Resuscitative Transesophageal Echocardiography (TEE) in the Emergency Department

Tuesday, May 15, 2018, 1:00 PM – 5:00 PM

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The utility of bedside transthoracic echocardiography (TTE) in the diagnosis and management of critically ill patients in the emergency department (ED) and Intensive Care Unit (ICU) has been well studied and represents a fundamental tool in the evaluation and management of emergency department patients. However, due to several technical limitations, acquisition of images may be inadequate in up to 50 percent of critically ill patients. Regardless of externally limiting factors, transesophageal echocardiography (TEE) reliably obtains high-quality images. 

Several studies in recent years have demonstrated the feasibility to train emergency physicians and intensivists to use advanced TTE and focused TEE at the point-of-care. In 2017, the ACEP published a statement supporting the use of TEE in the Emergency Department. Despite a growing interest among emergency physicians, we have identified that an important barrier to adoption of this new application is the lack of access to hands-on training (i.e. patients or high-fidelity simulators).

General objective: To conduct a half-day workshop aimed at teaching focused TEE and advanced TTE to emergency physicians. 

Format: The proposed format consists of asynchronous learning (pre-workshop) and one live didactic session (the workshop). Selected material for self-study will be provided in advance of the workshop. During the half-day workshop, participants will receive didactics on TEE and selected topics on advanced TTE as well as hands-on training on high fidelity simulators. An optional, hands-on examination to allow participants demonstrate skill acquisition and competency in focused TEE examination will be available. This can be particularly useful for physicians developing TEE programs, as they can obtain the minimum of 10 proctored examinations recommended by ACEP. 

Co-sponsoring this workshop: AEUS / CCM IG

TEE in the ED