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Acute Care Sonography for Nurses (ACSN)
Sonia ChauhanTrauma Nurse Coordinator,
JPNATC,[email protected]
Point of care-USG
Faster , Non-invasive
No Radiation exposure
Remote settings - Austere environment
Pregnancy
Pediatric population
No Need of specialized technician
Mass casualties scenarios
Why Ultrasound by Nurses ?
‘Point of care’ ultrasound : a visual tool
Blinded procedures: ? Patient safety issue
During Mass Casualty scenarios
Addressing the surge capacity issues in
imaging Department
Red Area Team (RAT)
EP2
HA2EN1
EP1
HA1
EP3
TL
EN2
CODE RED – ATLS
CODE BLUE - ACLS
HEAD END
TL Team Leader
EP1 Emergency Physician 1 (Surgery)
EP2 Emergency Physician 2 (Medicine)
EP3 Emergency Physician 3 (Orthopedics)
EN1 Emergency Nurse 1
EN2 Emergency Nurse 2
HA1 Hospital Attendant 1
HA2 Hospital Attendant 2
LET US RESUSCITATE IN A VISUAL WAY………!
Airway Assessment and
Management of Difficult Airway
Assisting in Intubation
Assisting in Surgical Procedure
Tube Confirmation
Confirm tube placement in 3 sec.Sens.& Sp. :-- 100%
J Ultrasound Med 2011; 30:671–676
BreathingRule out Pneumothorax
Haemothorax – E- FAST
Circulation
Assessment of fluid volume status - IVC Assessment
Circulation Ultrasound Guided I/ V access
Acute Care Sonography For Nurses
1. Subxiphoid2. Right upper
quadrant (RUQ) 3. Left upper
quadrant (LUQ) 4. Suprapubic
Circulation- FAST Exam
D: Seeing through Closed Eye
D- Intra Cranial Pressure monitoring
Optic Nerve Sheath Diameter assessment
E: Fracture detection
Foreign Body
Acute Care Sonography for Nurses (ACSN)
forum for empowering acute visual medicine globally
Acute Care Sonography for Nurses (ACSN)
Conducted along with AIIMS Ultrasound
Trauma Life Support Course
Duration – One and half day
No. of participants- 10 Nurses
Course contents:
Lectures followed by
Hands on skill stations
Baseline confidence questionnaire
Post Test Confidence questionnaire
n=88
Future…….. Independent Course
Duration – One day
No. of participants- 32 Nurses
Course contents:
Lectures followed by
Hands on skill stations
AIIMS nurses study group
1st,2nd and 3rd Prize in WINFOCUS-2011
To study the diagnostic accuracy of bedside ultrasound done by
nurses for identifying fractures in patients with orthopaedic
trauma presenting to emergency department of a level 1 trauma
centre
‘A Prospective evaluation of “focused assessment with
sonography for trauma” done by Emergency Nurses and its
comparative analysis with radiologists performance in identifying
fluid during initial resuscitation of trauma’
Accuracy of Bedside Ultrasound done by Emergency nurse to rule
out Traumatic Pneumothorax in the E D
“Join the mission with a vision to empower yourself in rescue to resuscitation while caring with compassion, commitment and competency towards the patient whom we care”.
