EDTU II

EDTU II TRAINING MODULE

The EDTU II training module is designed to facilitate the completion of the fifty (50) recommended supervised scans in each of four areas (aorta, cardiac, abdomen, and pelvis) for physicians having completed the EDTU Roadshow or other recognized introductory ultrasound course. Further EDTU bedside training will increase the participant’s proficiency in EDTU.

Module Description

This module requires the participant to have completed an introductory EDTU course prior to starting the module. The core training will consist of 50 supervised and/or reviewed EDTU scans in the areas of FAST, cardiac, abdominal aorta and pelvic/obstetrical ultrasound. These scans will be observed under the supervision of CAEP recognized EDTU instructors. Training in procedural ultrasound will be included in this module at each designated site. In total, the training will consist of 12 to 16 hours of supervised EDTU scans in a one-to one participant: instructor teaching format. The EDTU scans will be done on live models/patients in a clinical setting at the designated sites.

Participants will be provided with feedback and further instruction during the module to enhance independent scanning skill and confidence. Upon successful completion of the training module the participant will be provided a certificate of module completion indicating the number of CME credits.

Learning Objectives

1. Physics:

a. Use physical principles of ultrasound in emergency targeted studies: concepts to include piezoelectric effect, frequency, resolution, attenuation and echogenicity.

b. Recognize the role of proper instrumentation in image acquisition:  concepts to include image mode, gain, depth and probe types.

c. Recognize artifact and its role in image acquisition: concepts include reverberation, shadowing, enhancement, mirror and ring-down.

2. FAST:

a. Integrate the indications for EDTU into clinical practice: know clinical algorithms and limitations of the FAST exam in penetrating and blunt thoraco-abdominal trauma.

b. Describe the relevant ultrasound anatomy of the liver, spleen, kidneys, bladder, uterus, pericardium and lung bases.

c. Understand and recognize the focused findings and pitfalls related to the detection of hemo-peritoneum, hemo-pericardium, global cardiac function and hemothorax.

3. Abdominal Aortic Aneurysm:

a. Integrate the indications and limitations of targeted ultrasound in the evaluation of abdominal aortic aneurysms in the practice of clinical medicine.

b. Identify the local anatomy including the aorta, inferior vena cava and spine.

c. Seek and recognize the relevant ultrasound findings and pitfalls when scanning for abdominal aortic aneurysms.

d. Use measurement techniques to augment detail of EDTU findings.

4. Cardiac ultrasound:

a. Apply the clinical indications and limitations of emergency cardiac ultrasound.

b. Describe the relevant cardiac anatomy.

c. Understand the standard cardiac windows when evaluating for cardiac activity and pericardial effusions.

d. Understand and apply the relevant clinical implication when evaluating for cardiac activity and pericardial effusions.

5. Pelvic ultrasound:

a. Recognize the indications and limitations of focused ultrasound in first-trimester pain and bleeding.

b. Use a clinical algorithm for the role of EDTU in first-trimester pain and bleeding.

c. Seek and recognize the criteria to identify a definitive intrauterine pregnancy (DIUP).

d. Recognize when no definitive intrauterine pregnancy exists and its relationship to an extrauterine gestation.

e. Understand the trans-abdominal and endocavitary views when performing focused ultrasound in early pregnancy.

f. Recognize the relevant focused findings and pitfalls when scanning for intrauterine pregnancy.

6. Ultrasound-guided central venous access:

a. Describe the indications and pitfalls when using ultrasound to guide central venous access.

b. Have a solid understanding of the relevant vascular anatomy and surface anatomy.

c. Demonstrate use of the various techniques for identifying the needle tip on ultrasound image.

d. Describe confirmation of central venous access using ultrasound.

Registration for EDTU II

All training provided by the CAEP EDTU instructors, other than that provided to residents, is managed and paid for through the CAEP CME office. Candidates wishing to arrange for EDTU II will contact the CAEP CME office jmacisaac@caep.ca

Fees:

$200.00/hour

Administration fee of $150.00 for CAEP members; $300 for non-members.

If you require more than 14 hours of training to complete the required number of scans, CAEP will invoice for the additional time @ $200 per hour.

Some physicians may have completed some or all of the required scans with recognized CAEP instructors. In the case of completion, a CME certificate will be issued following payment of the administration fee. Should a physician require partial training they will incur the same cost as other physicians for the additional hours they require @ $200.00 per hour in addition to the administration fee to CAEP.