Lesson 1Standardised views and sequence: lung zones (anterior/lateral/posterior as feasible), cardiac FoCUS, IVC, focused lower-extremity venous examDescribes a practical, repeatable scan line for breath-short patients, covering front, side, and back lung areas when possible, then focused heart views, main vein check, and targeted leg vein exam to smooth work flow.
Front and side lung area scan planBack lung check when setup allowsFocused heart views line in unstable patientsMain vein picturing in combined checkTargeted leg vein squeeze lineLesson 2Clinical priorities for acute dyspnea with heart failure history: hypoxia, pulmonary edema, cardiogenic shock, thromboembolismSets quick priorities in breath-short heart weakness patients, using POCUS to fast check low oxygen, lung water, heart shock, and blood clots, while mixing clinic data to direct sorting, steadying, and care step-up.
Starting airway, breath, flow checkPOCUS for quick low oxygen and shock rankingTelling heart from non-heart lung waterScreening for right heart strain and clotsRisk ranking and place choicesLesson 3Machine settings for lung and cardiac imaging: depth, harmonics, lung presets, cardiac presetsCovers machine tweak for lung and heart picturing, like depth, brightness, sound boosts, presets, and save, to better see water lines, lung surfaces, heart rooms, and main vein moves in tough patients.
Depth and focus tweaks for lung and surfaceBrightness, range, and depth-brightness balanceSound boosts and noise fine-tunePicking and changing lung and heart presetsPicture 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 causes of water lines, body build and probe limits, partial vein checks, and thinking bias, with ways to cut false comfort and wrong diagnosis.
Non-heart causes of spread water linesEffects of extra weight and under-skin airSpotting partial or low-quality vein scansDodging over-trust in one POCUS findLists, re-looks, 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 sac fluids, overall and area heart work, and main vein and leg vein scans to spot backup, right heart strain, and leg clots adding to symptoms.
Scanning for tail water lines and dry patternsFinding and describing sac fluidsFocused check of left and right pump strengthMain vein size and squeeze for fluid stateLeg vein clot squeeze planLesson 6Management decisions based on findings: diuretics, noninvasive ventilation, vasodilators, need for ICU or cardiology input, anticoagulation for DVT/PE suspicionShows translating POCUS results to bedside care: adjusting water pills, openers, and non-tube breathing, choosing clot fighters for suspected leg or lung clots, and setting intensive care or heart team need.
Tweaking water pills from backup patternsUsing POCUS to steer non-tube breathingOpener and strength drug choices in shockClot fighters 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 spotting, vital blend, and note of overlapping shows.
Spread water lines and sac features in heart waterMixed water lines and solid bits in lung damageSpot solid and moving air signs in lung infectionNo lung slide and air spot in air leakMatching clashing lung and heart resultsLesson 8When to stop relying on POCUS: need for chest radiograph, CT pulmonary angiography, formal echocardiography, invasive monitoringSets when POCUS alone not enough and extra picturing or tracking needed, covering signs for chest x-ray, lung vessel CT, full heart scan, and inner flow check in unstable or tricky patients.
Warning signs for quick lung vessel CTSigns for full heart scanChest x-ray role in tricky lung resultsTiming for inner flow trackingRecording doubt and sharing limitsLesson 9Anatomical landmarks and dynamic signs: A-lines vs B-lines, lung sliding, pleural effusion layering, LV systolic function, IVC collapsibilitySpotlights key body markers and moving ultrasound signs in lung-heart-vein POCUS, covering dry lines, water lines, lung slide, sac fluid layers, left pump strength, and main vein squeeze, for quick, right bedside reading.
Spotting dry and water lines in lung viewsChecking lung slide and lung beatFinding and ranking sac fluid layersEye estimate of left pump strengthMeasuring 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 pick and reasons for sudden breath-short POCUS, covering phased-array for heart and main vein, curved for lung and sac, and straight for leg clots and surface sac detail, with tips for quick switch in revival.
Phased-array for heart and main vein picturingCurved for lung and sac checkStraight for leg clots and surface sac detailProbe pick in heavy or swollen patientsQuick probe switch and germ control
