About this event
Clinical context on urgency and emergency has been beneficiated because of the evolution of technological equipment specially on ultrasonography portability. The expansion of clinical utility of ultrasonography improves patient safety that is placed in first spot on all assistance overview and reveal a clear progression. Diagnostic data become immediately available for critical medical decision making also avoiding damage associated with the transfer of patients to get them to an ultrasound. Skills and abilities development on urgency and emergency ultrasound find some resistance in their application in the assistance routines.
The course will consist of 10 modules, translated into 9-hour sessions, from 9 a.m. to 7 p.m. Each module will have an educational design based on clinical simulation techniques and procedures, in discussion of clinical cases, complemented and combined by common theoretical-practical exposure moments. The modules may be exchanged in case of major force, keeping, however, the same dates initially foreseen.
Target
- General and Family Medicine Physicians
- Medical Specialists
- Internal Physicians
- Medical Students
Objectives
At the end of the course, trainees should be able to acquire and develop skills in the various emergency scenarios, promoting the investigation of the clinical impact of this practice and improving the multidisciplinary dialogue among medical specialties.
Course duration
The course has a duration of approximately 90 hours.
Evaluation
- The conclusion of each module requires the attendance of the respective live session and a written evaluation test.
- The written evaluation of a module cannot be done by those who have not been present at the live session.
- The approval of each module depends on the result of the written evaluation and the continuous evaluation carried out by the trainers.
- The final certificate of the course will be only granted to those who have completed at least 80% of the modules with a positive result in the modular evaluation.
- Trainees who do not complete 80% of the positive evaluations will be given a certificate of attendance on the modules attended.
Registration Cancellation Policy
- Requests received up to 2 weeks before the training date - 100% refund of the registration fee. After this period there will be no refund.
- Hospital da Luz Learning Health has the right to cancel this training in case of major force and trainees will be informed in due time and refunded 100%.
- Due to the Covid-19 pandemic, Hospital da Luz Learning Health has the right to cancel or postpone any module of the course, without prejudice to the participant attending the postponed modules in a 3rd edition of USEM_SIM.
Other information
- For more information about the course, click on the "Program" icon.
- The resume should be sent at the time of registration to the link: https://luzsaude.sharefile.com/r-r81ae5979aadd47dcb004f23c939aac1a
- Payment Facilities: Contact learninghealth@up.events
Disclaimer
Hospital da Luz Learning Health states that attending and having positive evaluation of this course, under the scientific sponsorship of the Portuguese Medical Association, does not confer competence for the unsupervised performance of the procedures targeted by this training, nor does it dispense the compliance with the guidelines issued by the competent entities for non-cardiologists and non-imagiologists.
Activities
Outras Atividades - No limits in options
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Describe the interaction of sound and tissues 2. Explain the propagation and production of sound 3. Synthesize the principles and basic techniques of ultrasound production 4. Explain the specificity of annular, phased, and linear scopes 5. Discuss and design sound beam profiles and explain focusing techniques 6. Know the principles of the doppler effect Skills 7. Acquire images and store them 8. Manipulate the different technical controls and apply their actions to ultrasound images 9. Identify beneficial and deleterious artifacts 10. Identify direction and speed in spectral and color doppler images/waves 11. Identify electrical and mechanical events in cardiac cycles Behaviors 12. Determine the beginning of an examination in the best possible technical conditions according to the situation and the patient 3. Know the limitations of an ultrasound examination performed in an emergency context and by a non-Imagiologist / non-Cardiologist
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know how to explain the electrical and mechanical events of each cardiac cycle 2. Know the main diseases and clinical situations that can be addressed by FoCUS protocol of transthoracic echocardiography 3. Describe the recommendations of ESCVI to perform a transthoracic echocardiography examination in an emergency context Skills 4. Know how to configure echocardiographs to obtain correct images 5. Identify the most common artifacts in transthoracic echocardiography 6. Identify basic anatomy in two-dimensional mode and M-mode, in a FoCUS protocol, and know the structures existing in each image of a normal examination 7. Record the findings report of the exam in clinical process Behaviors 8. Approach a patient correctly before performing an echocardiographic examination in an emergency context, namely referring to the limitations of the examination 9. Frame the performance of an emergency echocardiographic examination in the initial approach of the patient 10. Articulate correctly with cardiology specialists for the correct interpretation of dubious results, for obtaining images in all applicable cases and for the discussion of diagnostic gait and subsequent therapeutic approach
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the basic aspects of the FoCUS protocol, its limitations, and the applications in the context of the patient in an emergency context 2. Know the main drugs with cardiac action, used in critically ill patients 3. Identify the following relevant cardiovascular and pulmonary diseases: severe ischemic dysfunction, post EMEA mechanical complications, cardiac tamponade, pulmonary embolism, pleural effusion, and hypovolemic shock 4. Assess overall systolic function and LV size 5. Identify pericardial effusion and tamponade signs 6. Evaluate the state of intravascular volemia 7. Evaluate pleural effusion Behaviors 8. Use echocardiography as an additional diagnostic tool in the patient in an emergency setting, with its advantages and limitations 9. Recognize the limitations dependent on the non-cardiologist/ecocardiographer
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the absolute and relative contraindications of procedures in general within the scope of urgency 2. Know the Complementary Means of Diagnosis and Therapy that should precede each procedure 3. Explain the local anesthesia and sedation procedures for various procedures and describe the possible complications Aptitudes 4. Perform the incision and drainage of echo guided abscesses 5. Perform echo guided paracentesis 6. Perform echo guided thoracocentesis 7. Perform echo guided lumbar puncture 8. Implement a culture of patient safety in performing invasive procedures in an emergency environment 9. Fulfill the indications of infection control in the performance of eco-guided procedures 10. Record adequately the information regarding the performance of eco-guided procedures
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. List the main indications and contraindications for placement of venous catheters in different locations 2. List the complications related to the different locations of venous catheters, acute and sub-acute Abilities 3. Perform the placement of echo guided peripheral venous catheters 4. Perform the placement of echo guided central venous catheters (PICCO) 5. Perform the placement of echo guided central venous catheters (internal jugular and subclavian) Behaviors 6. Implement a culture of patient safety in the placement of venous access in an emergency context 7. Comply with infection control indications in the placement of intravenous accesses and their post-placement follow-up 8. Properly record information regarding the placement of eco-guided venous accesses, including incident notification
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the main artifacts that are used in thoracic ultrasound 2. Review the main intra-thoracic anatomical structures that can be evaluated by ultrasound 3. List the indications for thoracic ultrasound in the context of urgency 4. List the main diseases with ultrasound translation in thoracic approach (pleural effusion, pleural thickening, pneumothorax, wall changes, pulmonary consolidation, diaphragmatic paresis, pericardial effusion) Aptitudes 5. Recognize the normal anatomy of the pleura and diaphragm 6. Identify heart, great vessels of the mediastinum, liver, and spleen 7. Recognize a pleural effusion, including the different ecographic patterns 8. Detect lung consolidation, including atelectasis, inflammation, embolism, and neoplasia 9. Estimate the amount of pleural effusion Behaviors 10. Critically evaluate the information obtained by thoracic ultrasound and integrate it in a very well-defined clinical context 11. Involve in a timely manner the teams that may intervene in the treatment of the patient with thoracic disease
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the indications for the extended focused abdominal sonography in trauma (E-FAST) protocol 2. Explain the kinetics and traumatic injuries most common in different types of trauma Skills 3. interpret ultrasound images obtained with the application of the eFAST protocol 4. Incorporate the images in decision making 5. Solve the main obstacles to the eFAST 6. Adequately request the ultrasound findings in the clinical process Behaviors 7. Integrate the ultrasound in the initial approach to trauma victims, in an emergency context
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the anatomy of the vascular system of the lower limbs 2. Describe the clinical characteristics of venous insufficiency 3. Know the pathophysiology of deep venous thrombosis of the lower limbs Aptitudes 4. Identify the venous anatomical structures and their normal characteristics in the lower limb 5. Evaluate the deep venous thrombosis of the lower limb with compressibility maneuvers 6. Identify echocardiographic signs of acute pulmonary embolism 7. Perform echo-guided placement of central venous catheters in the femoral vein Behaviors 8. Ensure timely referral of patients with deep vein thrombosis to ensure the initiation of specific therapy 9. Ensure appropriate infection control practices
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. List the main abdominal anatomical structures and know their overall anatomical relations 2. List the main common artifacts in abdominal ultrasound 3. Prepare a patient adequately for abdominal ultrasound in an emergency context 4.Evaluate the abdominal aorta and identify the aneurysm of the abdominal aorta 5. Assess the location of the kidneys and its dimensions 6. Recognize the different patterns of urinary obstruction 7. Identify free peritoneal fluid Behaviors 8. Apply the use of abdominal ultrasound in emergency setting for an integration of various elements of clinical order in the initial stabilization of the patient 9. Use the ultrasound findings in emergency protocols to determine subsequent Complementary Means of Diagnosis and Therapy 10. Understand the important differences and complementarities between an abdominal ultrasound performed by non-Imagiologists and an ultrasound performed by Imagiologists
Centro de Formação e Simulação do Hospital da Luz Learning Health
Knowledge 1. Know the history of the use of ultrasound in the context of urgency and emergency 2. List different protocols of ultrasound approach to medical or surgical patients in urgency or emergency context 3. Describe the main pathophysiological processes of the various types of shock Skills 4. Use ultrasound protocols focused on pathologies, in the initial approach of patients in shock 5. Evaluate the intravascular systemic volume 6. Measure Whole Body Vibration and know how to interpret the findings 7. Do an eye-ball evaluation of systolic ventricular function 8. Detect echographic signs of pericardial tamponade 9. Detect free intra-peritoneal fluid 10. Detect pleural effusion Behaviors 11. Act according to context in all patients with unstable hemodynamic situation
