Tactical Ultrasound Course 2009---GSACEP
Sunday, 8 February 2009
Target Audience: This course was designed for military emergency physicians on the application of ultrasound to the battlefield, but it also presents benefits to other practicing emergency medicine physicians, residents and physician assistants who are interested in the basics of ultrasonography as it applies to the setting of emergency medicine.
Description of educational content: The educational material regarding the emergency ultrasound workshop will be presented in two formats. Primary instruction will occur through PowerPoint presentations that will include both relevant photos and video clips. Additionally, educational instruction will be solidified through hands-on instruction for the various ultrasound applications previously covered by PowerPoint.
0700-0730
Registration/Breakfast
0730-0745
Introduction
MAJ Brad Younggren, MD, FACEP
0745-0815
Length: 30 minutes
Speaker: CPT Brooks Laselle MD; Fellow, Emergency Ultrasound; Clinical Instructor, University of Colorado School of Medicine, Department of Emergency Medicine Denver Health Medical Center, Denver, CO
Title of presentation: Physics/Knobology
Teaching Method: Power Point Presentation
Learning Objectives: The physics of ultrasound will be discussed as it relates to the bedside evaluation of patients. The knobology of a sample ultrasound machine will be discussed and demonstrated. Upon completion of this workshop participants should be able to discuss the essential physics related to emergency ultrasound and describe functional components of an ultrasound machine to enhance image acquisition
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0815-0915
Length: 60 minutes
Speaker: MAJ Bradley N. Younggren, MD, FACEP: Associate Program Director, Madigan Army Medical Center Emergency Medicine; Acting Medical Director, Andersen Simulation Center, Fort Lewis, WA; Assistant Professor of Medicine, University of Washington
CPT Todd J McArthur MD RDMS: Director ED Ultrasound, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: "FAST Examination"
Teaching Method: Power Point Presentation and Demonstration
Learning Objectives:
Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to blood and indicates a surgical emergency. Upon completion of this session participants should be able to describe the essential views in a FAST examination, identify a positive exam in relation to all four primary views; discuss ultrasound guided decompression of pericardial tamponade.
0915-0945
Length: 30 minutes
Speaker: : MAJ Bradley N. Younggren, MD, FACEP: Associate Program Director, Madigan Army Medical Center Emergency Medicine; Acting Medical Director, Andersen Simulation Center, Fort Lewis, WA; Assistant Professor of Medicine, University of Washington
CPT Todd J McArthur MD RDMS: Director ED Ultrasound, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: "Pneumothorax Scan/Central Venous Pressure"
Teaching Method: Power Point Presentation
Learning Objectives: Thoracic ultrasonography is an exciting component of skills seldom mentioned in the literature. Here we will discuss the excellent use of ultrasound in the identification of injuries or abnormalities in the thoracic cavity. Upon completion of this workshop, participants should be able to: determine how to acquire the appropriate images in a pneumothorax scan, a pneumothorax on ultrasound and relevant ultrasound signs for pneumothorax; identify a pleural effusion on ultrasound; estimated CVP using ultrasound to include the use of M-Mode.
0945-1015
Length: 30 minutes
Proctors: All Staff
Title of Presentation: "Breakout Scanning Session"
Teaching Method: Hands-on
Learning Objectives: Upon completion of this workshop participants should be able to demonstrate the ability to acquire the images of a FAST examination, demonstrate the ability to acquire the images for pneumothorax studies, and demonstrate the ability to acquire the images necessary for CVP measurements.
1015- 1100
Length: 45 minutes
Speaker: CPT Todd J McArthur MD RDMS: Director ED Ultrasound, Dept Emergency Medicine, Madigan Army Medical Center, Fort Lewis, WA
Title of presentation: "Basic Abdomen/Kidney"
Teaching Method: Power Point Presentation
Learning Objectives: Abdominal and kidney evaluation in the emergency department can be time sensitive and direct early clinical decisions. It is a skill easily mastered with practice and a good working knowledge of anatomy. Upon completion of this workshop participants should be able to describe how to acquire appropriate images of the aorta and pertinent criteria for understanding abnormal scans. They should be able to explain the indications for renal ultrasound, identify abnormal renal ultrasounds to include hyrdonephrosis and analyze if there is urine entering the bladder by ultrasound.
1100-1215
Length: 45 minutes
Proctors: Staff
Title of presentation: "Breakout Scanning"
Teaching Method: Hands-on
Learning Objectives: Upon completion of this workshop participants should be able to acquire the appropriate images of the abdominal aorta, the appropriate images of the kidney, and the appropriate images of the bladder for nephrolithiasis.
1215-1300 Lunch
1300-1400
Length: 60 minutes
Speaker: MAJ Jeremy N. Johnson, DO: Emergency Ultrasound Fellow, Palmetto Richland Memorial Hospital, Columbia, SC
Title of presentation: "Central and Peripheral Vascular Access"
Teaching Method: Power point presentation
Length: 60 minutes
Learning Objectives: Establishing access to the vascular system has been traditionally a "hit and miss" event with reliance on "normal" anatomy. With the advent of ultrasound use, blind sticks should be a thing of the past. Upon completion of this workshop participants should be able to discuss the indications for central venous access, the methods of utilizing ultrasound to acquire peripheral access and the different methods of ultrasound-guided central line placement. The participant will be able to discuss the complications related to central line placement.
1400-1430
Length: 30 minutes
Speaker: MAJ Jeremy N. Johnson, DO: Emergency Ultrasound Fellow, Palmetto Richland Memorial Hospital, Columbia, SC
Title of presentation: "Small Parts/Abscess/Tendon/Joint/Muscle"
Teaching Method: Power point presentation
Learning Objectives: Ultrasounds have many other "small parts" use and application and during this session these are discussed at length. Upon completion of this workshop participants should be able to identify an abscess by ultrasound, a tendon and ligament injuries by ultrasound and relevant joint spaces by ultrasound.
1430-1500
Length: 30 minutes
Speaker: CPT Brooks Laselle MD; Fellow, Emergency Ultrasound; Clinical Instructor, University of Colorado School of Medicine, Department of Emergency Medicine Denver Health Medical Center, Denver, CO
Title of presentation: "Ocular Ultrasound"
Teaching method: Power point presentation
Learning Objectives: Eye injuries, sudden visual changes and altered mental status are not thought to be clinical scenarios that the ultrasound machine can assist the emergency medicine physician with. Well, it can. Upon completion of this workshop participants should be able to identify important structures related to ocular ultrasound, identify retinal detachment by ocular ultrasound and identify increased ICP by ocular ultrasound.
1500-1545
Length: 45 minutes
Speaker: MAJ Bradley N. Younggren, MD, FACEP: Associate Program Director, Madigan Army Medical Center Emergency Medicine; Acting Medical Director, Andersen Simulation Center, Fort Lewis, WA; Assistant Professor of Medicine, University of Washington
Title of presentation: "Tactical Case Examples"
Teaching method: Power point presentation
Learning Objectives: Open discussion of cases in the austere environment where ultrasound was used. Upon completion of this workshop participants should be able to explain the role that tactical ultrasound can play in the theater of combat medicine.
1545-1630
Length: 45 minutes
Proctor: All Staff
Title of presentation: "Final Scanning Opportunity"
Teaching method: Hands-on
Learning Objectives:
Final chance to put to practice all the skills and knowledge acquired today. Upon completion of this workshop participants should be able to acquire the appropriate and necessary images for central line placement and peripheral venous access; acquire the appropriate images as it relates to ocular emergency ultrasound; identify an abscess by ultrasound.