Ultrasound Image Acquisition Requirements

Click above for more information on Bedside Aorta Ultrasound!

Measure Outer Wall to Outer Wall at each location (clip and still image recommended)

1.) Transverse image at Proximal, Mid, and Distal Aorta

2.) Saggital or Longitudinal image at Distal Aorta and Bifurcation

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Click above for more information on Bedside Renal Ultrasound!

Add Color Doppler to potential hydronephrosis to ensure it is not a vessel. Evaluate for ureteral jets if any hydronephrosis seen.

1.) Long and Short Axis View of Right and Left Kidney

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2.) Transverse and Saggital View of Bladder with Views of Ureteral Jets

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Click above for more information on Bedside RUQ Ultrasound!

Multiple images of each view is recommended.  Evaluate the gallbladder neck fully.  Use Color Doppler to ensure identification of CBD.


2.) Long Axis

1.) Short Axis

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3.) Common Bile Duct

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Click above for more information on Bedside Basic Cardiac Ultrasound!

Parasternal Long Axis (PSTL), Parasternal Short Axis (PSAX), Apical 4 Chamber (AP 4/5), Subxiphoid, and IVC Images

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Click above for more information on Bedside Early Pregnancy Ultrasound!

Transabdominal Views - Transverse and Sagittal Views of the Uterus

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Transvaginal Views - Transverse and Sagittal Views of the Uterus

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If Intrauterine Pregnancy Visualized, Document FHR and Crown Rump Length

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Click above for more information on FAST

3 Components to a FAST Exam (include each as clinically indicated)

1.) Abdomen

  • RUQ - include hepatorenal space, sub-diaphragmatic space, and inferior edge of the liver
  • LUQ -  include splenorenal space, sub-diaphragmatic space, left paracolic gutter
  • Pelvis - transverse and sagittal views
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2.) Cardiac

  • Obtain any one of the Parasternal Long Axis, Apical 4 Chamber, or Subxiphoid Views
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3.) Thoracic

  • Anterior Chest - Right and Left
  • Lateral Inferior Chest, Coronal View - Right and Left
    • Visualize Diaphragm and Spine.  These can be obtained concurrent with abdominal RUQ and LUQ views

List of Acceptable Confirmatory Studies For Educational POC Ultrasound Examinations

**Any of these educational examinations can be performed with a credentialed faculty without obtaining confirmatory studies

Superficial

  • Consultative soft tissue ultrasound 
  • X-ray of the body region being examined
  • CT of the body region being examined
  • MRI of the body region being examined

Level 1 Cardiac

  • Consultative Echocardiogram
  • CT of the chest
  • MRI of the chest

Advanced Cardiac

  • Consultative Echocardiogram
  • CT of the chest
  • MRI of the chest

DVT

  • Consultative DVT ultrasound
  • MRI of the lower extremity
  • CT venogram of the lower extremity

Gallbladder

  • Consultative RUQ ultrasound 
  • CT of the abdomen
  • MRI of the abdomen

Abdominal

  • Consultative abdominal ultrasound
  • Abdominal CT
  • Abdominal MRI

Scrotal

  • Consultative scrotal ultrasound
  • CT of the scrotum/pelvis
  • MRI of the scrotum/pelvis

Non-pregnancy pelvic

  • Consultative pelvic ultrasound
  • MRI of the pelvis
  • CT of the pelvis

FAST

  • Consultative abdominal ultrasound 
  • CT of the abdomen
  • MRI of the abdomen

Aorta

  • Consultative abdominal ultrasound 
  • CT of the abdomen
  • MRI of the abdomen 
  • Aortic angiography

Renal

  • Consultative renal ultrasound
  • CT of the abdomen
  • MRI of the abdomen

Obstetric

  • Consultative Obstetric ultrasound 

Thoracic

  • Chest x-ray
  • CT of the chest
  • MRI of the chest

Musculoskeletal

  • X-ray of the body region being examined
  • CT of the body region being examined
  • MRI of the body region being examined

Ocular

  • CT of the orbits
  • MRI of the head/eye

Vascular

  • Vascular lab-performed consultative ultrasound
  • CT angiogram
  • Traditional angiography