Tuesday September 2, 2012- PURE Training Day 2: Focus on IVC and Volume Status, and Echocardiography.
Today we began the second day of training with a hands-on scan review of FAST, which we taught and practiced with the trainees yesterday. This type of review seemed to be really useful for the trainees, their general attitude (as well as ours) is the more practice time they can get, the better. Considering how much information they were presented in one day, the trainees showed they had a pretty good grasp of the concepts and techniques, they were concentrated and engaged and they couldn’t get enough of it. Megan Leo presented a great Echo lecture, which was followed up again by small group practice focused on acquiring the different views and getting comfortable with the orientation. In the afternoon, we brought the portable machines into the wards in small trainee/trainer groups and scanned patients. We were excited to find lots of relevant pathology in the ER, Internal Medicine and Maternity wards- a few positive FAST exams, a pericardial effusion with severely depressed cardiac function, and a case of bilateral hydronephrosis. Scanning on patients definitely helped solidify the concepts for the trainees, and allow them to compare the normal images from practice to abnormal findings in the wards. To finish out the day, the PURE team had a nice family dinner – we know we have been working hard as two of us actually feel asleep at the table!