each)
  • Rotation
    • HOT 1 = every 30 min
    • HOT 2 = every 30 min
    • HOT 3 = every 30 min
  • Healty models, laptop, simulations

 

PRACTICAL TOPICS & TRAINERS

HOT 1 Sessions (DAY 1)

WORKST 1 - Machines' setting (echo machine)
Each trainee should obtain on a healthy volunteer adequate abdominal views (hepatic or splenic view) commenting the technique, the adequacy of image, all visualized structures, etc..., analyzing all technical pitfalls and adjustment (gain, focus, TCD, etc...). A final interpretation of the probable diagnosis should be provided.

WORKST 2 - Airways management (echo machine)
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 3 - Lung ultrasound (echo machine)
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...).

WORKST 4 - Echocardiography (technical skill) (echo machine)
Each trainee should obtain on a healthy volunteer adequate subcostal A4chambers views (comment technique, adequacy of image, visualized structures. Each trainee should: - recognize the view - judge quality of the image - indicate the visualized structure This first part is made before the theoretic presentation (that will be hold in the afternoon just after this practical part). All participants will have the same workstation on DAY 2. For this reason, the main goal is to achieve how to have a good quality image and how to identify a good subcostal A4-chambers view and a good Inferior-Vena-Cava view (technical skill).

HOT 2 Session (DAY 2)

WORKST 1 - Basic echocardiography (anatomy) (echo machine)
Each trainee should obtain on a healthy volunteer adequate subcostal A4chambers 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, etc...).

WORKST 2 - Lung ultrasound (echo machine)
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...). In this second day, all participant could integrate this informations with cardiac informations.

WORKST 3 - Clinical case (Laerdal SimMan)
A cardiac arrest scenario (or a severe hypovolemic shock due to severe trauma) is simulated on the Laerdal SonoSim™ Simulator: de-shocking procedures, CPR manoeuvres are performed according to ALS by the trainees, with execution of complete eFAST.

WORKST 4 - Peripheral line access (BluePhantom)
Each trainee should obtain on a BluePhantom model an adequate views of common vascular structures, commenting the technique, the adequacy of image, all visualized structures, etc..., analyzing all principal anatomical structures. Each trainee should pick a central line US-guided.

HOT 3 Session (DAY 2)

WORKST 1 - Basic echocardiography (CORE-scan) (echo machine)
Each trainee should obtain on a healthy volunteer adequate subcostal A4chambers 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 - Clinical case (Laerdal SimMan)
A severe hypovolemic shock due to severe trauma is simulated on the Laerdal SonoSim™ Simulator: de-shocking procedures, CPR manoeuvres are performed according to ALS by the trainees, with execution of complete eFAST.

WORKST 3 - Clinical case (Laerdal SimMan)
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.

WORKST 4 - Clinical review (echo machine)
Each trainee should obtain on a healthy volunteer a complete set of eFAST views (commenting technique, adequacy of image, visualized structures). They'll be asked to describe the presented anatomical findings/patterns. The structured approach to eFAST interpretation will be proposed as a wrap-up for each clip.