Lesson 1Standardized views and sequence: lung zones (anterior/lateral/posterior as feasible), cardiac FoCUS, IVC, focused lower-extremity venous examDescribes practical, repeatable scan order for breath-short patients, including front, side, and back lung areas if possible, then targeted heart views, main vein check, and lower leg vein exam to smooth work in clinics.
Front and side lung area scan planBack lung check if position allowsTargeted heart views in unstable casesMain vein imaging in full examLower leg vein squash sequenceLesson 2Clinical priorities for acute dyspnea with heart failure history: hypoxia, pulmonary edema, cardiogenic shock, thromboembolismSets immediate aims in breath-short heart weak patients, using POCUS to fast check low oxygen, lung water, heart shock, and clots, mixing with patient data to direct sorting, steadying, and care step-up.
Starting air, breath, flow checkPOCUS for quick low oxygen and shock gradingSpotting heart vs non-heart lung waterScreen for right heart strain and clotsRisk grading and care place choicesLesson 3Machine settings for lung and cardiac imaging: depth, harmonics, lung presets, cardiac presetsCovers device tune for lung and heart images, like depth, brightness, wave boosts, sets, and save, to better see water lines, lung surfaces, heart rooms, and vein moves in tough patients.
Depth and focus for lung and surfaceBrightness, range, and depth gainWave boosts and noise tuningPicking and changing lung and heart setsImage tags, clips, and record settingsLesson 4Common limitations and pitfalls: B-line etiologies beyond cardiogenic edema, body habitus and probe limitations, false-negative DVT scansTackles usual limits and traps in lung-heart-vein POCUS, like non-heart water line causes, body shape and probe issues, partial vein checks, and thinking bias, with ways to cut false comfort and wrong diagnosis.
Non-heart causes of spread water linesWeight and under-skin air effectsSpotting partial or low-quality vein scansAvoiding too much trust in one POCUS findLists, re-checks, and recordsLesson 5POCUS targets: lung comet-tail B-lines, pleural effusion, cardiac function, IVC and lower extremity DVT scanningDetails main POCUS aims in sudden breath-short: lung water lines and surface water, overall and area heart work, and main vein and lower leg vein scans to find backup, right heart strain, and leg clots adding to symptoms.
Scanning for tail water lines and dry patternsFinding and describing surface waterTargeted left and right heart pump checkMain vein size and squeeze for fluid stateLower leg vein clot squash planLesson 6Management decisions based on findings: diuretics, noninvasive ventilation, vasodilators, need for ICU or cardiology input, anticoagulation for DVT/PE suspicionDemonstrates turning POCUS results into bed care: adjusting water pills, openers, and non-tube breathing, choosing clot drugs for suspected leg or lung clots, and deciding intensive care or heart advice need.
Tuning water pills on backup patternsUsing POCUS to direct non-tube breathingOpener and strength drug picks in shockClot drugs when leg or lung clot suspectedRules for intensive care move and heart adviceLesson 7Interpreting POCUS patterns: cardiogenic pulmonary edema vs ARDS vs pneumonia vs pneumothoraxExplains mixing lung, heart, and vein POCUS patterns to tell heart lung water from lung damage, lung infection, and air leak, stressing pattern spot, vital mix, and shared look awareness.
Spread water lines and surface in heart waterMixed water lines and solid in lung damageSpot solid and moving air signs in infectionNo lung slide and point in air leakMatching clashing lung and heart resultsLesson 8When to stop relying on POCUS: need for chest radiograph, CT pulmonary angiography, formal echocardiography, invasive monitoringDefines when POCUS alone lacks and extra image or watch needed, listing chest x-ray, lung vessel CT, full heart scan, and inner flow check signs in unstable or tricky patients.
Warnings needing fast lung vessel CTSigns for full heart scanChest x-ray role in tricky lung findsTiming for inner flow watchRecording doubt and sharing limitsLesson 9Anatomical landmarks and dynamic signs: A-lines vs B-lines, lung sliding, pleural effusion layering, LV systolic function, IVC collapsibilityCenters on key body markers and moving ultrasound signs in lung-heart-vein POCUS, covering dry lines, water lines, lung slide, surface water layers, left heart pump, and main vein squeeze for quick, right bed reading.
Spotting dry and water lines in lungChecking lung slide and pulseFinding and grading surface water layersEye guess of left heart pumpMeasuring main vein width and squeezeLesson 10Probe choices and rationale: phased-array for cardiac, curvilinear for lung and pleural, linear for DVT and superficial pleural detailReviews probe picks and reasons for sudden breath-short POCUS, like phased for heart and vein, curved for lung and surface, straight for leg clots and surface detail, with switch tips in revival.
Phased probe for heart and main veinCurved probe for lung and surface checkStraight probe for leg clots and surface detailProbe pick in heavy or swollen patientsQuick probe switch and germ control
