Critical Care Ultrasound (DRAFT)

2018 ◽  
Author(s):  
Christopher K. Schott
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Critically Ill Patients ◽  
Patient Management ◽  
Point Of Care ◽  
Rapid Response Team ◽  
Response To Treatment ◽  
Response Team ◽  
Critical Care Ultrasound ◽  
Point Of Care Ultrasonography

Point of care ultrasonography (POCUS) is a tool that can be used at the bedside to aid in the diagnosis and treatment of critically ill patients. The ability to directly visualize physiology, pathology, and response to treatment can add valuable information in patient management particularly in time sensitive situations with acutely decompensated patients as may occur in the context of rapid response team (RRT) events. Although most of the data on POCUS to guide resuscitations has been published through emergency medicine (EM) and pre-hospital studies, the same approach can be easily adapted for in-hospital RRT events. This chapter reviews validated POCUS protocols for the assessment of hypotensive, hypoxic, or arresting patients and the ways it can be incorporated into in-hospital RRTs.

Experience gained by emergency medicine residents as members of the rapid response team

2016 ◽  
Vol 2 (1) ◽  
pp. 41
Author(s):  
Rebecca Jeanmonod ◽  
Elizabeth Vessio ◽  
Meaghen Finan ◽  
Donald Jeanmonod ◽  
Vamsi Balakrishnan ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Response Team

scholarly journals The use of critical care echocardiography in peri-arrest and cardiac arrest scenarios: Pros, cons and what the future holds

2020 ◽  
pp. 175114372093699 ◽  
Author(s):  
Luke Flower ◽  
Olusegun Olusanya ◽  
Pradeep R Madhivathanan
Keyword(s):  
Cardiac Arrest ◽  
Critical Care ◽  
Intensive Care ◽  
Patient Care ◽  
Core Competence ◽  
Point Of Care ◽  
Response To Treatment ◽  
Monitoring Tool ◽  
Critical Care Echocardiography ◽  
Focused Echocardiography

Echocardiography is being increasingly deployed as a diagnostic and monitoring tool in the critically ill. This rise in popularity has led to its recommendation as a core competence in intensive care, with several training routes available. In the peri-arrest and cardiac arrest population, point of care focused echocardiography has the potential to transform patient care and improve outcomes. Be it via diagnosis of shock aetiology and reversibility or assessing response to treatment and prognostication. This narrative review discusses current and future applications of echocardiography in this patient group and provides a structure with which one can approach such patients.

scholarly journals Emergency medicine point-of-care ultrasonography: a national needs assessment of competencies for general and expert practice

CJEM ◽  
2015 ◽  
Vol 17 (1) ◽  
pp. 74-88 ◽  
Author(s):  
Lisa M. Fischer ◽  
Michael Y. Woo ◽  
A. Curtis Lee ◽  
Ray Wiss ◽  
Steve Socransky ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Needs Assessment ◽  
Point Of Care ◽  
Core Competency ◽  
Fellowship Training ◽  
Essential Elements ◽  
Fellowship Programs ◽  
Point Of Care Ultrasonography ◽  
Residency Program Directors ◽  
Expert Practice

AbstractIntroductionEmergency medicine point-of-care ultrasonography (EM-PoCUS) is a core competency for residents in the Royal College of Physicians and Surgeons of Canada and College of Family Physicians of Canada emergency medicine (EM) training programs. Although EM-PoCUS fellowships are currently offered in Canada, there is little consensus regarding what training should be included in a Canadian EM-PoCUS fellowship curriculum or how this contrasts with the training received in an EM residency.ObjectivesTo conduct a systematic needs assessment of major stakeholders to define the essential elements necessary for a Canadian EM-PoCUS fellowship training curriculum.MethodsWe carried out a national survey of experts in EM-PoCUS, EM residency program directors, and EM residents. Respondents were asked to identify competencies deemed either nonessential to EM practice, essential for general EM practice, essential for advanced EM practice, or essential for EM-PoCUS fellowship trained (‘‘expert’’) practice.ResultsThe response rate was 81% (351 of 435). PoCUS was deemed essential to general EM practice for basic cardiac, aortic, trauma, and procedural imaging. PoCUS was deemed essential to advanced EM practice in undifferentiated symptomatology, advanced chest pathologies, and advanced procedural applications. Expert-level PoCUS competencies were identified for administrative, pediatric, and advanced gynecologic applications. Eighty-seven percent of respondents indicated that there was a need for EM-PoCUS fellowships, with an ideal length of 6 months.ConclusionThis is the first needs assessment of major stakeholders in Canada to identify competencies for expert training in EM-PoCUS. The competencies should form the basis for EM-PoCUS fellowship programs in Canada.

1202: INTENSIVE CARE UNTETHERED: EXPANDING CRITICAL CARE THROUGH A NOVEL RAPID RESPONSE TEAM

2018 ◽  
Vol 46 (1) ◽  
pp. 585-585
Author(s):  
Rohit Gupta ◽  
Michael Kitz ◽  
Jennifer Wang ◽  
Allison Glasser ◽  
Sarah Connolly ◽  
...  
Keyword(s):  
Critical Care ◽  
Intensive Care ◽  
Rapid Response Team ◽  
Rapid Response ◽  
Response Team

scholarly journals Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Vi Am Dinh ◽  
Paresh C. Giri ◽  
Inimai Rathinavel ◽  
Emilie Nguyen ◽  
David Hecht ◽  
...  
Keyword(s):  
Critical Care ◽  
Point Of Care ◽  
Image Interpretation ◽  
Fellowship Training ◽  
Multiple Organ ◽  
Critical Care Echocardiography ◽  
Organ Systems ◽  
Critical Care Ultrasound ◽  
Written Test ◽  
The Impact

Objectives. Despite the increasing utilization of point-of-care critical care ultrasonography (CCUS), standards establishing competency for its use are lacking. The purpose of this study was to evaluate the effectiveness of a 2-day CCUS course implementation on ultrasound-naïve critical care medicine (CCM) fellows.Methods. Prospective evaluation of the impact of a two-day CCUS course on eight CCM fellows’ attitudes, proficiency, and use of CCUS. Ultrasound competency on multiple organ systems was assessed including abdominal, pulmonary, vascular, and cardiac systems. Subjects served as self-controls and were assessed just prior to, within 1 week after, and 3 months after the course.Results. There was a significant improvement in CCM fellows’ written test scores, image acquisition ability, and pathologic image interpretation 1 week after the course and it was retained 3 months after the course. Fellows also had self-reported increased confidence and usage of CCUS applications after the course.Conclusions. Implementation of a 2-day critical care ultrasound course covering general CCUS and basic critical care echocardiography using a combination of didactics, live models, and ultrasound simulators is effective in improving critical care fellows’ proficiency and confidence with ultrasound use in both the short- and long-term settings.

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