FOCUS Slide 1 of 4Slide 2 of 4Slide 3 of 4Slide 4 of 4 Focused Cardiac Ultrasound (FOCUS) Emergency ultrasound of the heart = echocardiography Point-of-care echo Initially for effusion Use has expanded Left ventricular function Right ventricular strain Aortic pathology Inferior vena cava Gross valvular pathology Continue Availability of consultant performed echo Moore CL et al., “Ultrasound in community emergency departments in the United States: access to ultrasound performed by consultants and status of emergency physician performed ultrasound”, Ann Emerg Med 2006; 47:147-153 Continue Training – EPs and cardiologists “Focused Cardiac Ultrasound in the Emergent Setting: A Consensus Statement of the American Society of Echocardiography and American College of Emergency Physicians” Labovitz et al., J Am Soc Echo 2010; 23: 1225-30 Continue Medical students with ultrasound vs. attending cardiologists with stethoscope Am J Cardiol 2005;96:1002–1006 Continue Point of Care Echocardiography --- Table of Contents --- Lesson NameMinutes id Case: Constipation4 151 FOCUS3 152 Getting Started4 153 Orientation Conventions7 154 Anatomy and Windows3 155 Parasternal Long Axis4 156 Parasternal Short Axis4 157 Subxiphoid Window3 158 Subxiphoid Long Axis3 159 Apical Four Chamber3 160 Suprasternal and Summary3 161