Emergency Ultrasound for Rural and Remote Medicine

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Objectives

On completion of this three day clinically focused ultrasound program, emergency physicians will:

Use ultrasound system controls to optimise imaging for accurate diagnosis
Develop proficiency in probe manipulation to efficiently acquire diagnostic images
Describe the limitations and clinical integration of the following ultrasound examinations:
- eFAST
- AAA
- Early pregnancy assessment
- DVT
- Gallbladder
Use a systematic approach to conduct ultrasound assessment of
- trauma
- abdominal aortic aneurysms
- right upper quadrant pain
- pain and bleeding in first trimester
- intrauterine pregnancy or ectopic implantation
- deep vein thrombosis
Demonstrate ultrasound guided needle placement in- plane and out of plane for vascular access and procedural applications using ultrasound simulators

CME recognition

Features

Modules (total) 8
Skill level Novice
Duration (days) 3
Lectures (hours) 4.5
Scan time (hours) 15.25
Clinician No
Zedu redo Yes

Class times

Day 1: 0830 – 1700
Day 2: 0900 – 1700
Day 3: 0900 – 1700

Modules

Image optimisation – interactive practical session

Explore system controls
Understand the impact of optimisation on the image
Presets, frequency, depth, focus and gain
How to label the image
How to store and review images

Probe Manipulation

Probe care
Probe moves
Probe grip
Probe and screen orientation
3D awareness of the anatomical position of the organs

EFAST

eFAST protocol
Scan technique
the “views”
recognise normal and abnormal imaging
qualitative estimates of free fluid volume
Techniques to improve imaging
limitations and pitfalls
clinical utility and application

Scanning, scanning and more scanning of real people

AAA

scanning technique
sonographic anatomy
how to measure a AAA
recognise normal and abnormal imaging
Techniques to improve imaging
Diagnostic criteria
limitations and pitfalls
clinical utility and application

Scanning, scanning and more scanning of real people

Procedural Guidance

Principles of needle guidance
Terminology – In-plane, out-of-plane, LAX and SAX
Techniques to improve imaging
limitations and pitfalls
sonographic anatomy of the region
patient positioning
equipment preparation
ergonomics of safe procedures
Clinical utility and applications

Scanning, scanning and more scanning of real people
Identify the anatomy and needle approach on real people
Stick needles into a wide variety ultrasound phantoms for procedural practice (we want our patients to come back :))

Biliary

scan technique
patient positioning
recognise normal and abnormal imaging
gallstones
acute cholecystitis
choledocholithiasis
gallbladder wall thickness
bile duct measurement
techniques to improve visualisation
limitations and pitfalls
clinical utility and application

Scanning, scanning and more scanning of real people

DVT

anatomy of the vessels
patient positioning
hip to knee scan technique
compression technique
utility of Doppler
recognise normal and abnormal imaging
diagnostic criteria
techniques to improve visualisation
pearls and pitfalls
clinical utility and application

Scanning, scanning and more scanning of real people

Early Pregnancy Assessment

scan technique and approach to the early pregnancy evaluation
recognise normal and abnormal imaging
sonographic signs of non-viable pregnancy
evaluation of ectopic pregnancy
evaluation of pain and bleeding
sonographic signs of gestational sac mimics
sonographic signs of abnormal implantation
diagnostic criteria for pregnancy failure
techniques to improve visualisation
limitations and pitfalls
clinical utility and application

Scanning, scanning and more scanning of real women in their 1 st trimester of pregnancy

CME details

ACEM | Accreditation pending

ACRRM | PDP units – 1 Performance Review, 13 Performance Review, 8 Educational Activity | MOPS points 1. Eligible for procedural and training grants.

ASUM | CCPU Accredited Units: AAA, eFAST, Vascular Access, Basic Early Pregnancy, Biliary

RACGP | This education is a CPD accredited activity under the RACGP CPD program

Approved by ACRRM and RACGP for the Rural Procedural Grants Program – GPs can receive $2000 per day for a maximum of 10 days of training per financial year, GPs providing hospital based emergency services can receive up to three days of eligible training per financial year.

A great training course is only the beginning of your ultrasound learning journey

To help you master ultrasound and lasting change from training we engage you from the outset

Before your course:
There are pre course activities & access to preparatory learning resources to maximise your in-class experience

During your course:

Short, sharp information sessions to provide foundational knowledge and clinical context
Lots of hands-on practical sessions with real people to scan (including for TV and obstetric scans). Our standardised patients models vary in age, size, shape and mobility to make the transition to clinical reality easier.
Case studies led by practising clinicians to demonstrate clinical utility
A variety of different machines to learn on
At the conclusion of your course we’ll lead you to create a skills development action plan, creating a pathway that you can use to apply your newly acquired skills, promote clinical integration and ultimately reach your final objective – ultrasound competency

After your course:
The learning continues

We encourage self-directed learning in the workplace with structured active learning plans
A great selection of free access online medical ultrasound (FoamUS) learning resources
You can subscribe to the weekly wrap – a weekly curation of ultrasound related hot tips and journal articles
Be a part of our community of clever – Join our peer support network with our monthly “Coaching Corner” sessions. Send in your questions, join the live online meeting and have your questions answered.

The Zedu Redo – our commitment to you

We encourage you to refresh your training with us by taking up the opportunity to return within 12 months and do a complimentary redo of this course at no cost (subject to availability)