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UULLTTRRAASSOOUUNNDD IINN PPEEDDIIAATTRRIICC && NNEEOONNAATTAALL EEMMEERRGGEENNCCYY && CCRRIITTIICCAALL CCAARREE PPEEDDIIAATTRRIICC && NNEEOONNAATTAALL CCRRIITTIICCAALL UULLTTRRAASSOOUUNNDD BBAASSIICC LLEEVVEELL 11 PPRROOVVIIDDEERR [[PPNNCCUUSS-- BBLL11PP]]

MMaarrcchh 1199 -- 2200tthh,, 22001155 BBAANNGGKKOOKK,, TTHHAAIILLAANNDD

http://www.winfocus.org/world/PCCM-USGBKK

FFiirrsstt AAnnnnoouunncceemmeenntt

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COURSE DIRECTOR Mahmoud Elbarbary (Riyadh, KSA)

COURSE CO-DIRECTOR Rujipat Samransamruajkit, MD.

(King Chulalongkorn Memorial Hospital)

COURSE FACULTY

Ghassan Shaath (Riyadh, KSA) Abdelraouf Jejah (Riyadh, KSA)

Etc. Chalermthai Aksilp, MD.

(Queen Sirikit National Institute of Child Health)

COURSE FORMAT

• 2-days course with interactive lectures & case scenarios • HOT (hands-On Training) on manikins, phantoms and human volunteers • ABCDE & Head-to-Toes conformed. • Limited to 32 participants • End of Course & Certificate from WINFOCUS

VENUE: Or Por Ror Building

King Chulalongkorn Memorial Hospital Bangkok, Thailand

Contact:

Rujipat Samransamruajkit, MD; Rujipat.S@chula.ac.th Chalermthai Aksilp, MD; dr.aksilp@gmail.com

Registration FEES:

Before Feb. 15, 2015

After Feb. 15, 2015

Country Cat A 350 Euro 400 Euro

Country Cat B, C include Thailand 200 Euro/ 8,000 Baht

250 Euro/ 10,000 Baht

Registration Contact:

Mr.Nondh Ningsanond (นายนนท นิงสานนท) Wild Blue Company, 19/2 Ekamai 10, Sukhumvit 63, Wattana, Bangkok 10110, Thailand.

Tel: +662-714-2590-1 Fax: +662-714-2656

WWIINNFFOOCCUUSS ((WWoorrlldd IInntteerraaccttiivvee NNeettwwoorrkk FFooccuusseedd OOnn CCrriittiiccaall UUllttrraaSSoouunndd)) The world leader scientific organization committed to develop point-of-care ultrasound

practice, research, education, technology, and networking, addressing the needs of patients, institutions, services, and communities in “critical” scenarios.

WWIINNFFOOCCUUSS VViissiioonn aanndd MMiissssiioonn SSttaatteemmeennttss Improving Primary, Emergency, and Critical Care Medicine, by incorporating "point-of-care" Ultrasound into Clinical Practice … bringing quality “Point-of-care” Ultrasound to the patient

in all out-of-hospital and in-hospital “critical” scenarios, by developing and fostering, on a global and multi-disciplinary basis, Ultrasound Education, Technological Development,

Evidence-based Research, and International Teamwork.

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““CCRRIITTIICCAALL UULLTTRRAASSOOUUNNDD”” The concept of 'critical ultrasound' evolved recently from 'emergency ultrasound' performed at the 'point-of-care' in scenarios such as emergency departments, ICUs, pre-hospital care, austere environments, disaster scenes, tactical operations, and humanitarian care missions. Clinical scenarios turn into 'critical' ones when there is a dangerous performance gap between the patient status and the resources available for an appropriate decision making and problem solving. In such settings ultrasound point-of-care image acquisition and interpretation, integrated with advanced life support protocols (ACLS, ATLS) according 'ABCDE' and 'Head-to-toes' -type approaches, allows for rapid and effective decision making, enhanced triage, diagnosis, therapy, monitoring, and follow up. Nowadays, that’s approach is also known as ‘Ultrasound Life Support’. This typically occurs in the acutely ill patient (Emergency US) or intensive (Intensive/Critical Care US), and/or where human or technical resources are particularly limited (Screening US, Triage US, Remote US, Primary US).

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WWOORRKKSSHHOOPP PPRROOGGRRAAMM -- DDAAYY 11

(Thursday, March 19, 2015)

08.30 - 09.00 REGISTRATION

09:00 - 09:15 Introduction: Concept of Pediatric Critical US

09:15 - 09:45 US physics & Knobology Elbarbary

09:45 - 10:30 Basic Echocardiography Normal & abnormal Shaath

10:30 - 11:00 Lung US: Normal and pathologic findings by US from A-Z/ simulation

Elbarbary

10:45 - 11:00 COFFEE BREAK

11:00 -11:30 US Vascular catheterization – general considerations

Jejah

11:30 - 12:00 US Vascular catheterization – special considerations

Jejah

12:00 - 13:00 LUNCH BREAK

13:00- 1900 HOT (Hands-On Training)

6 machines 2 stations

Each ECHO Chest Vascular/foreign

body

2 trainers Shaath-TBA Elbarbary - Rujipat Chalermthai -TBA

13:00 - 15:00 1 & 2 3 & 4 5 & 6

15:00 - 17:00 5 & 6 1 & 2 3 & 4

17:00 - 19:00 3 & 4 5 & 6 1 & 2

END OF DAY 1

In the first HOT session, the first 10 min to be given for knobology orientation After the second HOT session, to give 10 min break

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WWOORRKKSSHHOOPP PPRROOGGRRAAMM -- DDAAYY 22

(Friday, March 20, 2015)

08:30 - 09:00 REGISTRATION

09:00 - 09:30 Wrap up & Feedback M Elbarbary

09:30 - 10:00 Abdominal US & Trauma/simulation Shaath

10:00 - 10:30 Other US guided procedures (LP, pericardial and pleural peritoneal drainage)

Jejah

10:30 - 11:00 More US in PICU/ER ( Vocal cords , Trachea & Diaphragm & head Doppler& Neuro US)

TBA

11:00 - 11:30 Muecloskeletal US and nerve block TBA

11:30 - 12:00 Critical US Enhanced Management Scenarios ABCDE algorithm- Simulation

TBA

12:00 - 13:00 LUNCH BREAK

HOT (Hands-On Training)

6 machines 2 stations

Each Abdomen/muscloskeletal Airway/ ECHO Vascular/Neuro

Shaath-TBA Elbarbary - TBA TBA

13:00 - 14:30 1 & 2 3 & 4 5 & 6

14:30 - 16:00 5 & 6 1 & 2 3 & 4

16:00 - 17:30 3 & 4 5 & 6 1 & 2

17:30 - 18:00 Winfocus training & accreditation process All

END OF DAY 2

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Credentials for Basic level 1 Provider

I. Provider (BL1) Course attendance (2 days) 1. PNCU course 1-2 of May 2012 2. Please attach copy of certificate of attendance

II. Practice within 3-6 month after the course

3. Total US Exams : 200 exams over 3-6 months 4. Population: on actual patient at least 50% of exams(=100). Rest

can be on simulated patients/simulators 5. Settings : critical areas (ICU, ER, OR, Field triage….etc) 6. Review: Real-time (>30% = >60 exam) & delayed/offline (<70 %) 7. Frequency: 5-10 exams/week; inactivity less than <1 month 8. Time : average 50 hours for Basic level in 3-6 month 9. Clinically indicated: at least 50% = 100 exams 10. Pathologic findings: at least 10% = 20 exams 11. US Exams in key-competences(see tables & syllabus ): at least 15

Exams

III. Logbook 12. 200 exams logged (within max 6 months) 13. 100 exams should be on real patient 14. 60 exam should be interpreted real-time 15. 20 exams should have pathology 16. 20 exams should have Recorded by pics or loops 17. At least 10 exams pathology Recorded by pics or loops 18. For the whole 200 Exams index page should be in the front page

contains o Exam Serial number o Exam date o Finding o Records/documentation

19. Each of the 200 Exams the following entries are required: a. Exam serial number b. Date c. Setting (specify the clinical area) d. Population (patient (MRN) or simulation) e. Clinical indication (if patient) f. Review (offline/real-time) g. Finding h. Action/management (if patient)

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IV. Test day & final credentialing 1) AIM of final test to evaluate each candidate performance on: a) image generation & acquisition b) image interpretation c) Image administration d) clinical ultrasound findings integration into clinical decision making and management e) optional research, teaching and administrative skills (for future instructors) 2) Test Process: a) Sonographic videoclip(loop) (15 min)

• interpretation of pathology • (at least 3 loops) b) Practical ultrasound examination (30 min) • on patients/volunteer • Focus on image generation & acquisition by different windows and

views • Will include ABCDE

c) Oral test (15 min) • Case study presentation of 3 of the logged cases • At least one clinical scenario (shock- hypotension…etc) with questions

about use of US exam integration in the management e) Multiple choice question MCQ test (30 min)

• 25 MCQ • Each has 3-4 answers • Performance required >75% • Test both decision making and theoretical knowledge

Important documents:

1. USCMC SYNOPTIC TABLES

2. Syllabus

3. Sample of logbook

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UUSSCCMMCC CCEERRTTIIFFIICCAATTIIOONN ~~ UUSSLLSS BBLL11 && AALL11 ffoorr PPRROOVVIIDDEERRSS

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UUSSCCMMEECC GGLLOOBBAALL PPRROOGGRRAAMM DDIIRREECCTTOORRSS:: Luca Neri (Milan, Italy): Chair Richard Hoppmann (Columbia, SC, USA), Enrico Storti (Milan, Italy): Co-chairs Supported by: Michael Blaivas (Atlanta, GA, USA): Winfocus President, RESCUE & ILCEUS Chair

Daniel Lichtenstein (Paris, France): Winfocus Scientific Comm. Chair

UUSSCCMMCC LLEEAARRNNIINNGG CCOONNTTEENNTTSS aanndd FFOORRMMAATT :: The applications targeted in the USCMC (Ultrasound Critical Management Certification) program rely on the most recent literature and recommendations, and refer mostly to the “Critical Care Medicine Journal” Supplement fully dedicated to the ultrasound applications in the acute and critical patients (Crit Care Med 2007;35[Suppl]), written by a few dozens of the actual major world experts in the field, coordinated by Blaivas, Kirkpatrick and Sustic, and mostly involved in the Board of WINFOCUS. Proposed educational formats and pathways refer to a working document, published in its earliest version in the same supplement (Neri L, Storti E, Lichtenstein D, Toward an ultrasound curriculum in critical care medicine. Crit Care Med 2007;35[Suppl]:S290–S304), starting point of an International evidence- and consensus-based process, join to the USCME and ILCEUS projects (please, see details in www.winfocus.org).

UUSSCCMMCC EEDDUUCCAATTIIOONNAALL CCEERRTTIIFFIICCAATTIIOONN RROOAADDMMAAPP :: Certification steps are implemented along the three EFSUMB levels of proficiency (www.efsumb.org): • Level 1 (BL1 & AL1, Basic and Advanced) - Common, general, focused competency • Level 2 (BL2 & AL2, Basic and Advanced) - Comprehensive, specialized competency • Level 3 (beyond standards, still to be defined) - Outstanding clinical, educational, research expertise Each level includes Provider and Trainer competence-based modules (see below as ex. the USCLS roadmap): ULTRASOUND LIFE SUPPORT: • USLS BL1 Provider >> Trainer (“ABCDE” conformed, non-specialty-specific, general) • USLS AL1 Provider >> Trainer (“Head-to-Toes” conformed, setting/specialty-specific, general) • USLS BL2 Provider >> Trainer (Problem-based, setting/specialty-specific, specialized) • USLS AL2 Provider >> Trainer (Organ/District-based, setting/specialty-specific, sub-specialized) Ex. ECHO-AL2 Provider >> Trainer (Advanced “Echo-Doppler in ICU” competences) According specific performance needs, several Level 1 and 2 (L1, L2) UltraSound Life Support and Procedural modules are available, both for Providers and Trainers (P, T):

• US-TLS (US Trauma Life Support) • EFAST (Extended Focused Assessment with Sonography for Trauma)

• US-ACLS (US Advanced Cardio-pulmonary Life Support)

• US-PALS (US Pediatric Advanced Life Support)

• US-PHLS (US PreHospital Care & Disaster Medicine Triage)

• US-Triage (US Triage in Disaster Medicine)

• US-SEPS (US Sepsis Management)

• ECHO ICU (Echocardiography for Intenisivists) • US-MON (US ABCDE Monitoring)

• US-GPE (US General Practice in Emergency) • US-NURSE (US Nursing care in Emergency) • US-PHC (US Primary Health Care in scarce-resource-setting)

• US-AIR (US Airway Management) • US-CVA (US Central Vascular Access Management) • US-PVA (US Peripheral Vascular Access Management) • US-BLOCK (US-guided Nerve Blockage)

Note: USCLS BL1 Certification includes US-TLS, US-PHLS, EFAST, US-BLS, US-ACLS credentialing.

Each certification module is developed along three learning phases and a final examination: • Part Ia: preliminary e-learning (lectures, interactive sessions, references) • Part Ib: 1-2 days introductory course (theory, hands on, and simulation components) • Part II: 1-6 months proctored practice (specific minimal requirements) • Part III: 1 day credentialing examination (presentation, questionnaire, simulation-based practice) Each credential profile undergoes maintenance and quality assurance processes: • Refresh: 1-2 day course (every 2 years; specific annual minimal requirements)

UUSSCCMMEE AAUUDDIIEENNCCEE TTAARRGGEETTSS :: - Health care professionals: Physicians, Nurses, Paramedics, Midwives, and Technicians … working in - “Critical” scenarios: EM, CCM/ICU, Acute/Trauma Surgery, HEMS/EMS, PHC, Pediatric, Sport, Tactical, Remote, Rural, Wilderness, Scarce-resource settings.

Further details at www.winfocus.org/uscme