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Hospital Medicine Faculty Development Series: Cardiac POCUS

Dr. Haughey describes the role of point-of-care ultrasound (POCUS) in inpatient medical practice. He demonstrates how to obtain the common cardiac views in the parasternal, apical and subxiphoid windows and highlights normal anatomy in each view. He also demonstrates how to visually estimate systolic function, detect a pericardial effusion, and right ventricular enlargement. Lastly, he describes how to perform an ultrasound exam of the inferior vena cava and incorporate these findings into a clinical volume assessment.

Activity Details
Start Date:  November 12, 2020
End Date:  November 12, 2023
Presenter
  • David Haughey, MD, Section of Hospital Medicine at Dartmouth-Hitchcock Medical Center, Assistant Professor of Medicine at the Geisel School of Medicine, Core Faculty Dartmouth-Hitchcock Internal Medicine Residency Program, Director of POCUS Education and Training for Internal Medicine Training Program, Almy Clinical Scholar
Registration

You may claim CME credit for successful completion of this online course. In order to claim credit, you must follow these steps:

  1. Register for the learning activity by creating an account or logging in to your account.
  2. Click Continue to navigate to the Activity Material tab. Click View Presentation to view the recording. View the entire presentation.
  3. Return to this Activity page.
  4. Click Continue to navigate to the Evaluation tab; then click the Launch button to start the evaluation.
  5. Complete and Submit the evaluation and attestation form.

When the evaluation is submitted, you will be awarded credit. You may access your transcript for verification of participation at any time via Your Account. Need help? Visit the Support Page, send an Email, or call the Center for Learning and Professional Development at (603) 653-1234, Option 1.

Learning Outcome(s)

At the conclusion of this learning activity, participants will be able to apply recent evidence for the use of Cardiac POCUS during the interpretation of cardiac ultrasound images including normal and pathologic findings of conditions encountered in hospitalist practice.

Accreditation

Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring Material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Fill out the activity evaluation. (you must register to access).
Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have reported NO financial interest or relationship* which could be perceived as a real or apparent conflict of interest. There were no individuals in a position to control the content that refused to disclose.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Bibliographic Sources
  • Soni, Nilam. Point of care ultrasound, eBook. Elsevier/Saunders, 2015.
  • C.J. McKaigney et al. / American Journal of Emergency Medicine 32 (2014) 493 –497
  • Kimura BJ, Yogo N, O’Connell CW, Phan JN, Showalter BK, Wolfson T. Cardiopulmonary limited ultrasound examination for “quick-look” bedside application. Am J Cardiol2011; 108:586–590.
  • Bertrand P.  J Am Soc Echocardiogr. 2016. May; 29(5): 381-391.
  • https://litfl.com/the-dark-art-of-ivc-ultrasound/
  • Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2010;23(7):685-713; quiz 786-8.
  •  Beigel et al. JASE. Sept 2013
  • Himelman RB, et al. Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiography sign of cardiac tamponade. J Am College Cardiol. 1988;12(6):1470–1477.
  • Kimura et al. J Ultrasound Med. 2015.
Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:
Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center
clpd.support@hitchcock.org


Type:     Internet Activity (Enduring Material)
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