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Critical Care Ultrasound Training: Past, Present, and Future


Point-of-care ultrasonography has become a necessary skillset for clinicians caring for critically ill patients. Fellows, residents, and medical students are increasingly being taught to perform and interpret bedside ultrasound. However, questions remain on what specifically they should be taught (i.e. which ultrasound exams are relevant to critical care), how they should be taught (i.e. which teaching modalities work to train and retain knowledge), and by whom (national/regional vs local experts). Our expert panel will offer their thoughts and experiences related to critical care ultrasound training of trainees, suggestions to help build thoughtful comprehensive critical care ultrasound curriculums and provide practical advice to help overcome barriers to implementation.

 

Webinar date:
Thursday September 22nd at 11am EDT

Presented by:
Deepak Pradhan, MD, FCCP
Assistant Professor of Medicine
Division of Pulmonary, Critical Care, and Sleep Medicine
New York University School of Medicine
New York, NY

Expert Panel:
Mark Adelman, MD
2nd year Fellow, Pulmonary/Critical Care Medicine Fellowship
Division of Pulmonary, Critical Care, and Sleep Medicine
New York University School of Medicine

Robert Arntfield, MD, FRCPC, FCCP, FACEP
Associate Professor
Director, Critical Care Ultrasound Program
Division of Critical Care Medicine
Western University
London, Ontario, Canada

Daniel A. Lichtenstein, MD
Professor of Medicine
President of CEURF
Medical ICU, Hospital Ambroise-Pare
Paris-West University
Boulogne-Billancourt, France

Paul Mayo, MD
Professor of Medicine
Division of Pulmonary, Critical Care, and Sleep Medicine
North Shore University Hospital
Long Island Jewish Medical Center
Hofstra Northwell School of Medicine
New Hyde Park, New York, U.S.A.

Moderators:
Rosemay Adamson, MBBS
Assistant Professor of Medicine
Division of Pulmonary and Critical Care Medicine
University of Washington
Seattle, WA

Garth W. Garrison, MD
Assistant Professor of Medicine
Division of Pulmonary and Critical Care Medicine
University of Vermont Medical Center
Burlington, Vermont

Resources for Webinar

 

Guidelines on Critical Care Ultrasound Training and Competence:

  1. Accreditation Council for Graduate Medical Education (ACGME): http://www.acgme.org/portals/0/pfassets/programrequirements/156_pulmonary_critical_care_int_med_2016.pdf
  2. ACCP/SRLF Statement on Competence in CCUS:

Mayo P, Beaulieu Y, Doelken P, Feller-Kopman D, Harrod C, Kaplan A, et al. American College of Chest Physicians/La Société de Réanimation de Langue Française statement on competence in critical care ultrasonography. Chest. 2009;135:1050–60.

  1. ESICM International expert statement on training standards for CCUS (Vienna statement):

Cholley B. International expert statement on training standards for critical care ultrasonography. Intensive Care Med. 2011;37:1077–83.

  1. Canadian Critical Care Society (CCCS) recommendations for CCUS training and competency:

Arntfield R, Millington S, Ainsworth C, Arora R, Boyd J, Finlayson G, et al. Canadian recommendations for critical care ultrasound training and competency. Can Respir J. 2014;21:341–345.

 

Relevant Articles on Critical Care Ultrasound Training and Education:

  1.  Mosier J. M., Malo J., Stolz L. A., et al. Critical care ultrasound training: a survey of US fellowship directors. Journal of Critical Care. 2014;29(4):645–649
  2. Eisen LA, Leung S, Gallagher AE, Kvetan V. Barriers to ultrasound training in critical care medicine fellowships: a survey of program directors. Crit Care Med. 2010;38(10):1978–83.

 

Algorithms and Protocols in Critical Care Ultrasound:

  1. Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008;1341:117-125.
  2. Lichtenstein DA.  BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill.  Chest. 2015 Jun;147(6):1659-70. doi: 10.1378/chest.14-1313.
  3. Lichtenstein D, Malbrain ML. Critical care ultrasound in cardiac arrest. Technological requirements for performing the SESAME-protocol—a holistic approach. Anaesthesiol Intensive Ther. 2015;47(5):471–81.

 

On-line Resources:

  1. Websites
    1. www.ultrasoundpodcast.com
    2. www.westernsono.ca
    3. Free Apps:
      1.  One Minute Ultrasound
      2. Pocket Emergency Ultrasound
      3. POC Ultrasound Guide
      4. Emergency Ultrasound Handbook


Last Reviewed: October 2016