Background
Over the years use of ultrasound during disaster is limited to FAST and guided nerve block in field. This course mainly emphasize on use of point of care (POC) ultrasound for taking critical management decisions between the periods of rescue to resuscitation in austere environment and Enroute to the hospital. The workshop is offered to medical doctors, nurses and paramedics who are providing pre-hospital care.
This is a hands on course where candidates will be trained in recognizing basic ultrasound anatomy, understanding basic physics and practical use of the ultrasound machine (Knobology),conjuring the appropriate ultrasound images and findings to the correct decision and treatment protocols.
Objective
BASICS OF ULTRASOUND:
- Basic physics of ultrasound
- Different buttons/knobs, probe orientation, Imaging modes, gain & depth setting, ultrasound artifacts and
- Image optimization, recording, reporting and image transfer by cost effective technology.
Airway Ultrasound
- Ultrasound anatomy of airway,
- Identification of Tracheal injury and Threatened airway,
- ET- tube confirmation, Dynamic Intubation,
- USG guided Procedures- Needle cricothyroidotomy and Tracheostomy.
- These topics will have video presentation.
Integration of Airway ultrasound during the period of rescue to resuscitation for empowering triage and critical management decisions (CMG).
Lung Ultrasound:
- Method of doing lung ultrasound & Ultrasound lung signs,
- Identification of pneumothorax & hemothorax,
- The topics will feature video presentation.
Integration of Lung ultrasound during the period of rescue to resuscitation for empowering triage and critical management decisions (CMG).
Extended FAST & Inferior Vena cava (IVC) :
- E-FAST: Four windows of FAST (subxiphoid, right upper quadrant, left upper quadrant and suprapubic view) & concept of extended FAST.
- IVC: Method of Inferior vena cava (IVC) ultrasound, IVC diameter measurement and correlation with volume status of patient. Video demonstration of hypovolemic, rigid and normal IVC.
- These will feature normal and pathological video presentation.
Integration of E-FAST & IVC during the period of rescue to resuscitation for empowering triage and critical management decisions (CMG).
Disability Assessment:
- Identification of skull fracture,
- Method of Optic nerve seath diameter assessment and its use for assessment of raised intra-cranial pressure.
Integration of disability assessment during the period of rescue to resuscitation for empowering triage and critical management decisions (CMG).
Extremity [Musculoskeletal (MSK)] Ultrasound:
- Long bone fracture detection,
- Nerve Blocks (mainly brachial plexus, Sciatic and Femoral nerve) for field amputation.
Integration of MSK ultrasound during the period of rescue to resuscitation for empowering triage and critical management decisions(CMG).
- Fracture Detection Method,
- Nerve localization (Brachial Plexus,Femoral and Sciatic Nr)
Traige & Sono triage – Discussion:
- Participants will be given different case scenarios and will be asked to take the triage decisions without ultrasound and then how integration of POC ultrasound changes the triage decision.
Mega code:
Simulated Disaster scenario management with POC ultrasound. (Hands-on Training session)
