Brescia - Italy - Spedali Civili di Brescia
Transcript
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 I N T R O A I R W A Y B R E A T H I N G 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. C I R C U L A T I O N 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 DI SA BI LI TY A B C D E 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 C I R C U L A T I O N 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): • • • 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: • • • • 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): • • US-TLS EFAST (US Trauma Life Support, ATLS-conformed) (Extended Focused Assessment with Sonography for Trauma) • • US-ACLS US-BLSD (US Cardio-Pulmonary Life Support, ACLS/ALS-conformed) (US Cardio-Pulmonary Life Support, BLS/LSD-conformed) • • US-NPLS US-PHLS (US Neonatal & Pediatric Life Support, PALS-conformed) (US PreHospital Care & Disaster Medicine Triage) • US-Triage (US Triage in Disaster Medicine) • • • CC ECHO US-MON US-SEPS (Critical Care Echocardiography or ECHO ICU) (US ABCDE Monitoring) (US Sepsis Management) • • • US-GPE US-PHC US-NURSE (US General Practice in Emergency) (US Primary Health Care in scarce-resource-setting) (US Nursing care in Emergency) • • • • 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: • • • • 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: • 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