IUSM Point of Care Ultrasound Cardiopulmonary

Friday, March 10, 2023, 12:01 AM - Monday, March 9, 2026, 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 cardiac and lung assessment.

Launch Date: 3/10/2023

Expiration Date:3/09/2026

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 cardiac and lung point of care ultrasound examinations.
3. Identify normal anatomy on cardiac and lung point of care ultrasound examinations
4. Critique cardiac ultrasound image characteristics in the presence of undifferntiated schock, shortness of breath, chest pain, concern for pericardial effusion and cardiac activity in cardiac arrest.
5. Critique lung ultrasound image characteristics in the presence of shortness of breath, chest pain, fever, and hypotension.

 

To access the modules, please register using the registration tab, you'll receive instruction on how to access the modules on Canvas in Registration Confirmation Email. Please contact [email protected], if you don't receive it.

Registration fee: $100

 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:

Links to Book Chapters

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

Core Ultrasound Module

o   Chapter 2 Ultrasound Physics

o   Chapter 4 Orientation

o   Chapter 5 Basic Operations of an Ultrasound Machine

 

Cardiac Module

o   Chapter 13 The Overview

o   Chapter 14 Cardiac Ultrasound Technique

o   Chapter 15 Left Ventricular Function

o   Chapter 18 Pericardial Effusion

Lung Module

o   Chapter 7 The Overview

o   Chapter 8 Lung and Pleural Technique

o   Chapter 9 Lung Ultrasound Interpretation

o   Chapter 10 Pleura and Diaphragm

o   Chapter 11 Lung and Pleural Procedures

 

Links to Articles

                Cardiac Module

o   American College of Emergency Physicians and American Society of Echocardiography FOCUS Exam

o   American Society of Echocardiography  FCU Exam

o   European Society of Echocardiography FoCUS Exam

References

                Cardiac Module

• Ceriani E, Cogliati C. Update on bedside ultrasound diagnosis of pericardial effusion. Intern Emerg Med. 2016 Apr;11(3):477-80. doi: 10.1007/s11739-015-1372-8. Epub 2016 Jan 8. PMID: 26746413. 
• Smith AT, Watnick C, Ferre RM. Cardiac Tamponade Diagnosed by Point-of-Care Ultrasound. Pediatr Emerg Care. 2017 Feb;33(2):132-134. doi: 10.1097/PEC.0000000000001024. PMID: 28141772.
• Alerhand S, Carter JM. What echocardiographic findings suggest a pericardial effusion is causing tamponade? Am J Emerg Med. 2019 Feb;37(2):321-326. doi: 10.1016/j.ajem.2018.11.004. Epub 2018 Nov 17. PMID: 30471929.
• Gaspari R, Weekes A, Adhikari S, Noble VE, Nomura JT, Theodoro D, Woo M, Atkinson P, Blehar D, Brown SM, Caffery T, Douglass E, Fraser J, Haines C, Lam S, Lanspa M, Lewis M, Liebmann O, Limkakeng A, Lopez F, Platz E, Mendoza M, Minnigan H, Moore C, Novik J, Rang L, Scruggs W, Raio C. Emergency department point-of-care ultrasound in out-of-hospital and in-ED cardiac arrest. Resuscitation. 2016 Dec;109:33-39. doi: 10.1016/j.resuscitation.2016.09.018. Epub 2016 Sep 28. PMID: 27693280.
• Gaspari R, Weekes A, Adhikari S, Noble V, Nomura JT, Theodoro D, Woo M, Atkinson P, Blehar D, Brown S, Caffery T, Douglass E, Fraser J, Haines C, Lam S, Lanspa M, Lewis M, Liebmann O, Limkakeng A, Lopez F, Platz E, Mendoza M, Minnigan H, Moore C, Novik J, Rang L, Scruggs W, Raio C. A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study. Resuscitation. 2017 Nov;120:103-107. doi: 10.1016/j.resuscitation.2017.09.008. Epub 2017 Sep 13. PMID: 28916478.

• Soni, N., Arntfield, R., Kory, P., Point of Care Ultrasound. Philadelphia, PA. Saunders, an imprint of Elsevier, Inc. 2015. pp 103-109.
• Otto, CM. Textbook of Clinical Echocardiography, 5th Ed. Philadelphia, PA. Saunders, an imprint of Elsevier, Inc. 2013. pp 131-160.

Lung Module

• Xirouchaki N, Magkanas E, Vaporidi K, Kondili E, Plataki M, Patrianakos A, et al. Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive care medicine 2011;37:1488-93.
• Avila J, Smith B, Mead T, Jurma D, Dawson M, Mallin M, Dugan A. Does the Addition of M-Mode to B-Mode Ultrasound Increase the Accuracy of Identification of Lung Sliding in Traumatic Pneumothoraces? J Ultrasound Med. 2018 Nov;37(11):2681-2687.
• Blaivas M, Lyon M, Duggal S. A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med 2005.
• Martindale JL, Wakai A, Collins SP, Levy PD, Diercks D, Hiestand BC, Fermann GJ, deSouza I, Sinert R. Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Acad Emerg Med. 2016 Mar;23(3):223-42.
• Russell FM, Ehrman RR, Cosby K, Ansari A, Tseeng S, Christain E, Bailitz J. Diagnosing acute heart failure in patients with undifferentiated dyspnea: a lung and cardiac ultrasound (LuCUS) protocol. Acad Emerg Med. 2015 Feb;22(2):182-91.
• Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble VE, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med. 2012 Apr;38(4):577-91.
• Lichtenstein D. Lung ultrasound in acute respiratory failure an introduction to the BLUE-protocol. Minerva Anestesiol. 2009 May;75(5):313-7.
• Orso D, Guglielmo N, Copetti R. Lung ultrasound in diagnosing pneumonia in the emergency department: a systematic review and meta-analysis. Eur J Emerg Med. 2018 Oct;25(5):312-321.
• Jones BP, Tay ET, Elikashvili I, Sanders JE, Paul AZ, Nelson BP, Spina LA, Tsung JW. Feasibility and Safety of Substituting Lung Ultrasonography for Chest Radiography When Diagnosing Pneumonia in Children: A Randomized Controlled Trial. Chest. 2016 Jul;150(1):131-8.

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)

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.