'USCMC LEVEL 1 CERTIFICATION SKILL SET ENTRY COURSE FOR USPLS BL1-P [ULTRASOUND PEDIATRIC LIFE SUPPORT - BASIC LEVEL 1 - PROVIDER]

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1 USPLS BL1 ~ PROVIDER ULTRASOUND PEDIATRIC LIFE SUPPORT 'USCMC LEVEL 1 CERTIFICATION SKILL SET ENTRY COURSE FOR USPLS BL1-P [ULTRASOUND PEDIATRIC LIFE SUPPORT - BASIC LEVEL 1 - PROVIDER] Verona, Novembre 2012 Hotel San Marco Via Longhena, 42 - Verona

2 WINFOCUS (World Interactive Network Focused On Critical UltraSound) The world leader scientific organization committed to develop point-of-care ultrasound practice, research, education, technology, and networking, addressing the needs of patients, institutions, services, and communities in critical scenarios. WINFOCUS Vision and Mission Statements Improving Primary, Emergency, and Critical Care Medicine, by incorporating "point-of-care" Ultrasound into Clinical Practice bringing quality Point-of-care Ultrasound to the patient in all out-of-hospital and in-hospital critical scenarios, by developing and fostering, on a global and multi-disciplinary basis, Ultrasound Education, Technological Development, Evidence-based Research, and International Teamwork. COURSE DIRECTOR COURSE CO-DIRECTOR Gian Alfonso Cibinel, Torino COURSE FACULTY Amedeo Bianchini, Bologna Ersilia De Curtis, Prato Giuseppe Limoli, Lodi WINFOCUS CONTACTS Secretariat Office Via Orefici, Bologna, ITALY Tel Fax secretariat@winfocus.org Executive Office Board Via Borgonuovo, Milano, ITALY Tel Fax winfocus@winfocus.org CRITICAL ULTRASOUND The concept of 'critical ultrasound' evolved recently from 'emergency ultrasound' performed at the 'point-of-care' in scenarios such as emergency departments, ICUs, pre-hospital care, austere environments, disaster scenes, tactical operations, and humanitarian care missions. Clinical scenarios turn into 'critical' ones when there is a dangerous performance gap between the patient status and the resources available for an appropriate decision making and problem solving. In such settings ultrasound point-of-care image acquisition and interpretation, integrated with advanced life support protocols (ACLS, ATLS) according 'ABCDE' and 'Head-to-toes' -type approaches, allows for rapid and effective decision making, enhanced triage, diagnosis, therapy, monitoring, and follow up. Nowadays, that s approach is also known as Ultrasound Life Support. This typically occurs in the acutely ill patient (Emergency US) or intensive (Intensive/Critical Care US), and/or where human or technical resources are particularly limited (Screening US, Triage US, Remote US, Primary US).

3 MERCOLEDì 28 NOVEMBRE 2012 INIZIO CORSO 8,00-8,30 Registrazione 8,30-8,50 Winfocus, US Point-of-Care e Focused US. Obiettivi del Corso 8,50-9,00 Test pre-corso INTRODUZIONE ALLA ECOGRAFIA 9,00-9,30 Cenni di fisica del suono. Acquisizione immagini e interpretazione. Utilizzo dei comandi di base AIRWAY - Valutazione 9,30-10,00 Tecnica ecografica, punti di repere, valutazione VVAA, assistenza e verifica intubazione, riempimento gastrico Amedeo Bianchini, Bologna BREATHING - Valutazione 10,00-10,30 Tecnica ecografica, punti di repere, polmoni normali, principali quadri patologici acuti (versamento pleurico, pnx, polmonite, sindrome interstiziale, atelectasie) CIRCULATION - Valutazione / CUORE 10,30-11,00 Tecnica ecografica, punti di repere, cuore normale, principali quadri patologici (dilatazioni, ipertrofie, versamento pericardico, segni di ipertensione polmonare, miocardiopatie) Giuseppe Limoli, Lodi 11,00-11,15 BREAK US HOT - 1 Esercitazioni su Knobology, Airway, Breathing, Circulation-c 11,15-13,15 N. 4 stazioni da 30 cad. Amedeo Bianchini, Bologna - Giuseppe Limoli, Lodi - Ersilia De Curtis, Prato 13,15-14,15 LUNCH BREAK CIRCULATION - Valutazione / VASI 14,15-14,45 Tecnica ecografica, punti di repere, visualizzazione vene periferiche e centrali, VCI, accesso vascolare eco guidato\assistito

4 EXPOSURE - Valutazione 14,45-15,15 EFAST, versamento addominale, vescica, ecografia integrata, lesioni maggiori ARTI Ersilia De Curtis, Prato US HOT - 2a Esercitazioni su Circulation-v, Exposure, Phantom accesso vascolare 15,15-16,15 N. 4 stazioni da 30 cad. con due rotazioni - Giuseppe Limoli, Lodi - Ersilia De Curtis, Prato 16,15-16,45 BREAK US HOT - 2b Esercitazioni su Circulation-v, Exposure, Phantom accesso vascolare 16,45-17,45 N. 4 stazioni da 30 cad. con due rotazioni - Giuseppe Limoli, Lodi - Ersilia De Curtis, Prato 17,45-18,00 DOMANDE E COMMENTI GIOVEDì 29 NOVEMBRE 2012 INIZIO CORSO 8,30-8,45 Presentazione della giornata e informazioni generali A-B-C-D Procedure invasive eco-assistite\eco-guidate 8,45-9,30 Tecnica ecografica, punti di repere, A: cricotomia - B: toracentesi, drenaggio PNX - C: IO, CVC, CPR - D: rachicentesi Amedeo Bianchini, Bologna CASI CLINICI Visualizzazione di clips, analisi della tecnica ecografica e diagnosi POC da parte dei discenti 9,30-11,00 Discussione interattiva Giuseppe Limoli, Lodi - - Ersilia De Curtis, Prato 11,00-11,30 BREAK US ABCDE. Primary management. Discussione interattiva 11,30-11,50 Gestione integrata. Arresto intraospedaliero Amedeo Bianchini, Bologna 11,50-12,10 Gestione integrata. Insufficienza respiratoria acuta - dispnea 12,10-12,30 Gestione integrata dello shock Giuseppe Limoli, Lodi

5 12,30-13,00 Gestione integrata del trauma severo Ersilia De Curtis, Prato 13,00-14,00 LUNCH Break US HOT - 3 Esercitazioni su CPR, shock, trauma, dispnea 14,00-16,00 N. 4 stazioni da 30 cad. - Giuseppe Limoli, Lodi - Ersilia De Curtis, Prato 16,00-16,30 BREAK US ABCDE Secondary management 16,30-17,00 Management e monitoring (concetti base) - Amedeo Bianchini, Bologna CHIUSURA DEL CORSO 17,00-17,15 Sottolineatura dei messaggi più importanti 17,15-17,45 Questionario di valutazione e apprendimento 17,45-18,00 Questionario di gradimento del corso (ECM) e valutazione interna Amedeo Bianchini, Bologna 18,00-18,15 Note su certificazione, provider e istruttore, centri di formazione WF 18,15-18,30 CONCLUSIONE E CONSEGNA ATTESTATI DI PARTECIPAZIONE

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9 USCME GLOBAL PROGRAM DIRECTORS: Chair: Co-chairs : Advisors: Luca Neri (Milan, Italy) Richard Hoppmann (Columbia, SC, USA), Enrico Storti (Milan, Italy) Michael Blaivas (Atlanta, GA, USA): Winfocus President, RESCUE & ILCEUS Chair Daniel Lichtenstein (Paris, France): Winfocus Scientific Comm. Chair USCMC LEARNING CONTENTS and FORMAT : The applications targeted in the USCMC ( ~ Ultrasound Critical Management Certification) program rely on the most recent literature and recommendations, and refer mostly to the Critical Care Medicine Journal Supplement fully dedicated to the ultrasound applications in the acute and critical patients (Crit Care Med 2007;35[Suppl]), written by a few dozens of the actual major world experts in the field, coordinated by Blaivas, Kirkpatrick and Sustic, and mostly involved in the Board of WINFOCUS. Proposed educational formats and pathways refer to a working document, published in its earliest version in the same supplement (Neri L, Storti E, Lichtenstein D, Toward an ultrasound curriculum in critical care medicine. Crit Care Med 2007;35[Suppl]:S290 S304), starting point of an International evidence- and consensus-based process, join to the USCME and ILCEUS projects ( USCMC EDUCATIONAL CERTIFICATION ROADMAP : Certification steps are implemented along the three EFSUMB levels of proficiency ( Level 1 (BL1 & AL1, Basic and Advanced) - Common, general, focused competency Level 2 (BL2 & AL2, Basic and Advanced) - Comprehensive, specialized competency Level 3 (beyond standards, still to be defined) - Outstanding clinical, educational, research expertise Each level includes Provider and Trainer competence-based modules (see below as ex. the USLS roadmap): ULTRASOUND LIFE SUPPORT competence-based certification pathways: USLS BL1 Provider >> Trainer ( ABCDE conformed, non-specialty-specific, general) USLS AL1 Provider >> Trainer ( Head-to-Toes conformed, setting/specialty-specific, general) USLS BL2 Provider >> Trainer (Problem-based, setting/specialty-specific, specialized) USLS AL2 Provider >> Trainer (Organ/District-based, setting/specialty-specific, sub-specialized) Ex. ECHO-AL2 Provider >> Trainer (Advanced Echo-Doppler in ICU competences) According specific performance needs, several Level 1 and 2 (L1, L2) UltraSound Life Support and Procedural modules are available, both for Providers and Trainers (P, T): US-TLS (US Trauma Life Support, ATLS-conformed) EFAST (Extended Focused Assessment with Sonography for Trauma) US-ACLS (US Cardio-Pulmonary Life Support, ACLS/ALS-conformed) US-BLSD (US Cardio-Pulmonary Life Support, BLS/LSD-conformed) US-NPLS (US Neonatal & Pediatric Life Support, PALS-conformed) US-PHLS (US PreHospital Care & Disaster Medicine Triage) US-Triage (US Triage in Disaster Medicine) CC ECHO (Critical Care Echocardiography or ECHO ICU) US-MON (US ABCDE Monitoring) US-SEPS (US Sepsis Management) US-GPE (US General Practice in Emergency) US-PHC (US Primary Health Care in scarce-resource-setting) US-NURSE (US Nursing care in Emergency) US-AIR (US Airway Management) US-CVA (US Central Vascular Access Management) US-PVA (US Peripheral Vascular Access Management) US-BLOCK (US-guided Nerve Blockage) Note: USLS BL1 Certification includes US-TLS, US-PHLS, EFAST, US-BLS, US-ACLS credentialing. Each certification module is developed along three learning phases and a final examination: Part Ia: preliminary e-learning (lectures, interactive sessions, references) Part Ib: 1-2 days introductory course (theory, hands on, and simulation components) Part II: 1-6 months proctored practice (specific minimal requirements) Part III: 1 day credentialing examination (presentation, questionnaire, simulation-based practice) Each credential profile undergoes maintenance and quality assurance processes: Refresh: 1-2 day course (every 2 years; specific annual minimal requirements) USCME AUDIENCE TARGETS : - Health care professionals: Physicians, Nurses, Paramedics, Midwives, and Technicians working in - Critical scenarios: EM, CCM/ICU, Acute/Trauma Surgery, HEMS/EMS, PHC, Pediatric, Sport, Tactical, Remote, Rural, Wilderness, Scarce-resource settings. Further details at

10 USCMC CERTIFICATION ~ USLS BL1 & AL1 for PROVIDERS