Intensive Care / RUSH
RUSH is just one of many acronyms to describe ultrasound in hypotension, or critical illness. It asks simple questions about heart function, lung function, and vascular integrity - both large and small vessels. It may include a limited search for common causative agents. Rather than teaching a rigid protocol, it looks at the logic behind multisystem scanning and how to fit it to the individual patient. This course is applicable for all levels of physicians who aim to incorporate the Rapid Ultrasound in Shock Protocol (RUSH) in their management through a multimodality approach. It is assumed that you have rudimentary experience in E-FAST, AAA and Cardiac scanning techniques and feel comfortable with basic image optimisation. On the first day, your technique will be revised, polished and expanded by adding DVT scanning. On Day 2, your cardiac scanning skills be will extended finishing with further depth on needle visualisation for ultrasound guided procedures, as steep needle techniques are very important for anyone considering pericardiocentesis. On the third day, you will learn lung scanning and we summarise with some case based discussion, aiming to make feel you comfortable to perform and interpret a simple RUSH examination.
- Review of Physics principles
- EFAST protocol
- Abdominal aortic Aneurysm
- Proximal deep vein thrombosis (DVT)
- Basic Echo in Life support (BELS)
- Vascular Access
- Rush Protocol
On completion of the course the following topics will be covered:
- Identify the parameters of safe application of ultrasound in medical diagnosis
- Identify the physical principles, artefacts and the steps for image optimisation while performing ultrasound
- Practice "hands on" ultrasound scanning skills required to maximise diagnostic ability in answering relevant clinical questions
- Recognise the sonographic appearances of normal and abnormal structures required to answer common clinical questions
- Perform E-FAST, AAA, BELS, vascular access, proximal deep venous thrombosis (DVT) and lungs
- Use the Rush protocol in the clinical field
- Recognise the variants and abnormalities from presentations & case-based learning.
- Incorporate the ultrasound skills with the clinical situation to make appropriate management decisions
- Describe the limitations of ultrasound
- List when to on-refer patients for formal scanning.
ASUM | Accredited CCPU units included in the course:
- Extended Focussed Abdominal Scan for Trauma (E-FAST)
- Abdominal Aortic Aneurysm (AAA)
- Deep Vein Thrombosis (DVT)
- BELS (Basic Echocardiography in Life Support)
- Vascular Access
- Pleural Effusion
ACEM | This course accredited for 23 Continuing Professional Development (CPD) hours as complying with ACEM standards and policies for E-FAST, AAA, DVT, BELS (including cardiac arrest), Vascular Access. Lung, Pleural Effusion, Assessment in Undifferentiated Shock/ Rapid Ultrasound in Shock (RUSH Protocol).
ACRRM | Approved for 30 PDP points; 30 points PRPD; 30 pts MOPS Radiology; 30 pts MOPS Emergency Medicine
Eligible for Rural Procedural Grants Funding – 3 days under all components (Emergency Medicine, Anaesthetics, Obstetrics and Surgery)
Rural Procedural Grants Program – GPs can receive $2000 per day for a maximum of 10 days of training per financial year, GPs providing hospital based emergency services can receive up to three days of eligible training per financial year. Access: email@example.com.
CICM | Lectures – Category 2A, points per hour 1;
Demonstrations – Category 2B, points per hour 2;
Skills – Category 3B, points per hour 3
ANZCA | Participants in the ANZCA and FPM CPD program may claim this this course under the Knowledge and skills activity Short format learning at 2 credits per hour
RACGP | Activity Number: 142569, 40 Category 1 points. Specific Requirement Eligibility – Diagnostic radiology
Rural Grant Approved Training | 3 days under Emergency Medicine, Anaesthetics, Obstetrics and Surgery. Forward your certificate of attendance and program of the activity (including session times and content) and claim form to firstname.lastname@example.org