Curriculum

This is everything that’s covered.  For details on exactly when go to our schedule page.

Benefits, Intro, Physics and Knobology

You can’t do ultrasound without the background physics and knobology. We promise, though, this isn’t going to be as boring as it sounds. We’re also going to go over the highlights of WHY all this is important to get you jacked up for all the learning that’s about to laid on you.

Trauma

That’s right, car crashes, shanking, and GSWs.  Even if you’re a novice, this is probably the one modality you’ve got some experience with.  If not, we’ll give it to you.  If you’ve already done thousands, we’ll give you our best advice on tips, tricks, and how to be most effective when using ultrasound in trauma.

Cardiac

Some people consider the heart to be important to life.  If you’re one of those people, you’re gonna enjoy this lecture.  Learn how to diagnose pericardial tamponade, pump failure, and cardiac standstill.  The basics.  If you want more advanced cardiac stuff, come to day 3.

Vascular Access

Your chance to be a hero!  That patient that even your best nurse can’t get a line on?  Step aside, Dr. Ultrasound coming to save the day.  Learn how to quickly identify and cannulate peripheral veins.  Of course, we’ll go over central lines too.  If your hospital hasn’t mandated ultrasound use for all of these, then they’re behind.  There’s no more excuses for pneumothoraces.

Aorta

This is possibly the easiest way you’ll ever save a life.  You can’t diagnose AAA or dissection if you can’t see it.  If you can, though, we promise, you will save lives.  Here we’ll show you how.  It’s not hard.  I mean it’s a huge pipe running right down the middle of your body.

Appendix Ultrasound

This is an advanced technique that we hope to convince you to at least give a try.  You may not be able to rule out appendicitis with bedside ultrasound, but we believe we can rule it in and your patients can benefit from you having this skill.

Soft Tissue Ultrasound

Foreign body identification and removal is sometimes one of the most difficult things we do.  Simply put, ultrasound makes it easier.  Although it may seem like cellulitis vs. absess is fairly straight forward and you’ve been making the call for years, you may not be as good as you think.  We’ve got great evidence that ultrasound changes the management in a very large percentage of cases (up to half).  During this 30 minutes we’ll show you how you can be more confident and better manage your next skin infection.

DVT

If you’re not doing this, it’s not because you don’t have good evidence backing you up.  While we probably can’t rule out appy at the bedside, we can rule out DVT.  If you’re doubtful check out Compression Ultrasonography of the Lower Extremity With Portable Vascular Ultrasonography Can Accurately Detect Deep Venous Thrombosis in the Emergency Department
Annals of Emergency Medicine 2010;56(6):601-10.

Gallbladder Ultrasound

Have you ever seen a patient with abdominal pain?  If so, you’re not gonna want to miss this lecture.  We’re going to teach you how to identify gallstones, cholecysistitis, and dilated CBD.

Pelvic Ultrasound

Vaginal bleeding is a disease that we should own in the ED.  We’re the ones, not OB, that sees these patients in the 1st trimester.  So it’s up to us to know how to diagnose and manage the diseases associated with this.  You’ll be amazed at your increased efficiency by knowing how to do this instead of relying on radiology for your 1st trimester ultrasounds.

Renal

One of the easiest, yet one of the most useful ultrasounds in EM.  What’s your question when a patient comes in with kidney stones?  Are they infected, and do they have hydro.  Answer these questions in minutes and save tons of money and radiation costs when you go to an ultrasound first strategy for stones.  By the way, the European Urologic Association has your back when it comes to this strategy.

Ocular Ultrasound

The eyeballs are so superficial and fluid filled that it’s like they’re just screaming to be ultrasound.  We’ll teach you how to evaluate for retinal detatchement, vitreous hemorrhage, ruptured globe, increased ICP, and more.  This is really cool…..and really useful!

Diastology

Have you ever been SURE someone was in heart failure, but their echo shows good systolic function. Have you ever read “impaired relaxation” on an echo report and wondered what the hell they were talking about. This hour of eye crossing echocardiography will prepare you for the most confusing of heart failure patient. You will learn how to evaluate the diastolic function of the heart and slam the diagnosis of heart failure on up to 50% of the patients your are missing it on.

Undifferentiated Hypotension

Wish you had an algorithm to diagnose the cause of shock in that sick patient lying in front of you. With this 30 min lecture, we’ll bring it all together and talk out how ultrasound can lead you down the yellow brick road with the RUSH protocol. No longer will you be flipping the fluid resuscitation coin with clinical exam interpretations of fluid status….

Lung Ultrasound

(working lunch) – This 30 min lecture will school you on the introductory lung exam. Learn how your ultrasound probe can replace your CXR for pneumothorax, pleural effusion, pneumonia, and help differentiate that dyspneic patient.

Wall Motion Abnormalities

Convinced your patient his having a cardiac event but there is no specific ECG changes. Whats new? ECG doesn’t pick up every MI, so why should that be the only trick up your sleeve. Quit waiting hours for those trops and do some echo. This lecture will begin to teach you how to identify wall motion abnormalities in NSTEMI and give you an excuse to get that patient to the cath lab earlier.

Advanced Echo Emergencies

Patients that would likely die if you hadn’t done that echo. Treat them the right way faster. Here’s how.

CO and Fluid Responsiveness

If I only new how to manage the volume resuscitation on this sick septic patient. Do they need liter number 3, or is it time for dobutamine? This lecture will teach you how to measure cardiac output with the ultrasound machine and use dynamic measures of fluid responsiveness to manage your septic patients.

Sprains, Strains, and Tears

How would you like to be able to tell your patient what the ACTUAL problem is instead of diagnosing “knee injury, ankle sprain, or rotator cuff strain”?  Wouldn’t it be cool to show them in real time the medial meniscus injury, ATFL disruption, or supraspinatus tear?  Come let us show you how.

Fracture evaluation

If you haven’t seen the tremendous literature piling up regarding ultrasound for fracture of long bones, especially in kids, then you haven’t been paying attention.  Many of the studies show that ultrasound is even MORE SENSITIVE than x-ray for rib and long bone fracture.  So how about you saddle up and let us teach you.

Ultrasound guided nerve blocks

What would you rather do with your 90 y/o lady with a femur fracture:  control her pain with a bunch of narcotics so she quits breathing, or give her a simple 3 in 1 nerve block with no associated respiratory depression?  There are tremendous capabilities and uses for ultrasound guided nerve blocks in the ED.   Put down the Narcan and add this skill to your bag of tricks.

Ultrasound guided Injections and aspiration

Think that joint is septic? Help yourself out by taping that joint with ultrasound guidance.  It’s as simple as driving with your eyes closed or eyes open. If you give injections in your practice, you can definitely do it better with ultrasound.  Come and learn how to drive with your eyes open.

Cadaver Lab Ultrasound Experience

Turns out we can’t find any volunteers to allow us to practice ultrasound-guided joint injections and aspirations, or LPs, or nerve blocks, or many other procedures.  So, instead we’re very excited to still offer you the chance to learn and practice these things on cadavers.  We will have a cadaver lab on Friday with the MSK day.  We will transfer small groups to the cadavers between MSK lectures to practice the new skills they’ve learned about.  You will not miss any of the didactic MSK course.  Potential skills we will practice on the cadavers through advanced simulation and cadaver manipulation include:
Nerve blocks
LP
Joint Aspiration and Injection – Dye will be injected prior to practice to allow real time confirmation
FAST scanning – Fluid injected into abdomen to simulate positive FAST scan
US guided Line Placement
SBO – We will possibly attempt a new model for SBO simulation (still in planning phase)
There is a significant cost associated with the cadavers and material, so there is an extra fee for participation in this lab.  If you do not wish to participate you will still be able to scan live models on the MSK day.

Ultrasound Management Course

Learn the ins and outs of managing an ultrasound program.  From machine acquisition and maintenance, to QA/Billing/Reimbursement.  This will better equip you to take care of the administration of an effective ultrasound program.