IUSM Point of Care Ultrasound Fluid Assessment and Kidneys/Bladder

Tuesday, August 30, 2022, 3:00 PM - Saturday, August 30, 2025, 11:59 PM

Used as a focused diagnostic tool, Point of Care Ultrasound is increasingly used throughout clinical medicine. The purpose of this online enduring activity is to provide the participant with fundamental knowledge in machine operation, ultrasound physics, and how to perform a focused exam for fluid assessment and kidneys & bladder.

Launch Date: 8/30/2022

Expiration Date: 8/29/2025

1. Apply the fundamentals of ultrasound physics and machine controls when performing point of care ultrasound examinations.
2. Implement proper ultrasound scan techniques when performing fluid assessment and kidney/bladder point of care ultrasound examinations.
3. Identify normal anatomy on fluid assessment and kidney/bladder point of care ultrasound examinations
4. Critique ultrasound image characteristics to determine if fluid is present in the pleural space, pericardial space, and peritoneum.
5. Critique ultrasound image characteristics to determine findings of hydronephrosis and urinary retention.

To access the modules, please register using the registration tab.

Registration fee: $50

How to obtain continuing education credits after viewing the webinar: 

1. Sign in or create a new account by clicking "Sign In" in top left corner. *If you previously participated in a CME activity accredited by IU but do not know your password, please enter your email address and click on the 'Forget Your Password' button. Your password will be emailed to you.
2. you will receive instruction in the registration confirmation email on how to access the modules.
3. After completing all modules come back here, and click the Tests tile to attest to completing the activity. Please note that, all modules need to be completed in order to receive CME credit.
4. Click the MyCME button and click the Evaluations and Certificates tile. 
5. Choose the Type of Credit, complete the CME Evaluation, and click Submit.
6. On the Evaluations and Certificates page, click Download Certificate.

 

 

References:

References for Pocus Abdomen 1 CME Course

Additional Resource Links

We provide links to this book in each module

·       Soni NJ, Arntfield R, Kory P. Point-of-Care Ultrasound. 2^nd ed. Elsevier; 2020.

This link is provided in the fluid assessment module

·       https://www.aium.org/resources/guidelines/fast.pdf

Reference Articles

Fluid Assessment module

Nishijima DK, Simel DL, Wisner DH, et al. Does this adult patient have a blunt intra-abdominal injury? JAMA. 2012;307(14):1517–27.

Bahner D, Blaivas M, Cohen HL, et al. AIUM practice guideline for the performance of the focused assessment with sonography for trauma (FAST) examination. J Ultrasound Med. 2008:313–8.

Surgery ACO. ATLS Student Course Manual. 8th ed. 2008 Jan. 1;:1–8.

Plummer D, Brunette D, Asinger R, et al. Emergency department echocardiography improves outcomes in penetrating cardiac injury. Ann Emerg Med. 1992;21:709-12.

Melniker L, et al. Randomized control trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med. 2006;48:227-235.

 

Renal Module

Hydronephrosis

Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo CA Jr, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL, Kriesel DR, Ma OJ, Mallin M, Manson W, Melnikow J, Miglioretti DL, Miller SK, Mills LD, Miner JR, Moghadassi M, Noble VE, Press GM, Stoller ML, Valencia VE, Wang J, Wang RC, Cummings SR. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100-10. doi: 10.1056/NEJMoa1404446. PMID: 25229916. Download Smith-Bindman R, Aubin C, Bailitz J, Bengiamin RN, Camargo CA Jr, Corbo J, Dean AJ, Goldstein RB, Griffey RT, Jay GD, Kang TL, Kriesel DR, Ma OJ, Mallin M, Manson W, Melnikow J, Miglioretti DL, Miller SK, Mills LD, Miner JR, Moghadassi M, Noble VE, Press GM, Stoller ML, Valencia VE, Wang J, Wang RC, Cummings SR. Ultrasonography versus computed tomography for suspected nephrolithiasis. N Engl J Med. 2014 Sep 18;371(12):1100-10. doi: 10.1056/NEJMoa1404446. PMID: 25229916.

Riddell J, Case A, Wopat R, Beckham S, Lucas M, McClung CD, Swadron S. Sensitivity of emergency bedside ultrasound to detect hydronephrosis in patients with computed tomography-proven stones. West J Emerg Med. 2014 Feb;15(1):96-100. doi: 10.5811/westjem.2013.9.15874. PMID: 24578772; PMCID: PMC3935794. Download Riddell J, Case A, Wopat R, Beckham S, Lucas M, McClung CD, Swadron S. Sensitivity of emergency bedside ultrasound to detect hydronephrosis in patients with computed tomography-proven stones. West J Emerg Med. 2014 Feb;15(1):96-100. doi: 10.5811/westjem.2013.9.15874. PMID: 24578772; PMCID: PMC3935794.

Urinary Retention

Katzouraki G, Zubairi AJ, Hershkovich O, Grevitt MP. A prospective study of the role of bladder scanning and post-void residual volume measurement in improving diagnostic accuracy of cauda equina syndrome. Bone Joint J. 2020 Jun;102-B(6):677-682. doi: 10.1302/0301-620X.102B6.BJJ-2020-0195.R1. PMID: 32475252. Download Katzouraki G, Zubairi AJ, Hershkovich O, Grevitt MP. A prospective study of the role of bladder scanning and post-void residual volume measurement in improving diagnostic accuracy of cauda equina syndrome. Bone Joint J. 2020 Jun;102-B(6):677-682. doi: 10.1302/0301-620X.102B6.BJJ-2020-0195.R1. PMID: 32475252.

Nixon G, Blattner K, Muirhead J, Kerse N. Rural point-of-care ultrasound of the kidney and bladder: quality and effect on patient management. J Prim Health Care. 2018 Dec;10(4):324-330. doi: 10.1071/HC18034. PMID: 31039961.

For questions about accessibility or to request accommodations please contact the IUSM CME office at 317-274-0104 or [email protected]. One week advance notice will allow us to provide seamless access. Please ensure to specify the accommodations you need in order to participate.

AMA PRA Category 1 Credits™ (3.00 hours), Non-Physician Attendance (3.00 hours)

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Mitigation of Relevant Financial Relationships

Indiana University School of Medicine, Continuing Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.