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Background
The use of point-of-care US on the ICU is expanding
Numerous courses but lackFormal accreditationIntegration into national
training programme
DEVELOP A COMPREHENSIVE COMPETENCY-BASED TRAINING PROGRAMME IN POINT-OF-CARE ULTRASOUND ON THE ICU
Core Ultrasound Skills in Intensive Care (CUSIC)
PHASE 1: Initial theoretical and practical trainingE-learningCourse
PHASE 2: Supervised practice until competence demonstrated in acquiring and saving images
PHASE 3: Mentored practice with completion of log book demonstrating knowledge of an appropriate range of pathology
PHASE 4: Completion of competency assessments within the range of practice
http://www.e-lfh.org.uk/programmes/icu-echoultrasound/sample-session/
ECHOCARDIOGRAPHY Focused Intensive Care Echocardiography (British Society of Echocardiography) 10 scans under direct supervision Logbook with 50 (suitable) cases Triggered assessment
LUNG BLU protocol 50 scans (no more than 10 normal) Ultrasound-guided pleural
aspiration and drainage Triggered assessment
ABDOMINAL Recognition of US
appearance ofbowelliverspleenKidneys
(eFAST and AAA) Assessment and drainage
of ascites
VASCULAR Real-time Short and long axis No minimum number CVC Sites
Internal Jugular Femoral (Subclavian)
Discussion Clearly defined goals, competencies and timeframe
Standardisation of training & reporting tools Governance Quality Control Projects and Research Collaborations
Limitations/Challenges Inaugural year Resources and sustainability – time, expertise
Further information/reading Expert Round Table on Ultrasound in ICU, Cholley B et al (2011)
International expert statement on training standards for critical care ultrasonography. Intensive Care Med 37:1077–1083
Intensive Care Society UK CUSIC Accreditation - http://www.ics.ac.uk/ics-homepage/accreditation-modules/cusic-accreditation/
Online resources #POCUS - twitter
Oxford Point-of Care Ultrasound Programme [email protected], [email protected] @avkwong