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? | |