WINFOCUS Basic Echo (WBE) - Basic Level

This course focuses on echocardiography in the very specific context of emergency and critical care medicine. The aim of the course is to give a sound knowledge about practical and easy to learn protocols, which can be incorporated into the diagnostic algorithm of critical patients in order to rapidly reach a diagnosis and manage unstable patients. A sound knowledge of basic ultrasound is required. Participants will be thought cardiac anatomy and sono-anatomy, images acquisition techniques and common pathological echographic patterns, contextualized in ACLS protocols in order to learn how to perform a completed ultrasound-assisted advanced life-support.

WE SUGGEST

Indicated for: Indicated for:

Anesthesiology

Intensive Care Medicine

Emergency Medicine

Internal Medicine

Surgery

Pediatrics

HOT INSTRUCTION - WBE

  • 5 Workstations (A1,A2,A3,A4,A5)
  • 7 hours of practical works
  • 3 rounds
    • HOT 1 = first day (120 min)
    • HOT 2 = first day (90 min)
    • HOT 3 = second day (210 min)
  • 5 Groups (4-5 people for each)
  • Rotation
    • HOT 1+2 = every 42 min
    • HOT 3 = every 42 min
  • Healty models, laptop, simulations

 

PRACTICAL TOPICS & TRAINERS

HOT 1 + 2 Sessions (Day 1)

WORKST 1 - Pathological Findings on Simulator
Each trainee should obtain on the Laerdal SonoSim™ Simulator the FoCUS views necessary to understand the kind of pathological finding displayed by the simulator (ideally the 5 main FoCUS views). A final interpretation of the probable diagnosis should be provided.

WORKST 2 - Parasternal Views (PLAX & PSAX)
Each trainee should obtain on a healthy volunteer adequate Parasternal LAX and SAX views (comment technique, adequacy of image, visualized structures).

WORKST 3 – Subcostal Views (SLAX & SIVC)
Each trainee should obtain on a healthy volunteer adequate SIVC and SLAX views (comment technique, adequacy of image, visualized structures).

WORKST 4 – Apical Views (A4Ch, A2Ch, ALAX)
Each trainee should obtain on a healthy volunteer adequate subcostal A4Ch, A2Ch, and ALAX views (comment technique, adequacy of image, visualized structures.

WORKST 5 – Normal CLIPS
On a laptop many normal TTE views will be shown. Each trainee should:

  • recognize the view
  • judge quality of the image
  • indicate the visualized structure
  • describe why the findings are consistent with normality (revision on how to rule out chronic cardiac disease)

 

HOT 3 + 4 Sessions (Day 2)

WORKST 1 – FoCUS Views Review
Each trainee should obtain on a healthy volunteer a complete set of FoCUS views (comment technique, adequacy of image, visualized structures).

WORKST 2 – FoCUS Views Review
Each trainee should obtain on a healthy volunteer a complete set of FoCUS views (comment technique, adequacy of image, visualized structures).

WORKST 3 – SHOCK MEGACODE
In the form of a group teaching, each trainee will be involved in a laptop-based shock scenario, where FoCUS will be implemented in patient management.

WORKST 4 – Pathological Clips Revision
Several pathological clips will be shown to trainees on a laptop. They’ll be asked to describe the presented pathological findings/patterns. The structured approach to FoCUS interpretation (Signs of Chronic disease? LV dysfunction? RV dysfunction? Pericardial disease? Severe hypovolemia? Gross valvular findings?) will be proposed as a wrap-up for each clip.

WORKST 5 – FEEL: ALS MEGACODE
A cardiac arrest scenario is simulated on the Laerdal SonoSim™ Simulator: CPR manoeuvres are performed according to ALS by the trainees, with execution of FoCUS.