Emergency Ultrasound

Format

This pre-course is offered in room 143, at Palais des Congrès de Paris, France on Thursday 24 September, 08:00 -18:00 CEST.

This Point-of-Care Ultrasound (POCUS) training offers a dynamic learning experience for emergency physicians, combining foundational knowledge, hands-on practice, and expert-led instruction. By choosing relevant modules for their individual clinical practice participants will enhance their diagnostic and procedural ultrasound skills, gaining confidence in applying POCUS to improve patient outcomes in emergency care settings. The course will be submitted for CME accreditation by the EACCME®.

For who

Emergency physicians (consultants, trainees, emergency medicine physician assistants), paramedics and nurses.

Module 1 – Ultrasound guided nerve blocks in trauma

This module will provide an introduction to ultrasound guided nerve and fascial plane blocks deemed of high value to emergency physicians in their daily practice. By
providing a foundation to work on, the participant will then be able to apply the principles and skills to any other blocks that are useful in their scope of practice.

Learning Objectives
  • Foundations of regional anaesthesia
  • know the nerve, see the nerve, see the needle, do the block.
  • Practice needling technique including some challenges to test your skills!
  • Blocks covered in the module with practical sessions.
    o Fascia Iliac compartment blocks for hip fractures–suprainguinal and
    infrainguinal.
    o Femoral nerve.
    o Popliteal.
    o Chest wall blocks.
    § Serratus Anterior Plane.
    § Erector Spinae Plane.
  • Overview of upper limb regional anaesthesiae options

Module 2 – POCUS in musculoskeletal emergencies

This course provides hands-on training in musculoskeletal (MSK) point-of-care ultrasound (POCUS) for joint, tendon, muscle, and soft tissue evaluation relevant for emergency physicians. Participants will learn to identify pathologies, perform ultrasound-guided procedures, and enhance their diagnostic skills.

Learning Objectives

POCUS of the Joints:

  • Identify joint eQusion in the ankle, knee, hip, shoulder, and elbow using POCUS.
  • Perform ultrasound-guided joint aspiration and infiltration.
  • Utilize POCUS for evaluating shoulder dislocations.

POCUS of the Tendons and Muscles:

  • Diagnose ruptures of the Achilles tendon, patellar tendon, quadriceps tendon,
    and biceps tendon.
  • Identify rupture of the medial head of M. gastrocnemius (Tennis Leg).

POCUS of the Soft Tissue:

  • DiQerentiate soft tissue swelling using POCUS.
  • Perform ultrasound-guided foreign body removal.
  • Conduct a tibialis posterior nerve block for foreign body removal from the sole of
    the foot.


Module 3 –  
Basic focused cardiac POCUS for emergency physicians

In this module, designed specifically for emergency physicians, we explore the
theoretical and practical aspects of cardiac ultrasound. Participants will learn basic
anatomy and views, work on hand-eye coordination, interpret ultrasound findings
comparing normal and pathological images, and integrate results into clinical reasoning
in time-sensitive pathologies.

Learning Objectives
  • getting familiar with basic cardiac views and describing the relevant anatomy of
  • every view: subcostal, parasternal long and short axis, apical four, five and two
    chamber view
  • name diQerent regions of the left ventricular muscle and describe diQerent basic
    ways to assess the contractility
  • assess left ventricular contractility in diQerent views by eyeballing
  • compare and measure chamber size in A4C view
  • assess the size of the right ventricle and motion of the septum in diQerent views
  • IVC measurement pitfalls and interpretation
  • pericardial eQusion and tamponade

Module 4 – Advanced focused cardiac POCUS for emergency physicians

Participants will delve into advanced techniques, mastering, including comprehensive, semi-quantitative and even quantitative assessment of cardiac function, identification of structural abnormalities, and evaluation of hemodynamic status. By the end of the course, participants will be taught on tips for integrating all of these applications into their daily clinical practice for critical decision-making in urgent scenarios.

Learning Objectives
  • Assess left ventricular systolic function using multiple echocardiographic views, including visual estimation, MAPSE, EPSS, and quantitative methods such as Teichholz and Simpson.
  • Evaluate the mitral valve in B-mode and with colour Doppler to identify severe mitral regurgitation.
  • Assess right ventricular systolic function using chamber size, TAPSE, and septal motion, and distinguish features suggestive of chronic right ventricular strain.
  • Measure tricuspid regurgitation jet velocity (TRV) and pulmonary acceleration time (PAT) in the assessment of suspected pulmonary embolism.
  • Measure LVOT VTI to calculate cardiac output and assess haemodynamic changes during a passive leg raise test.
  • Learn the principles and technique of echocardiography-guided pericardiocentesis.

Faculty

Course Director: Dr. Senad Tabakovic, (CH)
Co-Directors: Dr. Eftychia Polyzogopoulou (GRC) and Paul Van Overbeeke (NL)

Registration

Each participant may select either one module for half a day or two modules for full day.

The price for 1/2 day is € 275 (including 10% VAT)

The price for full day is € 475 (including 10% VAT)

Please register through your MyEUSEM account by clicking on the EUSEM Congress registration button. From the Pre-courses tab you can select the pre-courses you would like to join.

REGISTER FOR THIS PRE-COURSE

Programme

Module 1 and module 3 are running in parallel. Module 2 and module 4 are running in parallel.

Module 1 – Ultrasound guided nerve blocks in trauma

Time24 September
08:00-08:05Intro to the day            
08:05-08:20Nerve block basics-LAST
08:20-08:35Forearm blocks (Median, Ulnar, Radial)
08:35-09:20Live model practice & phantom needling
09:20-09:35Hip fracture blocks (SIFI, IFI, PENG, Femoral)         
09:35-10:20Live model practice & phantom needling         
10:20-10:35Coffee Break
10:35-10:50Truncal Blocks (ESP and SAP)
10:50-11:35Live model practice & phantom needling   
11:35-11:50Popliteal Sciatic, Saphenous N & Tib posterior blocks
11:50-12:30Live model practice & phantom needling

Module 2 – Ultrasound in musculoskelettal emergencies

Time24 September
13:30-13:45Welcome and Introduction
13:45-14:00Knee Effusion/Aspiration, Patellar Tendon Rupture, Quadriceps Tendon Rupture; Hip effusion/aspiration
14:00-14:45Scanning
14:45-15:00Ankle and Lower Leg (Achilles Tendon Rupture, Ankle Effusion/Aspiration, Syndesmosis Rupture, Distal Malleolar Fractures, Medial Gastrocnemius Rupture)
15:00-15:45Scanning
15:45-16:00Coffee break
16:00-16:15Shoulder and Elbow (Effusion/Aspiration, Shoulder Dislocation, Biceps Tendon Rupture, Supraspinatus Tendon and Subacromial Bursa Infiltration)
16:15-17:00Scanning
17:00-17:15Soft Tissue Swelling and US-Guided Foreign Body Removal, Tibialis Posterior Block
17:15-18:00Scanning

Module 3 – Basic focused cardiac POCUS for emergency physicians

Time24 September
08:00-08:05Introduction to FoCUS course
08:05-08:35Basic views: SX, PLAX, PSAX, A4 and IVC
08:35-09:00Eyeballing 101
09:00-10:45Hands on
10:45-11:00Coffee break
11:00-11:15LV basic assessment
11:15-11:30RV basic assessment
11:30-12:15hands on
12:15-12:30IVC yay or nay?

Module 4 – Advanced focused cardiac POCUS for emergency physicians

Time24 September
13:30-13:35Intro
13:30-13:50Advanced Parasternal and Apical Views
13:50-14:50Scanning
14:50-15:05Diastolic Function Assessment
15:05-16:05Scanning
16:05-16:20Coffee break
16:20-16:35Right Heart and Pulmonary Hypertension
16:35-17:15Scanning
17:15-17:30Quantitative Hemodynamics in Shock
17:30-18:15Scanning