????????point-of

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• ???????
• ???

2
??????????????????????????????
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??

• ??????????
• ?????
• ????
• ????
• ????

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??????????

• ?????? 7-24 ??
• ????????point-of care
• ??????
• ????
• ????
• ????
• ????
• ?????
• ?????
• ?????

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????????

• ???????????? (impression)
• ??????????? yes or no

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????? FASTFocused assessment with sonography in
trauma
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(No Transcript)
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Sample clinical protocol
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(No Transcript)
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?????(AAA)
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??(Hydronephrosis)
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?????(Cardiac Arrest)
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(No Transcript)
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RUSH protocolRapid Ultrasound in SHock

• Step 1 Evaluation of the Pump
• Step 2 Evaluation of the Tank
• Step 3 Evaluation of the Pipes

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?????

• ?? ???????????
• ?? ??????????????????????
• ?? ?????????????????????

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????

• ????
• ????????????
• ??????????
• ?????????
• ???
• ?????

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(No Transcript)
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???? (Patient care)

• ?????????,???????????
• ?????????????????

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?????????

• ???????
• ???????,?????????????????

• ?????????????
• ???????????????????????? (fellowship/journal
  club)
• ????????????????????????????
• ?????????????

20
?????

• ??WINFOCUS???workshop
• ???????SAEM?ACEP research forum?ICEM

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???????
??? ???
??? ???
??? ???
??? ???
???? ???????????
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????

• ???
• ???
• MICU2
• ??????
• ??????????
• ????????????? (????????????)

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??

• ??????????????
• ???????
• ??Textbook reading?journal club
• ??????????????????????
• ??workshop

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??--Diagnostic accuracy

• Sensitivity, specificity, positive and negative
  predictive values
• Cardiac, to rule out effusion, AAA
• Fluid evaluation IVC
• Pneumothorax
• Cholelithiasis
• Free peritoneal fluid
• Hydronephrosis
• Intrauterine pregnancy, gestational age
• DVT, soft tissue infections

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??--Education

• Survey of training program
• endorsed the use of emergency US in ED
• at least some emergency US training
• structured emergency US rotation
• Dedicated ED US rotation improves residents US
  knowledge and interpretation skills

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??--Education

• Feasibility of a focused ultrasound training
  programme for UGY or PGY students
• didactic instruction
• short bedside practical workshop
• self-directed learning
• assessed by structured viva and OSCE

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??--Education

• Integration of ultrasound in the education
  program in anatomy
• Teaching musculoskeletal ultrasound in the
  undergraduate medical curriculum

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??--US aid in procedure

• Intubation (TRUE)
• CVC catheterization
• Antecubital intravenous cannulation
• Ultrasound-guided fascia iliaca compartment block
  for hip fractures

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??--US aid in management

• Accuracy and outcome of EUS for AAA
• Decreasing length of stay with EUS examination
  of the gallbladder
• The role of EUS for evaluating APN in the ED
• Variable access to immediate bedside US in ED

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??--US aid in management

• Shock RUSH protocol
• Dyspnea BLUE protocol
• Lung US in the ICU from diagnostic instrument to
  respiratory monitoring tool
• Fournier's gangrene
• Assessing Central Venous Pressure
• Drainage of abscess

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??????

• Volume status and preload responsiveness
  assessment
• 1.IVC diameter2.IVC collapsibility index3.LV
  end diastolic area4.LVOT VTI variation with
  respiration5.Peripheral artery Vmax
  variation6.LVOT VTI variation with passive leg
  raise

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Lung ultrasound a new tool for the
cardiologistCardiovascular Ultrasound 2011 96

• ? ultrasound
• a new tool for the EP

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????

• ??????????,??????????????,????????????????
• ?????????????????
• ??????

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Welcome to join our ultrasound fellowship
training program !!