SEARCH 9Es Course

Sonographic Evaluation of Aetiology for Respiratory difficulty, Chest pain or Hypotension 

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An extended ultrasound life support course for the critically ill

COURSE DESCRIPTION

Specifically designed for healthcare providers who are exploring an extended point of care ultrasound approach to enhance management of the critically ill patient. Covering 9 major pathophysiological categories, namely pneumothorax, pulmonary oedema-consolidation, pleural-peritoneal effusion, pericardial effusion, pulmonary embolism, left ventricular (LV) systolic dysfunction, inferior venae cavae (IVC) assessment / aortic dissection-aneurysm, acute coronary syndrome and cardiac output / LV filling pressure), this course exemplifies the current approach of a systematic multi-organ multi-focused evaluation with ultrasound. With categorising the above findings into 9 Es (Empty thorax, Edematous lung, E-fast, Effusion (pericardial), Equality, EF, Entrance-exit, Endocardial inward motion and Echodynamics), the focused sonographic evaluation aims to enable a rapid and effective decision making, and improve diagnostic, therapeutic and monitoring capabilities.

Lectures are condensed and delivered in an interactive format. The Hands-on Training is the cornerstone of the program. During these sessions, trainees will be guided to perform bedside scans on volunteers. With 4 hours set aside for practical and keeping the trainer to trainee ratio at maximum of 1:4, participants will have ample opportunities to practise during the Hands-on Training sessions. This course will lay the foundation required of the healthcare provider in using point of care ultrasound in the resuscitation of the critically ill.

LEARNING OBJECTIVE

Upon completion of this course, participants will learn how to: 

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• Perform focused assessment of the heart, inferior vena cava, peritoneal space, abdominal aorta and lung.

• Screen for and identify the 4 major classes of shock: hypovolemic, distributive, cardiogenic and obstructive shock.

• Perform chest ultrasound for the diagnosis of pneumothorax, pleural effusion, consolidation and interstitial syndrome.

• Perform focused cardiac ultrasound for the assessment of pericardial effusion, left ventricular systolic function, stroke volume and cardiac output, right heart strain pattern, regional wall motion abnormality and estimate LV filling pressure.

• Perform extended FAST exam for the assessment of free intra-peritoneal, pleural and pericardial fluid.

• Perform assessment of thoracic and abdominal aorta for aneurysm and aortic dissection

• Perform IVC assessment for collapsibility and distensibility.

• Perform focused ultrasound during cardiac arrest

• Evaluate for volume status, fluid responsiveness and fluid tolerance.

• Integrate key sonographic findings to guide resuscitation of the critically ill.

Offered by
The Society of Emergency and Critical Care Imaging (SECCI), Korea

Organized by 

Alexandra Academy for Clinical and Emergency Sonography (AACES)

In Conjunction with
The Society for Emergency Medicine in Singapore (SEMS)

Annual Scientific Meeting 2020

WHO SHOULD ATTEND

Surgeons, physicians, emergency physicians, nurse practitioners, residents, medical officers and healthcare workers involved in the management of patients with abdominal complaints and emergencies. Participants should have a prior basic understanding of point of care ultrasound and ultrasound physics.

Pre-course Reading Material:
Ha YR, Toh HC. Clinically integrated multi-organ point-of-care-ultrasound for undifferentiated respiratory difficulty, chestpain, or shock: a critical analytic review.

J Intensive Care.
2016 Aug 15;4:54.

PubMed PMID: 27529030