Getting Started Slide 1 of 3Slide 2 of 3Slide 3 of 3 FOCUS - indications Dyspnea/ shortness of breath Chest Pain Hypotension (including PEA) Tachycardia Syncope Penetrating trauma Continue Approach to exam Get oriented Attempt three windows Windows Parasternal Subxiphoid or subcostal Apical four chamber Few patients have all windows Almost all have one Continue Typical echo frequency is 2-5MHz ▲ Frequency = ▲ Resolution, ▼ Depth ▼ Frequency = ▼ Resolution, ▲ Depth High frame rate, small “footprint” probe “Phased array” ideal Comes from a point Easy to image between ribs Tissue Harmonic Imaging Doppler for advanced techniques 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