Because we want residents to be able to meaningfully participate in ultrasound studies performed, note that a maximum of 2 residents may receive credit for any given study. In most cases, clips are preferred over still images.
* = required view to get "credit" for credentialing
Focused questions: (1) Hemoperitoneum? (2) Hemothorax? (3) Hemopericardium? (4) Pneumothorax?
Focused questions: (1) Pericardial effusion or tamponade? (2) Global LV contractility? (3) R heart strain? (4) Volume status?
You need 4 main views (if you are not able to obtain all on all patients, please write a comment into the comment section to explain circumstances).
Any 2-, 3-, or other outflow tract views and Doppler images are also welcome!
Focused questions: (1) Pneumothorax? (2) B-lines - alveolar syndrome? (3) Pleural effusion
For most views, use a curvilinear probe with depth settings of ~12-18 cm. If pneumothorax is the sole question, use the high frequency linear probe
Focused questions: (1) AAA? (2) Iliac aneurysm?
Focused questions: (1) Gallstones? (2) Evidence of cholecystitis (GB wall thickening, pericholecystic fluid, sonographic Murphy sign? (3) CBD dilation suggestion choledocholithiasis/biliary obstruction
Focused questions: (1) Obstructive uropathy - hydronephrosis/hydroureter? (2) Bladder distension?
Ureteral jets can be documented to evaluate for blockages in ureteral flow
Bladder volume calculations are also welcome
Focused questions: (1) IUP present? (2) Evidence of ectopic pregnancy - adnexal mass or pelvic FF?
Estimate gestational age using gestational sac, CRL, or BPD measurements.
Use only M-mode to calculate FHR. Do not use Doppler (color or pulsed wave) as it is a higher energy modality, and the principle of ALARA (as low as reasonably achievable) should be observed.
Estimate gestational age using gestational sac, CRL, or BPD measurements.
Use only M-mode to calculate FHR. Do not use Doppler (color or pulsed wave) as it is a higher energy modality, and the principle of ALARA (as low as reasonably achievable) should be observed.
Focused questions: (1) DVT present?
Focused questions: (1) Presence of pathology - RD, PVD, vitreous hemorrhage, lens dislocation, FB? (2) ONSD dilated >5mm?
Focused questions: (1) Presence of pathology - e.g. fluid collection, FB, air, tendon rupture, fracture, joint effusion?
Focused questions: (1) Presence of pathology - e.g. appendicitis, SBO, diverticulitis, hernia?
Focused questions: Where is the target vein, is it patent, and is it safe for cannulation?
(Please also write a .POCUSVASCACCESS procedure note in Epic for all US-guided IVs)
Focused questions: Where is the target structure, and how do I safely get there with a needle/scalpel?