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2018 Spring Ultrasound Workshop
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General Workshop Info  
Wednesday, March 21-Thursday, March 22
9:00 am-4:00 pm (break for lunch)
Friday, March 23
9:00 am-12:00 pm



Overall objectives: Describe and demonstrate a general understanding of ultrasound, including basic physics, essential function to operate the ultrasound machine (depth, gain, different probes), and different indications for use of ultrasound over other imaging modalities.

Advanced Registration Prices: $75 per session (members) / $125 per session (non-members) Deadline to register - Tuesday, March 6
On-Site Registration Prices:(based on availability) $100 per session (members) / $150 per session (non-members)


Session Schedule & Objectives 
Each session will last approximately one hour, and attendees will earn 1 CME credit per session. Attendees may select from the following demonstrations:

Introduction to Chest Ultrasound
Description
Learn the basics of chest ultrasound, including cardiac views (cardiac wall motion, tamponade), lung screening (pulmonary edema, pneumothorax), and inferior vena cava (fluid status).
ObjectivesDemonstrate the ability to obtain 4 cardiac views (subxiphoid, apical, parasternal short, and parasternal long), lung windows, and inferior vena cava.  Recognize cardiac wall motion vs. cardiac standstill vs. ventricular fibrillation, cardiac tamponade, pulmonary edema, pneumothorax, and fluid status.

Advanced Echo / Cardiac Ultrasound
DescriptionSpend more time obtaining the 4 cardiac views and assessing for tamponade, wall motion abnormalities, right heart strain, and valvular pathologies.  Qualitative estimation of systolic and diastolic function.  Will also cover inferior vena cava (fluid status) and lung views (pulmonary edema, pneumothorax). 
ObjectivesDemonstrate the ability to obtain 4 cardiac views (subxiphoid, apical, parasternal short, and parasternal long), lung windows, and inferior vena cava.  Identify cardiac structures, including the four chambers of the heart, mitral and aortic valves, papillary muscles, and ascending aorta.  Recognize cardiac wall motion vs. cardiac standstill vs. ventricular fibrillation, wall motion abnormalities (such as the “D” sign, McConnell’s sign), right heart strain, valvular pathologies, qualitative estimation of systolic and diastolic function, recognize pulmonary edema, pneumothorax, and fluid status.

E-FAST (Extended-Focused Assessment of Sonography in Trauma) 
DescriptionLearn to obtain the 4 abdominal views (RUQ, LUQ, subxiphoid, and suprapubic) to assess for intraperitoneal free-fluid or cardiac tamponade.  And a brief lung overview to assess for tension pneumothorax.
ObjectivesDemonstrate the ability to obtain the 4 abdominal views (right upper quadrant, left upper quadrant, subxiphoid, and suprapubic) and lung windows.  Recognize intraperitoneal free-fluid, cardiac tamponade, and tension pneumothorax.  Discuss the indications where E-FAST is the initial diagnostic tool of choice and the limitations of E-FAST in trauma.

Abdomen
DescriptionA clinical overview of the major abdominal organs, including kidneys (recognize hydronephrosis), gallbladder (recognize cholelithiasis), abdominal aorta, uterus, and ovaries. 
ObjectivesDemonstrate the ability to obtain views of the major abdominal organs, including kidneys, gallbladder, abdominal aorta, uterus, and ovaries.  Recognize hydronephrosis, cholelithiasis, abdominal aortic aneurysm, intrauterine pregnancy, and ovarian cyst.

Soft-Tissue and Musculoskeletal
DescriptionLearn to recognize basic soft-tissue pathology, including cellulitis vs. abscess.  Soft tissue foreign body evaluation.  Overview of the shoulder, hip, and knee joints, including approach to intra-articular aspiration and injections.
ObjectivesDemonstrate the ability to obtain views of soft-tissue, shoulder, hip, and knee joints.  Recognize basic soft-tissue pathology, including cellulitis vs. abscess.  Recognize and describe the approach to ultrasound-guided intra-articular aspiration and injections of the shoulder, hip, and knee.

Vascular
Description
Learn to scan for lower extremity deep vein thrombosis.  Scan the abdominal aorta (to assess for abdominal aortic aneurysm/dissection).  Review the concepts of vascular access, including both peripheral and central venous line placement.
ObjectivesDemonstrate the ability to scan for lower extremity deep vein thrombosis, abdominal aortic aneurysm and recognize these conditions on images.  Demonstrate placement of ultrasound-guided IV in a phantom arm and discuss the use of this skill for placement of central venous lines. 

 
Faculty Members 
Karissa Hultmark, PA-C, Mayo Clinic Health System
Alex Beuning, MD, Mayo Clinic Health System
Kyle Burkhamer, PA-C, Mayo Clinic Health System
Matt Dunn, NP, Mayo Clinic Health System