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 1Case: Constipation 151 2FOCUS 152 3Getting Started 153 4Orientation Conventions 154 5Anatomy and Windows 155 6Parasternal Long Axis 156 7Parasternal Short Axis 157 8Subxiphoid Window 158 9Subxiphoid Long Axis 159 10Apical Four Chamber 160 11Suprasternal and Summary 161