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Table 1 Cardiac POCUS checklist for basic competency in image acquisition and anatomy identification

From: Development of a multisystem point of care ultrasound skills assessment checklist

Cardiac parasternal Cardiac subxiphoid
Selects PHASED-ARRAY transducer Selects PHASED-ARRAY transducer
Selects CARDIAC EXAM Selects CARDIAC EXAM
Correct probe LOCATION Correct Probe LOCATION
Correct probe ORIENTATION Correct Probe ORIENTATION
Probe CONTROL Probe CONTROL
Obtains a quality Parasternal Long Axis view
(Required structures = RV, LV, LA, AV, MV, LVOT, aortic root, descending thoracic aorta)
Obtains quality subxiphoid 4-chamber VIEW
(Required structures = Liver, RV, RA, TV, LV, LA, MV)
Points to RIGHT VENTRICLE Points to PERICARDIUM
Points to LEFT VENTRICLE Points to LIVER
Points to LEFT ATRIUM Points to RIGHT VENTRICLE
Points to AORTIC VALVE Points to RIGHT ATRIUM
Points to MITRAL VALVE Points to LEFT VENTRICLE
Points to LEFT VENTRICULAR OUTFLOW TRACK Points to LEFT ATRIUM
Points to DESCENDING THORACIC AORTA Points to MITRAL VALVE
Points to PERICARDIUM Points to TRICUSPID VALVE
Image DEPTH optimized appropriately Image DEPTH optimized appropriately
Image GAIN optimized appropriately Image GAIN optimized appropriately
Cardiac apical Inferior vena cava
Selects PHASED-ARRAY transducer Selects PHASED-ARRAY or CURVILINEAR transducer
Selects CARDIAC EXAM Selects CARDIAC or ABDOMINAL EXAM preset
Correct Probe LOCATION Correct Probe LOCATION
Correct Probe ORIENTATION Correct Probe ORIENTATION
Probe CONTROL Probe CONTROL
Obtains a quality 4-chamber cardiac VIEW (a 5-chamber view is acceptable)
(Required structures = RV, LV, RA, LA, TV, MV)
Obtains quality IVC VIEW
(Required structures = RA, IVC, a hepatic vein, liver)
Points to RIGHT VENTRICLE Points to LIVER
Points to LEFT VENTRICLE Points to IVC
Points to RIGHT ATRIUM Points to HEPATIC VEIN
Points to LEFT ATRIUM Points to RIGHT ATRIUM
Points to MITRAL VALVE Points to site to assess for RESPIRATORY VARIATION
Points to TRICUSPID VALVE
Image DEPTH optimized appropriately Image DEPTH optimized appropriately
Image GAIN optimized appropriately Image GAIN optimized appropriately
Based on the overall performance of this learner through all the views obtained and identification of anatomic structures during this hands-on skills evaluation, do you consider this learner to have the minimum skills to be considered COMPETENT in image acquisition and anatomy identification to perform CARDIAC POCUS exams of patients?
  1. AV aortic valve, IVC inferior vena cava, LA left atrium, LV left ventricle, LVOT left ventricular outflow tract, MV mitral valve, POCUS point-of-care ultrasound, RA right atrium, RV right ventricle, TV tricuspid valve