Brescia - Italy - Spedali Civili di Brescia

AZIENDA OSPEDALIERA
SPEDALI CIVILI DI BRESCIA
USLS BL1 ~ PROVIDER
ULTRASOUND
LIFE SUPPORT
'USCMC LEVEL 1’ CERTIFICATION SKILL SET
ENTRY COURSE FOR ‘USLS BL1-P’
[ULTRASOUND LIFE SUPPORT - BASIC LEVEL 1 - PROVIDER]
ABCDE ULTRASOUND
RESUSCITATION
May 6-7 ~ 8.30 am – 5.30 pm
~ Brescia - Italy ~
Spedali Civili di Brescia
www.winfocus.org
WINFOCUS (World Interactive Network Focused On Critical UltraSound)
The world leader scientific organization committed to develop point-of-care ultrasound
practice, research, education, technology, and networking, addressing
the needs of patients, institutions, services, and communities in “critical” scenarios.
WINFOCUS Vision and Mission Statements
Improving Primary, Emergency, and Critical Care Medicine, by incorporating "point-of-care"
Ultrasound into Clinical Practice … bringing quality “Point-of-care” Ultrasound to the patient
in all out-of-hospital and in-hospital “critical” scenarios, by developing and fostering,
on a global and multi-disciplinary basis, Ultrasound Education, Technological Development,
Evidence-based Research, and International Teamwork.
COURSE DIRECTOR
COURSE FACULTY
Luca Neri (Milan, Italy)
Cristiano Perani (Brescia, Italy)
Luca Neri (Milan, Italy)
Enrico Storti (Milan, Italy)
Carmela Graci (Milan, Italy)
Cristiano Perani (Brescia, Italy)
Giovanna Perone (Brescia, Italy)
Alessandro Radaeli (Brescia, Italy)
Romano Fiorentino (Castiglione delle
Stiviere, Italy)
Luisa Giuliano (Piario - BG, Italy)
EVENT MANAGERS
Carlotta Gherdovich (Winfocus Secretariat)
WINFOCUS CONTACTS
Secretariat Office
Via Orefici, 4 - 40124 Bologna, ITALY
Tel +39 051 230385
Fax +39 051 221894
[email protected]
www.noemacongressi.it
www.noemacongressi.it/english.html
Executive Office – Board
Via Borgonuovo, 4 - 20124 Milano, ITALY
Tel +39 333 5404074
Fax +39 02 700531930
[email protected]
www.winfocus.org
REGISTRATION
Dott.ssa Carmen Parrella
[email protected]
Ufficio Formazione Aziendale
A.O. Spedali Civili Brescia
tel 0303849325
fax 0303849300
“CRITICAL ULTRASOUND”
The concept of 'critical ultrasound' evolved recently from 'emergency ultrasound' performed at
the 'point-of-care' in scenarios such as emergency departments, ICUs, pre-hospital care, austere
environments, disaster scenes, tactical operations, and humanitarian care missions.
Clinical scenarios turn into 'critical' ones when there is a dangerous performance gap between
the patient status and the resources available for an appropriate decision making and problem
solving.
In such settings ultrasound point-of-care image acquisition and interpretation, integrated with
advanced life support protocols (ACLS, ATLS) according 'ABCDE' and 'Head-to-toes' -type
approaches, allows for rapid and effective decision making, enhanced triage, diagnosis, therapy,
monitoring, and follow up. Nowadays, that’s approach is also known as ‘Ultrasound Life Support’.
This typically occurs in the acutely ill patient (Emergency US) or intensive (Intensive/Critical Care
US), and/or where human or technical resources are particularly limited (Screening US, Triage
US, Remote US, Primary US).
Empowering Life Support Protocols with
ABCDE UltraSound Resuscitation
[Entry course for USLS BL1 Provider Certification]
First Day
08:00
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08:00
REVIEW, DEBRIEFING, Q/A
08:30
Point-of-care US in Primary, Emergency and
Critical Care Medicine: empowering life support
protocols
08:30
ASSESSMENT:
Peritoneal effusion: FAST windows.
08:50
Critical ultrasound techniques: image generation,
acquisition, interpretation & administration.
08:50
ASSESSMENT:
N/ retro-peritoneal, parenchymal and soft tissue
haematomas.
09:10
ASSESSMENT:
Obstruction/atelectasia, tracheal displacement
and lesions, emphysema. Prandial status.
PROCEDURES:
ETT, crico-tyroidotomy, tracheo-tomy/-stomy.
MANAGEMENT:
09:30
09:50
10:10
Airway Protocols & Interactive Cases
[US-AIR]
ASSESSMENT:
Pleural effusion, alveolar consolidation, interstitial
syndrome, pneumothorax. Diaphragm impairment.
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PROCEDURES:
Needle aspiration, thoraco-centesis, chest tube
insertion, thoracotomy.
09:10
09:30
09:50
PROCEDURES:
Defibrillation, TC & IV pacing.
Pericardiocentesis, pleurocentesis.
Paracentesis, DPL, laparotomy.
10:10
11:10
ASSESSMENT:
Introduction to echocardiography.
Cardiac and caval vein windows.
11:30
ASSESSMENT:
Critical hemodynamic assessment: heart
morphology/performance/filling state, pericardial
effusion/tamponade, caval vein variations.
11:50
ASSESSMENT:
Thrombo-embolic disease: deep venous
thrombosis, pulmonary embolysm.
10:30
10:50
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HEAD
-TOTOES
11:10
12:30
17:30
LUNCH
US HANDS-ON & SIMULATION:
[HUMAN MODELS, PHANTOMS & ULTRASOUND SIMULATOR]
Machine orientation.
Signs & patterns, sono-anatomy.
Airway, Breathing, Circulation.
SESSION CLOSURE
COFFEE BREAK
ASSESSMENT:
Optic nerve sheath/disc, pupil assessment
(+midline shift, cervical fracture, neonatal
assessment).
Neurological Protocols & Interactive Cases [US-NEU]
11:30
US ABCDE PRIMARY MANAGEMENT:
- US Trauma Life Support [US-TLS]
- US Advanced Cardiac Life Support [US-ACLS]
- US-Triage & US-EMS/HEMS
11:50
CONCEPTS ON HEAD-TO-TOES
SECONDARY MANAGEMENT & MONITORING:
- Head, Thorax, Abdomen, Limbs
- Assessment, treatment, monitoring, and follow-up
CME 12:10
12:30
TRAINING
TRAINING
13:30
Cardio-circulatory Protocols & Interactive Cases
[FEEL, FATE, L/H/CV]
Cardio-circulatory Protocols & Interactive Cases
[FAST, EFAST, FAST-ABCDE, L/H/CV]
MANAGEMENT:
MANAGEMENT:
12:10
PROCEDURES:
Peripheral & central venous catheterization.
MANAGEMENT:
Respiratory Protocols & Interactive Cases
[BLUE]
COFFEE BREAK
ASSESSMENT:
Abdominal & thoracic aortic aneurysm: detection,
measurement, N/ dissection and rupture.
ASSESSMENT:
O&G emergencies: ectopic vs intrauterine,
retroplacentar haematoma, placenta previa.
Fetus: movements, heart beat, position,
presentation.
MANAGEMENT:
10:30
10:50
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REGISTRATIONS & PRE-COURSE TEST
Second Day
13:30
17:30
Ultrasound education and development:
WINFOCUS global initiative for PHC, EM and CCM.
LUNCH
US HANDS-ON & SIMULATION:
[HUMAN MODELS, PHANTOMS & ULTRASOUND SIMULATOR]
Circulation, Disability
Dyspnea, Shock, Coma
US Trauma Life Support [US-TLS]
US Advanced Cardiac Life Support [US-ACLS]
POST-COURSE TEST & CLOSURE
AZIENDA OSPEDALIERA
SPEDALI CIVILI DI BRESCIA
COME RAGGIUNGERCI:
In auto: uscita autostradale di Brescia Centro per chi proviene da Cremona o da Verona e di Brescia
Ovest per chi proviene da Milano. L’ospedale è situato nella zona nord della città, in direzione
Valtrompia, ed è chiaramente indicato dalla segnaletica stradale. Per chi esce al casello di Brescia
Ovest si consiglia di percorrere la tangenziale ovest.
Con i mezzi pubblici: Linee 1, 10 e 15 degli autobus urbani con partenza dalla stazione FS e
dall’Autostazione.
MILANO
VENEZIA
CREMONA
SEDE del CORSO
Le lezioni teoriche del corso si terranno in Aula Montini (Satellite) mentre le esercitazioni pratiche si
terranno nelle aule del Pronto Soccorso
MODALITA’ di ISCRIZIONE:
L’iscrizione dovrà essere effettuata tramite contatto diretto/telefonico/email con la segreteria
organizzativa dell’ Ufficio Formazione Aziendale ed utilizzando la scheda allegata.
E’ previsto un limite di 15 partecipanti (10 esterni e 5 interni) per garantire un miglior rapporto
docente – discenti durante le esercitazioni. Le quote di iscrizione sono le seguenti:
Quota di iscrizione 490€ + IVA
Quota di iscrizione ridotta per soci WINFOCUS o soci SIMEU 300€ + IVA
A tutti gli iscritti verrà fornito accesso alla sezione online di e-training per fruire del materiale didattico.
E’ previsto accreditamento ECM con relativa certificazione.
USCME GLOBAL PROGRAM DIRECTORS:
Chair:
Co-chairs :
Advisors:
Luca Neri (Milan, Italy)
Richard Hoppmann (Columbia, SC, USA), Enrico Storti (Milan, Italy)
Michael Blaivas (Atlanta, GA, USA): Winfocus President, RESCUE & ILCEUS Chair
Daniel Lichtenstein (Paris, France): Winfocus Scientific Comm. Chair
USCMC LEARNING CONTENTS and FORMAT :
The applications targeted in the USCMC (www.winfocus.org/uscme/uscmc ~ Ultrasound Critical Management
Certification) program rely on the most recent literature and recommendations, and refer mostly to the “Critical
Care Medicine Journal” Supplement fully dedicated to the ultrasound applications in the acute and critical
patients (Crit Care Med 2007;35[Suppl]), written by a few dozens of the actual major world experts in the field,
coordinated by Blaivas, Kirkpatrick and Sustic, and mostly involved in the Board of WINFOCUS. Proposed
educational formats and pathways refer to a working document, published in its earliest version in the same
supplement (Neri L, Storti E, Lichtenstein D, Toward an ultrasound curriculum in critical care medicine. Crit Care
Med 2007;35[Suppl]:S290–S304), starting point of an International evidence- and consensus-based process,
join to the USCME and ILCEUS projects (www.winfocus.org/rescue/ilceus).
USCMC EDUCATIONAL CERTIFICATION ROADMAP :
Certification steps are implemented along the three EFSUMB levels of proficiency (www.efsumb.org):
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•
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Level 1 (BL1 & AL1, Basic and Advanced) - Common, general, focused competency
Level 2 (BL2 & AL2, Basic and Advanced) - Comprehensive, specialized competency
Level 3 (beyond standards, still to be defined) - Outstanding clinical, educational, research expertise
Each level includes Provider and Trainer competence-based modules (see below as ex. the USLS roadmap):
“ULTRASOUND LIFE SUPPORT” competence-based certification pathways:
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•
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USLS BL1 Provider >> Trainer (“ABCDE” conformed, non-specialty-specific, general)
USLS AL1 Provider >> Trainer (“Head-to-Toes” conformed, setting/specialty-specific, general)
USLS BL2 Provider >> Trainer (Problem-based, setting/specialty-specific, specialized)
USLS AL2 Provider >> Trainer (Organ/District-based, setting/specialty-specific, sub-specialized)
Ex. ECHO-AL2 Provider >> Trainer (Advanced “Echo-Doppler in ICU” competences)
According specific performance needs, several Level 1 and 2 (L1, L2) UltraSound Life Support and
Procedural modules are available, both for Providers and Trainers (P, T):
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US-TLS
EFAST
(US Trauma Life Support, ATLS-conformed)
(Extended Focused Assessment with Sonography for Trauma)
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US-ACLS
US-BLSD
(US Cardio-Pulmonary Life Support, ACLS/ALS-conformed)
(US Cardio-Pulmonary Life Support, BLS/LSD-conformed)
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US-NPLS
US-PHLS
(US Neonatal & Pediatric Life Support, PALS-conformed)
(US PreHospital Care & Disaster Medicine Triage)
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US-Triage
(US Triage in Disaster Medicine)
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CC ECHO
US-MON
US-SEPS
(Critical Care Echocardiography or ECHO ICU)
(US ABCDE Monitoring)
(US Sepsis Management)
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US-GPE
US-PHC
US-NURSE
(US General Practice in Emergency)
(US Primary Health Care in scarce-resource-setting)
(US Nursing care in Emergency)
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US-AIR
US-CVA
US-PVA
US-BLOCK
(US Airway Management)
(US Central Vascular Access Management)
(US Peripheral Vascular Access Management)
(US-guided Nerve Blockage)
Note: USLS BL1 Certification includes US-TLS, US-PHLS, EFAST, US-BLS, US-ACLS credentialing.
Each certification module is developed along three learning phases and a final examination:
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Part Ia: preliminary e-learning (lectures, interactive sessions, references)
Part Ib: 1-2 days introductory course (theory, hands on, and simulation components)
Part II: 1-6 months proctored practice (specific minimal requirements)
Part III: 1 day credentialing examination (presentation, questionnaire, simulation-based practice)
Each credential profile undergoes maintenance and quality assurance processes:
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Refresh: 1-2 day course (every 2 years; specific annual minimal requirements)
USCME AUDIENCE TARGETS :
- Health care professionals: Physicians, Nurses, Paramedics, Midwives, and Technicians … working in
- “Critical” scenarios: EM, CCM/ICU, Acute/Trauma Surgery, HEMS/EMS, PHC, Pediatric, Sport, Tactical, Remote,
Rural, Wilderness, Scarce-resource settings.
Further details at www.winfocus.org/uscme
U S C M C C E R T I FI C A T I O N ~ U S LS B L1 & A L 1 f o r P R O V I D E R S