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DTSTART;VALUE=DATE:20210325
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SUMMARY:Online Course - Registration open until 4/1/21 or until full - 3/25/21 to 4/30/21 - Point of Care Ultrasound Techniques for the General Practitioner - VIN/VSPN (fee applies)
DESCRIPTION:This course will cover the key concepts regarding point of care ultrasound (POCUS). POCUS techniques are rapid\, easy-to-learn and practical ultrasound skills that ANY practitioner can apply in everyday practice. This co-lecture series by a criticalist and an internist will cover the core principles to understand and interpret sonographic findings of abdominal POCUS including the identification of free fluid\, urine production\, GI motility\, free abdominal air and the gall bladder halo sign. The core principles to understand and interpret sonographic findings of the pleural space and lung. The principles of cardiac anatomy with an emphasis on the key cardiac windows to assess (there are 3 that answer most clinically relevant questions)\, being able to confidently identify pericardial effusion\, cardiac volume status\, pulmonary hypertension\, and how to differentiate these conditions from common cardiomyopathies will be presented. All clinically relevant questions when asked at the right time\, in a binary fashion\, based on patient assessment! Covering all things that can be used by general practitioners in everyday practice. If you own an ultrasound machine\, there is no excuse to not apply these principles on a daily basis! \nPresenter: Soren Boysen DVM\, DACVECC\nSerge Chalhoub BSc\, DVM\, DACVIM (SAIM)\nCourse Open: March 25-April 30\, 2021\nReal Time Sessions (RTS): Thursdays\, April 1\, 8\, 15\, and 22\, 2021; 8:00-10:00 pm ET (USA) World Clock Converter\nTotal CE Credit: 7\nRACE Category: 7 hours Medical \nSkip to Enrollment \nLearning Objectives:\nUpon completion of the course\, the participant should be able to \n\ndescribe the origins and evolution POCUS.\ndescribe the key formats that currently comprise POCUS.\ndescribe when and where POCUS is used in the clinical setting: understanding the 5 T’s of POCUS.\ndiscuss patient positioning for POCUS and how POCUS differs from consultative ultrasound.\ndiscuss the value of using clinically relevant binary questions to learn and build POCUS skills.\nperform the abdominal point of care ultrasound.\ndescribe the key organs and anatomic locations required to perform abdominal point of care ultrasound.\ndiscuss pitfalls that may result in false negative or false positive abdominal POCUS results.\ndescribe the formula used to calculate urinary bladder volumes.\ndescribe the 3 key findings used to diagnose free abdominal air (pneumoperitoneum).\ndescribe the technique used to sonographically identify post-operative ileus.\nexplain the advantages of using both long and short axis window vs. just one window when performing abdominal POCUS.\ndescribe how the renal pelvis can be assessed to help rule in or rule out ureteral obstruction in patient that presents with azotemia and signs of uremia.\ndescribe the key anatomic structures that are essential to performing pleural space and lung ultrasound.\nidentify the pleural line and determine the presence or absence of a lung sliding (aka the glide sign).\nexplain the normal findings of the bat sign\, gator sign\, A lines\, B lines\, lung pulse and curtain sign.\ndiscuss the advantages of using a binary approach to identifying pathology with point of care ultrasound.\nexplain the limitations of pleural space and lung point of care ultrasound.\nexplain why ultrasound protocols should be modified based on patient positioning and the pathology suspected.\nexplain recent modifications to point of care pleural space ultrasound techniques designed to maximize diagnostic accuracy of pneumothorax.\ndescribe newer approaches to pleural space ultrasound designed to maximize diagnostic sensitivity for pleural effusion.\nexplain the advantage of turning the probe parallel to the ribs vs. keeping it perpendicular to the ribs.\nexplain the sail sign and ski slope sign in relation to positive and negative findings of pleural effusion.\ndescribe how to find lung borders to maximize the chances of finding pleural space pathology based on patient positioning.\nexplain the difference and be able to identify wet lung vs dry lung using ultrasound.\ndescribe the pathophysiology of why lung consolidation can be seen with POCUS.\ndescribe how pleural irregularities can help differentiate causes of wet lung.\nexplain how to differentiate partial lung consolidation from trans-lobar consolidation.\ndescribe the most common types of consolidation and how to differentiate them: shred\, trans-lobar hepatization\, nodule and thromboembolism.\nexplain how the sonographic characteristics of lung consolidation can be interpreted to help differentiate simple atelectasis from pathologic consolidation (static vs. dynamic air bronchograms and fluid bronchograms).\ndescribe the 3 key cardiac windows when performing cardiac POCUS.\ndescribe how the left atrial aortic ratio is used in point of care ultrasound.\ndescribe echocardiographic variables that are used to assess hyper and hypovolemia.\ndescribe windows used to identify pericardial effusion.\nexplain how the pericardial-diaphragmatic window can be used to help differentiate pericardial from pleural effusion.\nexplain how left sided and right sided heart conditions\, including pulmonary hypertension can be subjectively assessed with cardiac POCUS.\ndescribe where to assess fluid responsiveness using POCUS.\nexplain how the caudal vena cava is used to estimate intravascular volume status.\ndescribe the difference between in plane and out of plane ultrasound guided vascular access.\ntie together cardiac POCUS\, lung ultrasound\, and vascular POCUS to estimate and differentiate hypovolemia from volume overload.\n\n  \nLevel and Prerequisites: This basic VIN CE course is open for enrollment to veterinarians actively interested in veterinary Point of Care ultrasound.\nRACE Accreditation: This course is approved for 7 hours of continuing education credit by RACE for veterinarians. (RACE 20-810782) \n  \nCourse Agenda: \nWeek 1 (Real Time Session April 1\, 2021): Ultrasound definitions\, evolution\, and the binary approach to learning!\nPlease note this session is only 1 hour long: 8:00-9:00 pm ET. All other sessions will be 2 hours long: 8:00-10:00 pm ET. This first session will cover POCUS techniques including common definitions and evolution of the field\, how POCUS differs from consultative ultrasound exams\, the key formats currently used\, when and where POCUS should be applied\, patient positioning\, coupling agents\, and the value of using clinically relevant binary questions. \nWeek 2 (Real Time Session April 8\, 2021): Abdominal Ultrasound\nEver wonder if the cat that ate lilies is producing urine when it’s not possible to pass a urinary catheter? Ever wonder if the dog with an acute abdomen has free abdominal air in the abdomen\, or if the post-operative patient that is not eating has ileus? Using a binary approach to ask the right question at the right time makes learning and applying abdominal point of care ultrasound easy! \nWeek 3 (Real Time Session April 15\, 2021): Pleural Space and Lung Ultrasound\nEver struggle with determining the cause of dyspnea in a cat that is too unstable to take radiographs or draw blood for ProBNP levels (cardiac\, respiratory\, pleural effusion)? Ever debate if you should discontinue IV fluids in the patient with mild tachypnea? Have you ever felt frustration at not finding a cause for patients presenting for “ain’t doing right” with no specific clinical signs? Veterinary point of care ultrasound (POCUS) can help you manage these patients! Following a binary approach\, the key principles of the bat sign\, gator sign\, glide sign\, A lines\, B lines\, lung pulse\, and curtain sign\, dry lung and wet lung will all be covered. \nRecent veterinary studies have demonstrated the agreement between some veterinary thoracic and lung ultrasound protocols and CT scans are less than ideal when it comes to diagnosing pleural effusion and pneumothorax\, and to some extent\, lung pathology. This should not be the case! This session will focus on a practical approach to point of care ultrasound that considers clinical findings and challenges current protocols by asking the question; “where will pathology accumulate” and subsequently\, “what should we be sonographically looking for to answer binary\, relevant\, rapid\, clinical\, and often lifesaving questions”. Don’t simply put the probe on the patient or expect a “one protocol fits all” approach to be applicable to all situations; ask the right question and know how to modify protocols to increase the chance of success with pleural space and lung pathology! \nLung ultrasound has significantly evolved over the past two decades and knowing how the identification of artifact at the surface of aerated lung can progress to consolidated lung when the ratio of aerated to non-aerated lung falls below 5-10% is key to identifying lung pathology beyond simple wet lung. Lung consolidation is not difficult to identify and knowing how consolidations differ with regards to their borders and the characteristics seen within lung consolidations\, along with history and other clinical findings allows the differential diagnosis to be narrowed. \nWeek 4 (Real Time Session April 22\, 2021): Cardiac and Vascular Ultrasound\nEver struggle with deciding if the dyspneic cat or dog should receive furosemide for possible congestive heart failure or wonder if maybe steroid administration for feline asthma would be more appropriate? What about differentiating pericardial effusion from dilated cardiomyopathy on thoracic radiographs\, or trying to decide if that fluid seen on ultrasound is pleural or pericardial? What about differentiating pseudohypertrophy and hypovolemia from hypertrophic cardiomyopathy in the cat? This session will build on each prior lecture and continue the binary approach to answering clinically relevant and appropriate questions to ask. The best part of POCUS is that you do not have to be a cardiologist or radiologist to perform these techniques! \nA patient presents collapsed\, it has poor pulses and a prolonged capillary refill time – it is in cardiovascular shock! (The internist runs away). Should an IV fluid bolus be given\, and if so\, how much and how will the patient likely respond to IV fluid therapy (The criticalist is super excited)? Where and how can you look at the vascular system to estimate intravenous volume status and fluid responsiveness? What is a flat vs. fat vena cava tell you? One last question: have you ever struggled to place an IV catheter in a patient that is dehydrated\, has hematomas\, thick skin or edema? You guessed it\, ultrasound can help\, and we will show you how! \nSuccessful completion (scoring 80% or better) on the end-of-course test is required to earn a certificate of completion for the course. To learn more about the requirements for earning a CE certificate\, please refer to Receiving Your CE Credit and Course Completion Certificate. \nCourse Materials: Course materials will be available in the course library prior to each Real Time Session.\nRequired Textbook(s): There is no required textbook for this course. \n \n  \nEnroll Now \nTuition: Member $161 ($145 early bird special if enrolled by March 11\, 2021)\nNon-Member $263 ($237 early bird special if enrolled by March 11\, 2021)\nPrices are listed in US dollars. \n*To ensure participants are ready and prepared for classes\, enrollment will close on April 1\, 2021 at 5 pm ET (USA) or when the maximum number of participants is reached. \n*For more information on how online CE works\, see the Participant Resource Center. \n\nEnrollment qualifications: VIN CE courses are open to VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a VSPN CE or a VIN CE course open to VSPN member enrollment.\nEach enrollee must be able to receive emails from @vspn.org and @vin.com addresses. Email is our major form of communication with participants; personal emails are highly recommended rather than clinic/hospital email addresses.\nFor further assistance call 800-846-0028 ext. 797 or email CEonVIN. Please include the course title\, your full name\, and contact information in your correspondence.\n\nCourse withdrawal and refund policy: A complete refund of the paid course price will be issued when your withdrawal request is received prior to the listed start date of the course. If you wish to withdraw after the start date please contact the VIN office 800-846-0028 ext. 797 to discuss eligibility for a pro-rated refund. \n*For more information on VIN’s upcoming CE courses\, check the VIN Course Catalog. \nKatherine James\, DVM\, PhD\, DACVIM (SAIM)\nVIN Education Director \nVIN CE Services: CEonVIN\n800-846-0028 or 530-756-4881; ext. 797\nor direct line to VIN/VSPN from the United Kingdom: 01 45 222 6154\nor direct line to VIN/VSPN from Australia: 02 6145 2357 \nWEBSITE LINK:  https://www.vin.com/ce/DIAG409-0321.htm
URL:https://www.sheltermedportal.com/event/online-course-registration-open-until-4-1-21-or-until-full-3-25-21-to-4-30-21-point-of-care-ultrasound-techniques-for-the-general-practitioner-vin-vspn-fee-applies/
LOCATION:Virtual
CATEGORIES:Online Course
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