หน่วยเวชศาสตร์ฉุกเฉิน รพ.จุฬาลงกรณ์ ร่วมกับ WINFOCUS จัดประชุมเชิงปฏิบัติการ 'Advance Ultrasound Enhance Life Support with soft cadaver vascular access workshop' ให้แก่แพทย์เวชศาสตร์ฉุกเฉิน และผู้สนใจ ที่รพ.จุฬาลงกรณ์ ในวันที่ 15-16 สิงหาคม 2555 โดยมีเป้าหมายเพื่อให้ผู้เรียนสามารถใช้ ultrasound ในการช่วยในการวินิจฉัยและรักษาผู้ป่วยที่อยู่ในภาวะ shock, dyspnea, cardiac arrest และ trauma ได้ ในการนี้ได้รับเชิญวิทยากรจาก WINFOCUS instructor โดยผู้ผ่านการฝึกอบรมจะได้รับ USLS BL1 Provider Certification ผู้สนใจสามารถดูรายละเอียดเพิ่มเติมได้ที่ www.chulalongkornhospital.go.th/unit/er/er/ หรือติดต่อ emchula@gmail.com หรือคุณบุญครอง เบอร์โทรศัพท์ 02-256-5009

1. USLSBL1~PROVIDER
ULTRASOUND
LIFESUPPORT AND
Soft cadaver Vascular access
Premium Certification Workshop
ABCDEULTRASOUND
RESUSCITATION
August 15-16, 2012 ~ 08:30am – 05:30pm
Bangkok - Thailand
King Chulalongkorn Memorial Hospital
www.winfocus.org

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.
CO U R S E DI R E C T O R S CO U R S E I NSTRUCTORS
Luca Neri MD, Milan Italy
Luca Neri MD
Mahmoud Elbarbary MD, Saudi Arabia
Mahmoud Elbarbary MD
L O C A L CO U R S E DI R E C T O R S
Ton Hong Chuen MD, Singapore
Mok Ka Leung MD, Hong Kong
Suthaporn Lumlertgul.MD, Thailand Gordon Lee MD, HongKong
Suthaporn Lumlertgul, Thailand
WI N F O C U S CO N T A C T S
Secretariat Office
Executive Office – Board
Via Orefici, 4 - 40124 Bologna, ITALY Via Borgonuovo, 4 - 20124 Milano, ITALY
Tel +39 051 230385
Tel +39 333 5404074
Fax +39 051 221894
Fax +39 02 700531930
noema.secretariat@winfocus.org
winfocus@winfocus.org
www.noemacongressi.it
www.winfocus.org
RE G I S T R A T I O N
ONLINE REGISTRATION:
Go to http://www.winfocus.org/registration, make your choice and follow the procedure.
OFF-LINE REGISTRATION:
Find attached or download the form at http://www.winfocus.org/registration, then send it
by FAX to +39 051 221894 or by EMAIL to noema.secretariat@winfocus.org
Or emchula@gmail.com
“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
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. Empowering Life Support Protocols with
ABCDE UltraSound Resuscitation
[Entry course for USLS BL1 Provider Certification]
First Day Second Day
08:00 REGISTRATIONS & PRE-COURSE TEST 08:00 REVIEW, DEBRIEFING, Q/A
Point-of-care US in Primary, Emergency and ASSESSMENT:
I 08:30 Critical Care Medicine: empowering life support 08:30
N Peritoneal effusion: FAST windows.
protocols
T
R ASSESSMENT:
Critical ultrasound techniques: image generation,
O 08:50 08:50 N/ retro-peritoneal, parenchymal and soft tissue
acquisition, interpretation & administration.
haematomas.
ASSESSMENT:
Obstruction/atelectasia, tracheal displacement
C ASSESSMENT:
A and lesions, emphysema. Prandial status. I Abdominal & thoracic aortic aneurysm: detection,
09:10 09:10
measurement, N/ dissection and rupture.
I PROCEDURES: R
R ETT, crico-tyroidotomy, tracheo-tomy/-stomy. C
W U ASSESSMENT:
A MANAGEMENT: O&G emergencies: ectopic vs intrauterine,
09:30 Airway Protocols & Interactive Cases L 09:30 retroplacentar haematoma, placenta previa.
Y
[US-AIR] A Fetus: movements, heart beat, position,
T presentation.
B I PROCEDURES:
ASSESSMENT:
Defibrillation, TC & IV pacing.
R 09:50 Pleural effusion, alveolar consolidation, interstitial O 09:50
Pericardiocentesis, pleurocentesis.
E syndrome, pneumothorax. Diaphragm impairment. N Paracentesis, DPL, laparotomy.
A
PROCEDURES:
T 10:10 10:10 PROCEDURES:
Needle aspiration, thoraco-centesis, chest tube
H Peripheral & central venous catheterization.
insertion, thoracotomy.
I
MANAGEMENT: MANAGEMENT:
N 10:30 Respiratory Protocols & Interactive Cases 10:30 Cardio-circulatory Protocols & Interactive Cases
G [BLUE] [FAST, EFAST, FAST-ABCDE, L/H/CV]
10:50 COFFEE BREAK 10:50 COFFEE BREAK
ASSESSMENT:
DI Optic nerve sheath/disc, pupil assessment
ASSESSMENT: SA (+midline shift, cervical fracture, neonatal
11:10 Introduction to echocardiography. BI 11:10 assessment).
C
Cardiac and caval vein windows. LI
I MANAGEMENT:
TY
R Neurological Protocols & Interactive Cases [US-NEU]
C ASSESSMENT: A US ABCDE PRIMARY MANAGEMENT:
B
U Critical hemodynamic assessment: heart
C
- US Trauma Life Support [US-TLS]
11:30 11:30
L morphology/performance/filling state, pericardial D - US Advanced Cardiac Life Support [US-ACLS]
effusion/tamponade, caval vein variations. E - US-Triage & US-EMS/HEMS
A
T CONCEPTS ON HEAD-TO-TOES
ASSESSMENT: HEAD
I SECONDARY MANAGEMENT & MONITORING:
11:50 Thrombo-embolic disease: deep venous -TO- 11:50
- Head, Thorax, Abdomen, Limbs
O thrombosis, pulmonary embolysm. TOES
- Assessment, treatment, monitoring, and follow-up
N
MANAGEMENT:
Ultrasound education and development:
12:10 Cardio-circulatory Protocols & Interactive Cases CME 12:10
WINFOCUS global initiative for PHC, EM and CCM.
[FEEL, FATE, L/H/CV]
12:30 LUNCH 12:30 LUNCH
US HANDS-ON & SIMULATION:
US HANDS-ON & SIMULATION:
TRAINING
TRAINING
[HUMAN MODELS, PHANTOMS & ULTRASOUND SIMULATOR]
[HUMAN MODELS, PHANTOMS & ULTRASOUND SIMULATOR]
Circulation, Disability
13:30 Machine orientation. 13:30
Dyspnea, Shock, Coma
Signs & patterns, sono-anatomy.
US Trauma Life Support [US-TLS]
Airway, Breathing, Circulation.
US Advanced Cardiac Life Support [US-ACLS]
17:30 SESSION CLOSURE 17:30 POST-COURSE TEST & CLOSURE

7. USCME GLOBAL PROGRAM DIRECTORS:
Chair: Luca Neri (Milan, Italy)
Co-chairs : Richard Hoppmann (Columbia, SC, USA), Enrico Storti (Milan, Italy)
Advisors: 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 ( www.winfocus.org/uscme/uscmc ~ Ultrasound C
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 (www.winfocus.org/rescue/ilceus).
USCMC EDUCATIONAL CERTIFICATION ROADMAP :
Certification steps are implemented along the three EFSUMB levels of proficiency (www.efsumb.org):
•
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 www.winfocus.org/uscme