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Table 2 Lung POCUS checklist for basic competency in image acquisition and anatomy identification

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

Lung—anterior chest Lung—costophrenic recess
Selects phased-array or curvilinear probe Selects phased-array or curvilinear probe
Selects ABDOMINAL or LUNG EXAM Selects ABDOMINAL or LUNG EXAM
Correct Probe LOCATION Correct Probe LOCATION
Correct Probe ORIENTATION Correct Probe ORIENTATION
Probe CONTROL Probe CONTROL
Obtains quality Anterior Lung VIEW
(Required structures = Ribs, pleural line, A-lines)
Obtains quality Costophrenic VIEW
(Required structures = Diaphragm, liver or spleen, lung parenchyma descending with respirations)
Points to RIBS Points to LIVER or SPLEEN
Points to RIB SHADOW Points to DIAPHRAGM
Points to PLEURAL LINE Points to LUNG PARENCHYMA
Recognizes PLEURAL SLIDING Points to COSTOPHRENIC RECESS
Points to A-LINES
Demonstrates normal pattern using M-mode (seashore)
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 LUNG and PLEURAL POCUS exams of patients?