Page 58 - JSOM Winter 2021

TABLE 2 Comprehensive Point-of-care Ultrasound Course for Military Medics
Pre-course Knowledge Test
Duration of
Day Online Component Live Didactics Hands-on Practice Training
1 • Basic ultrasound Live lecture/review Session 1: Probe orientation, basic knobology, workflow – 1.5 hr 8 hr
physics and (60 min) • Probe selection
knobology [20 min] 1. Introduction to • Orientation to probe movements
• Basic TTE imaging ultrasound • Machine operation/basic knobology
(windows and views) 2. TTE imaging • Adjustment of ultrasound controls (gain, focus, depth)
[27 min] • Image optimization
• Troubleshooting
Session 2: TTE imaging – 4.5 hr
• Probe orientation and manipulation
• Acquisition of parasternal, apical, and subcostal views on
simulator and live model
2 • Ultrasound-guided Live lecture/review Session 1: Ultrasound-guided vascular access – 3 hr 9.5 hr
vascular access (60 min) • Appropriate sterile technique
[30 min] 1. Ultrasound • Identification of target vessel in central and peripheral vascular
• Abdominal guided vascular access
ultrasound for access • Review of equipment
bleeding [22 min] 2. Abdominal • Performane of ultrasound-guided cannulation on a phantom model
• Lung ultrasound ultrasound and mannequin
[30 min] 3. Lung ultrasound Session 2: Abdominal and lung ultrasound and review of TTE – 4 hr
• Imaging and assessment of the abdomen on simulator and live
model
• Imaging and assessment of the lung on live model
• Recognition of lung/pleura
• Demonstration of M-mode
• Identification of lung sliding
• Identification and evaluation of left and right upper quadrant
structures and viscera
• Recognition of intraperitoneal fluid in dependent areas
• Review of parasternal, apical, and subcostal views on simulator
and live model
3 • Overview of the Live lecture/review Session 1: Review of TTE, vascular access and abdominal 9 hr
RUSH exam [25 min] (2 hr) ultrasound – 3 hr
• TTE: Pericardial 1. RUSH lecture • Review of parasternal, apical, and subcostal views on simulator
effusion and 2. RUSH case-based and live model
tamponade [25 min] discussion • Review of abdominal ultrasound on simulator and live model
• Review of ultrasound-guided vascular access on a phantom model
and live model
Session 2: RUSH practice – 3 hr
• Acquisition of parasternal, apical, and subcostal views on
simulator and live model
• Identification and evaluation of left and right upper quadrant and
pelvis structures and viscera
• Recognition of intraperitoneal fluid in dependent areas
4 Apple iBook: Live lecture/review Session 1: Review of TTE, abdominal ultrasound and RUSH – 3 hr 9.5 hr
Interactive Ultrasound (1.5 hr) • Review of parasternal, apical, and subcostal views on simulator
Guided Regional 1. Introduction and live model
Anesthesia to regional • Review of abdominal ultrasound on simulator and live model
Section 3 – anesthesia • Review of RUSH exam on simulator and live model
Regional Anesthesia 2. Upper extremity Session 2: Regional anesthesia (upper and lower extremity blocks) –
Complications blocks 4 hr
Chapter 5 – 3. Lower extremity • Review of equipment
Axillary Block blocks • Probe manipulation
Chapter 9 – • Neurovascular identification of interscalene, supraclavicular,
Femoral Block infraclavicular, axillary, and distal nerve blocks of the upper
Chapter 10 – extremity on live model
Popliteal Fossa Block • Neurovascular bundle identification of sciatic and popliteal fossa
blocks on live model
• Identification of paravertebral space, rectus sheath, and TAP on
live model
• Ultrasound-guided needling on phantom models and mannequins
5 Review Review Session 1: Open lab for review of ultrasound-guided vascular access, 7 hr
regional anesthesia, TTE, abdominal ultrasound and RUSH* – 3.5 hr
Session 2: OSCE and Post-course Knowledge Test – 3 hr
Total Duration of Training 43 hr
*TTE = transthoracic echocardiography; RUSH = Rapid Ultrasound for Shock and Hypotension; TAP = transversus abdominis plane; OSCE =
Objective Structured Clinical Examination.

56 | JSOM Volume 21, Edition 4 / Winter 2021