急診超音波教師研習營課程上課內容

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急診超音波教師研習營 課程簡介 新光醫院急診醫學科 陳國智醫師 中華民國醫用超音波學會指導醫師

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: 1. 2. 3. 4. 20 (1, 2,3)

: :

(A)1. (10 positive exam 10%) 2. (10 positive exam 10%) 3. (FAST) (10 positive exam 20%) 4. (10 positive exam 20%) 5. (10 positive exam for IUP & FHB 20%) 6. (10 positive exam for obstructive uropathy & urinary retension 20%) 7. (10 positive exam 10%) 8.US-assisted paracentesis or thoracentesis ((10 )

(B) 1.Liver tumor 2.Pneumobilia 3.PVT thrombosis 4.Unexplained jaundice 5.Cardiac activity during CPR 6.Global LV systolic function evaluation 7.Intravascular volume status evaluation (IVC) 8.US-assisted pericardiocentesis 9.Evaluation of hematuria 10.Evaluation of acute renal failure 11.Renal cyst and tumor 12.Pneumothorax 13.Solid organ injury 14.GI-tract: target sign or pseudokidney sign 15.GI-tract: bowel obstruction 16.Soft tissue abscess evaluation and drainage 17.Soft tissue foreign bodies evaluation 18.Joint effusion evaluation and drainage 19.US-assisted lumbar puncture 20.Ovarian cyst 21.Myoma uteri 22.

1. 2. 3. ( )

(Basic EUS) 4 : 1:4 Workshop (4) 1. 2. 3. 4.

Workshop

(Advanced EUS) 16 ; : 1:4

Day 1Lecture 1. (40 min) 2. (50 min) 3.( )(50 min) 4. (50 min) 5. (50 min)Day 1Workshop 1.Abdominal US (1 hr) 2.Chest US (1 hr) 3.Echocardiaography (1 hr) 4.Thoraco-abdominal trauma (1 hr)

Day 2 Lecture 1. (50 min) 2. (50 min) 3. (50 min) 4. (50 min) 5. (40 min)Day 2: Workshop 1.Shock screening (1 hr) 2.AAA & DVT assessment (1hr) 3.Peidatric and OB/GYN assessment (1 hr) 4.Clinical applications for procedures (1 hr)

+ Workshop

Lecture

50M, MVA patient, HR 130bpm, BP 70/40 Internal bleeding ?

85M, sudden onset right flank pain, 8/10 Renal colic or AAA ?

48F, RUQ pain with fever Cholecystitis ?

28F, low abdominal pain with shock, EIA (+) Ectopic pregnancy ?

:

Aloka SSD 900 Toshiba Nemio

&

W4 (Hand-on practice)

()

SKH-EUS schedule : EUS(1) &

: EUS--(2)(9)

: EUS--(11)(20)

: EUS_Challenging cases & Journal Reading

-Emergency Medicine

-Critical Care

Written test Video test

DOPS (Direct Observation of Procedural Skills)

SKH FAST Billing

EUS fellowship program Proctored examinations and billing

Extend EUS applications Quality improvement (from model to patient)

3D (DOPS)

Describe (Lecture/ Pictures/ Videos)

Hand-on Practice1. Describe 2. Demo 3. Do2

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