EFAST Credenitaling Pathway

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1.  Learning Objectives

1. Complete UTEC online physics/knobology and eFAST course and attend eFAST practical workshop which meets the current ACEM Guideline G25 for Ultrasound Education Program (minimum on 2 hours practical time with 1:5 instructor to student ratios)

 

2. Logbook - Minimum of 25 accurate examinations must be performed. - At least 50% of these examinations must be clinically indicated - At least five should be positive for either intraperitoneal, pleural, pericardial fluid, or pneumothorax.

 

3. Complete summative assessment. This may be completed at an EMUGs finishing school workshop.

 

4. Download the EMUGS certificate of completion for signing by your supervisor

2. EFAST Minimal Imaging Requirements

3. UTEC Module - EFAST

4. EFAST Resources

5. EFAST Logbook

6. Summative Assessment

1. Demonstrate an understanding of the appropriate anatomy, physiology and pathology.

2. Effectively perform and interpret E-FAST ultrasound.

3. Describe the limitations of ultrasound of the chest in trauma including relevant false positive and negative findings.

4. Describe the limitations of ultrasound of the abdomen in trauma including relevant false positive and negative findings.

5. Label and record an appropriate image set for storage in the medical record.

Learners Should be Able to Demonstrate and Identify the following:

 

Abdominal views

• Liver

• Right Kidney

• Spleen

• Left Kidney

• Bladder

• Uterus

• Bowel

• Intra abdominal free fluid

 

Cardiac views

• Liver

• Right ventricle

• Pericardium

• Pericardial fluid

 

Chest views

• Lung sliding

• Pleural fluid

• Pneumothorax

 

Imaging the Chest

• Be able to image the pleural space via intercostal views.

• Be able to identify normal lung movement in the above views.

• Be able to identify pleural fluid in the intercostal, RUQ and LUQ views and give qualitative estimates of the amount of free fluid.

• Be able to understand the implications of the absence of normal lung movement and the finding of pleural fluid in the clinical setting.

• Understand the limitations of ultrasound of the chest in trauma.

 

Imaging the Pericardium

• Be able to image the pericardial space via the subcostal window and other windows such as parasternal/apical.

• Be able to identify pericardial fluid in the above view and give qualitative estimates of the amount of free fluid.

• Be able to understand the implications of the finding of pericardial fluid in the clinical setting.

 

Imaging the perihepatic, perisplenic and pelvic regions:

• Be able to identify free fluid in the above views

• Give qualitative estimates of the amount of free fluid

• Be able to understand the implications of the finding of free intraabdominal fluid in the clinical setting.