So you’re feeling comfortable with assessing LV function, RV function, the pericardium, the IVC and some basic valve stuff.  What next?  What should you focus on to take your critical care echo game to the next level?

For some inspiration, check out this handbook  that Dr. Mark Tutschka (PGY5 – Critical Care) has put together.  It is a nice, succinct guide to some of the advanced applications for echocardiography in the ICU that he (and I) feel are most valuable in the initial venture in to Doppler, grading regurgitation severity and some more quantitative analysis that will help with hemodynamics.  It is by no means comprehensive but should whet your appetite for something more substantial, like a definitive echocardiography text or this excellent ICU echocardiography book.

The book can be easily bound in to a pocket-sized handbook.  We have some here at Western if you’re interested in a free copy.