The 2015 Critical Care Ultrasound Course will be offered August 20-21, 2015.
This annual course is offered as the official course of our Critical Care training program and is attended by all critical care fellows. Further, it will be the most comprehensive course offered in the country for the intensivist or resuscitative physician who seeks to acquired fundamental skills in the assessment of:
-Thoracic and lung ultrasound
-Vascular access, including peripheral veins and arteries
-Assessment for DVT
-Critical Care Echocardiography including assessment of LV function, RV, pericardium, valves and IVC.
The course will be directed by Robert Arntfield.
Additional faculty, agenda and brochure will be announced closer to the course but for a sense of what is in store for you, see the images from the 2014 course.
If you have interest in attending this course please email Tammy.Mills@lhsc.on.ca who will be able to notify you when registration for this course opens early in 2015.
In this case a sudden deterioration in the emergency department prompts a TTE which shows some concerning physiology. It is not until the TEE is inserted, however, that the culprit disease can be identified.
*Images courtesy of Dr. Drew Thompson, Division of EM, Western University
*TEE in the ED is valuable for critically ill patients
*TEE has advanced diagnostic potential, including the identification of aortic dissection in a rare number of cases
*TEE has value in cardiac arrest in particular for its ability to provide all the benefits of echocardiography (identification of reversible causes, prognostication, subjective and objective evaluation of CPR quality) without any need to interrupt chest compressions
In this case you will see 2 echos from the same patient only 1 day apart. The patient had raging septic shock from a skin source and was requiring significant hemodynamic support. You can appreciate the cardiac dysfunction from a 2D point of view but also from a quantitative point of view. The next day – you will see significant changes, now off inotropes (epinephrine, milrinone and norepinephrine).
*Images courtesy of Dr. Vincent Lau, critical care fellow, Western University
*Septic cardiomyopathy is a common cause of LV and/or RV dysfunction in the context of severe sepsis or septic shock
*Point-of-care echo can be used repeatedly to recognize often rapid changes in cardiac function that occur during septic illness
*Quantitative stroke volume determination (using VTI from the LVOT) can additionally support your findings and guide management
For a similar case on septic cardiomyopathy, check out CHEST ultrasound corner here.