Phase One • Point-of-Care Ultrasound Curriculum

A World of Knowledge. A Future of Better Care.

A structured twelve-month POCUS programme delivered as live online interactive lectures — from physics and foundations through organ-system pathology to clinical integration across adult, paediatric, obstetric and special patient populations.

12Monthly Modules
4Weeks per Module
48Live Teaching Weeks
12Mock Examinations
1Foundations → Integration Pathway
About the Programme

Foundations → Pathology → Clinical Integration

Phase One is a structured twelve-month Point-of-Care Ultrasound (POCUS) programme delivered as live online interactive lectures. Each module runs across four weeks, building from physics and foundations through organ-system pathology and clinical applications to integration across adult, paediatric, obstetric and other special patient populations.

Every module closes with a comprehensive review, an image-interpretation workshop, integrated clinical case discussions, a mock examination and a feedback and performance review. The POCUS scope of practice taught throughout is aligned with the American Institute of Ultrasound in Medicine (AIUM), the American College of Radiology (ACR), the American College of Emergency Physicians (ACEP) and related professional bodies.

Live Interactive Learning

Engaging live online lectures, instructor-led demonstrations, virtual case discussions and interactive Q&A sessions.

Simulation & Skills Labs

Ultrasound phantoms, AI-assisted simulation, OSCE-style assessment and supervised hands-on workshops at approved training centres.

Certification Pathways

Preparation for POCUS Certification Academy, ARDMS, Inteleos and APCA credentials through competency-based education.

The Twelve Modules

Phase One Curriculum at a Glance

Click any module to open its complete weekly teaching plan, learning objectives, real clinical image gallery and key references.

Month 1

POCUS Fundamentals

Ultrasound Physics, Instrumentation and Foundational Scanning Skills

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Month 2

Cardiac POCUS

Focused Cardiac Ultrasound for Bedside Cardiac Assessment, Haemodynamic Evaluation and Clinical Decision-Making

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Month 3

Lung POCUS

Focused Lung Ultrasound for the Assessment of Respiratory Disorders, Pleural Disease, Thoracic Emergencies and Critical Care

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Month 4

Abdominal POCUS

Focused Abdominal Ultrasound for Hepatobiliary, Gastrointestinal, Genitourinary, Splenic, Pancreatic and Abdominal Vascular Disorders

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Month 5

NeuroPOCUS

Focused Neurological Ultrasound for Intracranial Pressure, Cerebral Haemodynamics, Stroke, Neurological Emergencies and Neurocritical Care

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Month 6

Ocular POCUS

Focused Ocular Ultrasound for Ophthalmic Disorders, Orbital Pathology, Neuro-Ophthalmic Conditions and Ocular Emergencies

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Month 7

Obstetric & Gynaecological POCUS

Focused Obstetric and Gynaecological Ultrasound for Pregnancy, Female Pelvic Disorders, Obstetric Emergencies and Women's Health

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Month 8

Male Pelvic POCUS

Focused Male Genitourinary Ultrasound for the Lower Urinary Tract, Prostate, Scrotum, Penis and Male Pelvic Emergencies

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Month 9

Musculoskeletal (MSK) POCUS

Focused Musculoskeletal Ultrasound for Muscles, Tendons, Ligaments, Joints, Peripheral Nerves, Soft Tissue Disorders and Sports Injuries

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Month 10

Vascular POCUS

Focused Vascular Ultrasound for Venous and Arterial Disorders, Haemodynamics, Vascular Access and Peripheral Vascular Emergencies

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Month 11

Rapid Bedside POCUS Protocols

Integrated Multi-Organ POCUS Protocols for Emergency Medicine, Critical Care, Anaesthesia, Perioperative Medicine and Acute Care

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Month 12

Introduction to Ultrasound-Guided Interventions

Principles and Practice of Ultrasound-Guided Procedures for Diagnostic and Therapeutic Interventions

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Real Clinicians, Real Machines, Real Patients

Learning Built Around Real Scanning

Like the world's leading ultrasound education platforms, our teaching is built on real clinical images, real human scanning models and schematic anatomy overlays — not illustrations alone. Module galleries feature genuine ultrasound images of the pathologies you will learn to recognise, every one attributed to its clinical source.

  • Real ultrasound images of pathology and normal anatomy
  • Real human models in supervised practical sessions
  • Schematic diagrams linking probe position to anatomy
  • Real sources of evidence: AIUM, ACR, ACEP, peer-reviewed protocols
Clinician performing bedside POCUS on a patient
Focused bedside cardiac POCUS in clinical practice. Source: Radiology Business.
The Online Course Reader

More Than Pages — A Complete Study Environment

The Academy's web-based course covers the original Phase One curriculum module by module, wrapped in a full reader with tools that make studying stick. Your progress, notes and highlights stay private in your own browser.

☰ Reader Navigation & Search

Slide-out table of contents on every page and full-text search across all 12 Phase One modules.

★ Progress & Bookmarks

Mark modules as read, bookmark key pages and resume exactly where you stopped.

✎ Notes & Highlights

Highlight any sentence and write page notes — all collected on your My Study dashboard.

✓ Module Quizzes

Self-assessment questions with instant feedback and explanations at the end of every module.

🔬 Real Images per Concept

Real ultrasound images in every module, each attributed to its open clinical source.

📐 Schematic Diagrams

Anatomy schematics and probe-placement maps linking the probe to the region at the relevant concept.

➤ Clinical Algorithms

BLUE, RUSH, trauma-in-extremis and DVT decision pathways rendered step by step.

📚 Real Evidence

AIUM, ACR, ACEP practice parameters and landmark peer-reviewed protocols cited throughout.

Open the Curriculum Search It My Study

Begin Your Twelve-Month POCUS Journey

Join physicians, nurses, sonographers, physiotherapists and emergency professionals learning POCUS the structured way — module by module, image by image.

View the Full Curriculum

Home / Phase One Curriculum

PHASE ONE • 12 MONTHLY MODULES

Point-of-Care Ultrasound Curriculum

Live online interactive lectures — twelve monthly modules, four weeks per module: Foundations → Pathology → Clinical Integration.

How every module works. Week 1 builds foundations (anatomy, sonoanatomy, technique). Week 2 covers pathology and image interpretation. Week 3 applies POCUS to real clinical scenarios. Week 4 integrates the skill across adult, paediatric, obstetric and special patient populations — then closes with a comprehensive review, image-interpretation workshop, integrated clinical case discussions, a mock examination and a feedback and performance review.
Module 1 of 12

Month 1 — POCUS Fundamentals

Ultrasound Physics, Instrumentation and Foundational Scanning Skills

  • Week 1: Ultrasound Physics
  • Week 2: Ultrasound Instrumentation
  • Week 3: Scanning Principles
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 2 of 12

Month 2 — Cardiac POCUS

Focused Cardiac Ultrasound for Bedside Cardiac Assessment, Haemodynamic Evaluation and Clinical Decision-Making

  • Week 1: Cardiac Foundations
  • Week 2: Cardiac Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 3 of 12

Month 3 — Lung POCUS

Focused Lung Ultrasound for the Assessment of Respiratory Disorders, Pleural Disease, Thoracic Emergencies and Critical Care

  • Week 1: Lung Foundations
  • Week 2: Lung and Pleural Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 4 of 12

Month 4 — Abdominal POCUS

Focused Abdominal Ultrasound for Hepatobiliary, Gastrointestinal, Genitourinary, Splenic, Pancreatic and Abdominal Vascular Disorders

  • Week 1: Abdominal Foundations
  • Week 2: Abdominal Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 5 of 12

Month 5 — NeuroPOCUS

Focused Neurological Ultrasound for Intracranial Pressure, Cerebral Haemodynamics, Stroke, Neurological Emergencies and Neurocritical Care

  • Week 1: NeuroPOCUS Foundations
  • Week 2: NeuroPOCUS Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 6 of 12

Month 6 — Ocular POCUS

Focused Ocular Ultrasound for Ophthalmic Disorders, Orbital Pathology, Neuro-Ophthalmic Conditions and Ocular Emergencies

  • Week 1: Ocular Foundations
  • Week 2: Ocular and Orbital Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 7 of 12

Month 7 — Obstetric & Gynaecological POCUS

Focused Obstetric and Gynaecological Ultrasound for Pregnancy, Female Pelvic Disorders, Obstetric Emergencies and Women's Health

  • Week 1: Foundations
  • Week 2: Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 8 of 12

Month 8 — Male Pelvic POCUS

Focused Male Genitourinary Ultrasound for the Lower Urinary Tract, Prostate, Scrotum, Penis and Male Pelvic Emergencies

  • Week 1: Male Pelvic Foundations
  • Week 2: Male Genitourinary Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 9 of 12

Month 9 — Musculoskeletal (MSK) POCUS

Focused Musculoskeletal Ultrasound for Muscles, Tendons, Ligaments, Joints, Peripheral Nerves, Soft Tissue Disorders and Sports Injuries

  • Week 1: Musculoskeletal Foundations
  • Week 2: Musculoskeletal Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 10 of 12

Month 10 — Vascular POCUS

Focused Vascular Ultrasound for Venous and Arterial Disorders, Haemodynamics, Vascular Access and Peripheral Vascular Emergencies

  • Week 1: Vascular Foundations
  • Week 2: Vascular Pathology
  • Week 3: Clinical Applications
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 11 of 12

Month 11 — Rapid Bedside POCUS Protocols

Integrated Multi-Organ POCUS Protocols for Emergency Medicine, Critical Care, Anaesthesia, Perioperative Medicine and Acute Care

  • Week 1: Trauma and Shock Protocols
  • Week 2: Respiratory and Critical Care Protocols
  • Week 3: Specialty-Specific and Emerging Protocols
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Module 12 of 12

Month 12 — Introduction to Ultrasound-Guided Interventions

Principles and Practice of Ultrasound-Guided Procedures for Diagnostic and Therapeutic Interventions

  • Week 1: Foundations of Ultrasound-Guided Interventions
  • Week 2: Vascular Access and Drainage Procedures
  • Week 3: MSK, Regional Anaesthesia and Pain Procedures
  • Week 4: Clinical Integration Across Patient Populations

Full module detail →

Home / POCUS Scope & Standards

PROFESSIONAL ALIGNMENT

POCUS Scope of Practice & Professional Standards

The QualCare–SonoFront Academy Phase One curriculum is aligned with the practice parameters, appropriateness criteria and guidelines of leading American and international ultrasound bodies.

What is POCUS?

A Focused, Clinician-Performed Examination

Point-of-care ultrasound is a focused examination performed and interpreted by the treating clinician at the bedside to answer specific clinical questions and guide immediate management. It complements — and does not replace — comprehensive consultative imaging. Practitioners work within their professional scope, credentialing framework and local governance, under the guiding safety principle of ALARA (As Low As Reasonably Achievable).

AIUM — American Institute of Ultrasound in Medicine

  • Practice Parameter for the Performance of Point-of-Care Ultrasound Examinations
  • Organ-system parameters: abdominal/retroperitoneal, thoracic, focused cardiac, scrotal, musculoskeletal, neonatal neurosonography
  • Medical Ultrasound Safety: ALARA, Thermal Index and Mechanical Index (Module 1)
  • Parameters for ultrasound-guided vascular access and interventional procedures (Module 12)

ACR — American College of Radiology

  • ACR Appropriateness Criteria® informing module clinical indications (RUQ pain, suspected AAA, DVT, first-trimester bleeding, scrotal pain and more)
  • Joint AIUM–ACR practice parameters adopted across abdominal, vascular, obstetric, MSK and scrotal modules
  • Image quality, documentation and reporting standards reflected in every module's Week 3 teaching

ACEP & Emergency Medicine Bodies

  • ACEP Emergency Ultrasound Guidelines: scope, credentialing and quality framework for emergency POCUS
  • Applications mapped to trauma (E-FAST), cardiac, lung, biliary, renal, first-trimester, DVT, ocular and procedural guidance
  • Protocol teaching (BLUE, FALLS, RUSH, FATE, CASA, FASH, VExUS) grounded in the peer-reviewed emergency and critical care literature

ACOG, SMFM, ASE & Sister Societies

  • AIUM–ACR–ACOG–SMFM–SRU standard obstetric ultrasound parameter (Module 7)
  • American Society of Echocardiography focused cardiac ultrasound consensus (Module 2)
  • American Urological Association and ASRA guidance for male pelvic and regional anaesthesia content (Modules 8, 12)
  • WFUMB safety statements and AIUM bioeffects guidance underpinning all obstetric and paediatric scanning
Scope statement. Learners are taught to perform focused, protocol-driven examinations, to recognise the limits of POCUS, to escalate to comprehensive imaging when indicated, and to document and report findings to professional standards. Certification preparation follows POCUS Certification Academy, ARDMS, Inteleos and APCA pathways.

Home / My Study

MY STUDY

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Home / Phase One Curriculum / Module 1 of 12

MODULE 1 OF 12 • MONTH 1

POCUS Fundamentals

Ultrasound Physics, Instrumentation and Foundational Scanning Skills

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Ultrasound Physics
Foundations of Ultrasound
  • Introduction to Point-of-Care Ultrasound (POCUS)
  • History and evolution of diagnostic ultrasound
  • Principles and scope of POCUS
  • Clinical applications across medical and surgical specialties
  • Advantages, limitations and appropriate use of POCUS
  • Introduction to the POCUS clinical workflow
Physical Properties of Sound
  • Nature of sound and wave motion
  • Frequency, wavelength, period, amplitude
  • Velocity of sound in biological tissues
  • Propagation of ultrasound in tissue
  • Acoustic impedance
  • Tissue interfaces and their effect on image formation
Wave Behaviour & Attenuation
  • Reflection, refraction, scattering, diffraction
  • Absorption, attenuation, transmission
  • Refraction artefact
  • Clinical relevance of ultrasound artefacts
Pulse-Echo & Image Formation
  • Pulse-echo principle
  • Pulse length, PRF, PRP, duty factor
  • Axial, lateral and elevational resolution
  • Penetration and beam characteristics
  • Image formation
Ultrasound Artefacts
  • Reverberation artefact
  • Mirror image artefact
  • Acoustic shadowing and posterior acoustic enhancement
  • Edge shadowing
  • Side lobe and grating lobe artefacts
  • Beam width and speed error artefacts
Week 2 — Ultrasound Instrumentation
Transducer Technology
  • Piezoelectric effect and piezoelectric materials
  • Ultrasound transducer construction
  • Pulse generation, pulse reception
  • Beam formation, steering and focusing
  • Transducer types: linear, curvilinear, phased array, endocavitary, hockey stick
  • Probe selection for different clinical applications
  • Care, maintenance and disinfection of transducers
Knobology & Machine Controls
  • Gain and Time Gain Compensation (TGC)
  • Dynamic range and compression
  • Focus, depth, frequency selection
  • Harmonic imaging, persistence, frame rate
  • Zoom, freeze and cine loop functions
  • Preventive maintenance and equipment troubleshooting
  • Infection prevention and equipment disinfection
Doppler Ultrasound
  • Doppler physics, equation and shift
  • Continuous wave and pulsed wave Doppler
  • Colour Doppler and power Doppler
  • Tissue Doppler imaging
  • Nyquist limit and aliasing
  • Wall filters and Doppler angle optimisation
Machine Optimisation & QA
  • Image quality assessment
  • Spatial, contrast and temporal resolution
  • Quality assurance
Week 3 — Scanning Principles
Patient & Operator
  • Patient preparation and positioning
  • Operator and scanning ergonomics
  • Probe grip techniques and hand-eye coordination
  • Communication with patients during POCUS
  • Infection prevention and control
Systematic Scanning
  • Systematic scanning approaches
  • Probe orientation
  • Anatomical planes and standard scanning planes
  • The Five Probe Movements
  • Image acquisition and optimisation during scanning
Interpretation & Documentation
  • Image interpretation
  • Normal versus abnormal findings
  • Documentation standards
  • Image storage
  • Reporting principles
Safety & Professional Practice
  • Ultrasound bioeffects
  • ALARA principle
  • Thermal Index (TI) and Mechanical Index (MI)
  • Professional ethics and legal considerations
  • Scope of practice in POCUS
  • Common scanning errors, troubleshooting poor images, avoiding diagnostic pitfalls
  • Quality improvement
  • Clinical decision-making and integration of POCUS into patient care pathways
Week 4 — Clinical Integration Across Patient Populations
Adult Patients
  • Adult male and adult female applications
  • Normal adult sonoanatomy
  • Age-related physiological variations
  • Patient positioning in adults
  • Common adult clinical scenarios
  • Clinical documentation for adult patients
Paediatric Patients
  • Neonatal and infant ultrasound considerations
  • Paediatric growth and development
  • Adolescent ultrasound considerations
  • Paediatric probe selection and image optimisation
  • Child-friendly scanning techniques
  • Radiation-free imaging advantages in children
Obstetric & Maternal Patients
  • Physiological changes during pregnancy
  • Maternal anatomy relevant to POCUS
  • Safe ultrasound practice during pregnancy
  • Maternal positioning and pregnancy-specific technical considerations
  • POCUS in obstetric emergencies
  • Ethical considerations in maternal ultrasound
Other Special Populations
  • Geriatric and frail older adults
  • Critically ill and trauma patients
  • Obese patients and patients with disabilities
  • Bed-bound, post-operative and immunocompromised patients
  • Resource-limited healthcare settings
  • Prehospital and remote POCUS applications
Consolidation & Assessment
  • Comprehensive physics and instrumentation review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Image optimisation practical exercises
  • Comprehensive monthly mock examination
  • Feedback and learning reflection
Learning Objectives

By the end of Month 1, participants should be able to:

  • Explain the physical principles governing diagnostic ultrasound.
  • Describe the interaction of ultrasound with biological tissues.
  • Understand ultrasound instrumentation and machine operation.
  • Select the appropriate transducer for different clinical applications.
  • Optimise ultrasound images using machine controls.
  • Apply Doppler ultrasound principles in clinical practice.
  • Recognise and correctly interpret common ultrasound artefacts.
  • Demonstrate correct probe handling using the Five Probe Movements.
  • Acquire diagnostically useful ultrasound images systematically.
  • Apply ultrasound safety principles, including ALARA, Thermal Index and Mechanical Index.
  • Document and report POCUS findings appropriately.
  • Integrate POCUS into routine clinical decision-making.
  • Adapt scanning techniques for adult, paediatric, pregnant, geriatric, critically ill, trauma, obese, disabled, post-operative and resource-limited patient populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Focused bedside ultrasound in clinical practice. POCUS brings imaging to the poi
Focused bedside ultrasound in clinical practice. POCUS brings imaging to the point of care, answering focused clinical questions immediately.
Source: Gulfcoast Ultrasound / GCUS.
Schematic diagram of probe placement and thoracic anatomy for systematic scannin
Schematic diagram of probe placement and thoracic anatomy for systematic scanning — understanding acoustic windows begins in Month One.
Source: POCUS 101.
Module summary. This first month establishes the scientific, technical and clinical foundations required for all subsequent organ-system modules, ensuring learners develop a solid understanding of ultrasound principles before progressing to specialty-specific POCUS applications.
Key Evidence & Guidelines

References

  • AIUM. Practice Parameter for the Performance of Point-of-Care Ultrasound Examinations. American Institute of Ultrasound in Medicine.
  • AIUM. Medical Ultrasound Safety (ALARA, Thermal & Mechanical Indices). 4th ed.
  • Hangiandreou NJ. AAPM/RSNA Physics Tutorial: Topics in US — B-mode US: basic concepts and new technology. RadioGraphics 2003;23:1019-33.
  • Abu-Zidan FM, et al. Point-of-care ultrasound (POCUS) principles. World J Emerg Surg / critical care ultrasound literature.
  • POCUS Certification Academy. POCUS Fundamentals certificate content outline. pocus.org.
← CurriculumModule 2 →

Home / Phase One Curriculum / Module 2 of 12

MODULE 2 OF 12 • MONTH 2

Cardiac POCUS

Focused Cardiac Ultrasound for Bedside Cardiac Assessment, Haemodynamic Evaluation and Clinical Decision-Making

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Cardiac Foundations
Foundations
  • Introduction to Cardiac POCUS
  • Indications, scope and limitations of focused cardiac ultrasound
  • Cardiac anatomy, physiology and sonoanatomy
  • Surface anatomy and cardiac landmarks
  • Clinical applications of Cardiac POCUS
Ultrasound Windows & Views
  • Parasternal long-axis (PLAX) view
  • Parasternal short-axis (PSAX) views
  • Apical four-chamber (A4C) and five-chamber views
  • Subcostal four-chamber view
  • Subcostal inferior vena cava (IVC) view
  • Suprasternal notch view (introduction)
  • Standard cardiac examination sequence
Sonoanatomy
  • Cardiac chamber identification
  • Cardiac valves and great vessels
  • Pericardium and pericardial space
  • Normal cardiac motion
  • Cardiac measurements in focused echocardiography
  • Probe positioning, orientation and image optimisation
  • Recognition of normal cardiac anatomy
Week 2 — Cardiac Pathology
Ventricular Assessment
  • Assessment of left ventricular size
  • Global LV systolic function: hyperdynamic, normal, reduced
  • Estimation of ejection fraction
  • Common causes of LV dysfunction
  • Right ventricular size and function
  • Recognition of RV dilatation and right heart strain
Pericardial Disease
  • Pericardial effusion
  • Cardiac tamponade
  • Pericarditis
  • Sonographic features of pericardial disease and clinical correlation
Volume & Haemodynamics
  • Inferior vena cava assessment
  • Volume status assessment and estimation of right atrial pressure
  • Fluid responsiveness
  • Pulmonary hypertension (focused assessment)
  • Haemodynamic monitoring with Cardiac POCUS
  • McConnell's sign (introduction)
Valves, Masses & Technique
  • Focused assessment of valvular pathology and gross valvular disease
  • Cardiomyopathy
  • Cardiac masses and intracardiac thrombus (overview)
  • Systematic examination, common scanning errors, troubleshooting
  • Documentation, reporting and image interpretation workshop
Week 3 — Clinical Applications
Shock & Arrest
  • Cardiac POCUS in hypovolaemic, cardiogenic, obstructive and distributive shock
  • Integration with clinical assessment
  • Cardiac arrest ultrasound: cardiac activity versus standstill
  • Reversible causes of cardiac arrest
  • Integration into Advanced Life Support
Acute Presentations
  • Acute heart failure and pulmonary oedema
  • Acute coronary syndromes (focused applications)
  • Chest pain and dyspnoea evaluation
  • Pulmonary embolism and right heart strain
  • Acute aortic syndromes (introduction)
  • Endocarditis (focused recognition)
  • Septic cardiomyopathy
Protocols & Integration
  • FATE (Focused Assessed Transthoracic Echocardiography) protocol
  • Integration with lung and vascular POCUS
  • Multi-organ assessment
  • Emergency and critical care applications
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Cardiac POCUS in adult male and female patients
  • Cardiovascular disease across the adult lifespan
  • Common adult cardiac emergencies and outpatient applications
  • Neonatal cardiac anatomy
  • Infant and paediatric Cardiac POCUS
  • Recognition of congenital cardiac abnormalities (introduction)
  • Paediatric haemodynamic assessment and cardiac emergencies
  • Image optimisation in children
Obstetric & Maternal Patients
  • Physiological cardiovascular changes during pregnancy
  • Maternal haemodynamic assessment
  • Peripartum cardiomyopathy
  • Preeclampsia and eclampsia
  • Pulmonary oedema in pregnancy
  • Cardiac POCUS in obstetric emergencies
Other Special Populations
  • Geriatric cardiac assessment
  • Critically ill, trauma and obese patients
  • Post-cardiac surgery patients
  • Patients with congenital heart disease
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive Cardiac POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 2, participants should be able to:

  • Describe the anatomy and sonoanatomy of the heart and great vessels.
  • Obtain and optimise all standard focused cardiac ultrasound views.
  • Identify normal cardiac structures and recognise common pathological findings.
  • Assess left and right ventricular size and systolic function.
  • Detect pericardial effusion and recognise features of cardiac tamponade.
  • Assess intravascular volume status using the inferior vena cava.
  • Perform focused haemodynamic assessment in patients with shock.
  • Apply Cardiac POCUS during cardiac arrest and other medical emergencies.
  • Integrate Cardiac POCUS with lung and vascular ultrasound for comprehensive bedside assessment.
  • Adapt cardiac ultrasound techniques across adult, paediatric, pregnant, geriatric, critically ill, trauma, obese, post-surgical and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Labelled parasternal long-axis (PLAX) view with anatomical overlay — the foundat
Labelled parasternal long-axis (PLAX) view with anatomical overlay — the foundation view of focused cardiac ultrasound.
Source: Renal Fellow Network, modified from Patrick J. Lynch, Wikimedia Commons.
Apical four-chamber view demonstrating all four cardiac chambers for comparative
Apical four-chamber view demonstrating all four cardiac chambers for comparative ventricular assessment.
Source: POCUS.org case library.
Module summary. This month equips learners with the knowledge and skills to perform focused cardiac ultrasound confidently in emergency, critical care, perioperative, inpatient, outpatient and primary care settings while understanding its application across diverse patient populations.
Key Evidence & Guidelines

References

  • AIUM. Practice Parameter for the Performance of Focused Cardiac Ultrasound. In collaboration with ACC and ASE.
  • Labovitz AJ, et al. Focused cardiac ultrasound in the emergent setting: ASE/ACEP consensus statement. J Am Soc Echocardiogr 2010;23:1225-30.
  • Jensen MB, et al. Transthoracic echocardiography for cardiopulmonary monitoring in intensive care: FATE protocol. Eur J Anaesthesiol 2004;21:700-7.
  • Rudski LG, et al. Guidelines for echocardiographic assessment of the right heart in adults. J Am Soc Echocardiogr 2010;23:685-713.
  • ACEP. Emergency Ultrasound Guidelines. American College of Emergency Physicians.
← Module 1Module 3 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

Adult torso, anterior viewPLAX / PSAXApical 4CSubcostal 4C + IVC
Cardiac POCUS Windows — Probe Map. Left parasternal (PLAX/PSAX, marker to right shoulder), apex (A4C, marker to patient's left), and sub-xiphoid (subcostal four-chamber and IVC). Sequence per FATE: subcostal → apical → parasternal → pleural. (Schematic by QualCare–SonoFront Academy, after FATE/ASE focused echo guidance.)

Undifferentiated Shock — Focused Echo Pathway

Hypotension / shock
Focused echo + IVC
Small hyperdynamic LV + collapsing IVC
Hypovolaemia → fluids
Poor LV function
Cardiogenic → inotropes / reperfusion
RV dilatation / tamponade
Obstructive → treat cause (PE, drain)
Normal pump, warm, collapsing IVC
Distributive → pressors + source control

RUSH 'pump' component integrated with tank (IVC) and pipes (aorta/DVT) — Perera et al., RUSH exam.

Home / Phase One Curriculum / Module 3 of 12

MODULE 3 OF 12 • MONTH 3

Lung POCUS

Focused Lung Ultrasound for the Assessment of Respiratory Disorders, Pleural Disease, Thoracic Emergencies and Critical Care

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Lung Foundations
Foundations
  • Introduction to Lung POCUS
  • Indications, scope and limitations of lung ultrasound
  • Thoracic anatomy and physiology
  • Lung and pleural sonoanatomy
  • Clinical applications of Lung POCUS
  • Surface anatomy and thoracic landmarks
Technique
  • Probe selection and orientation
  • Lung scanning zones
  • Patient positioning
  • Standard lung ultrasound examination technique
  • Systematic image acquisition and documentation
Normal Findings
  • Pleural line
  • Lung sliding
  • A-lines
  • Lung pulse
  • M-mode assessment
Artefacts
  • A-lines, B-lines, Z-lines, E-lines
  • Mirror artefacts
  • Image optimisation and technical pitfalls
  • Common scanning errors and clinical case review
Week 2 — Lung and Pleural Pathology
Pneumothorax
  • Sonographic signs of pneumothorax
  • Absent lung sliding
  • Lung point
  • M-mode findings ('barcode/stratosphere sign')
  • Clinical correlation
Interstitial Syndrome & Oedema
  • Pulmonary oedema and interstitial syndrome
  • B-lines: diffuse versus focal
  • Acute heart failure
  • Monitoring response to therapy
Effusion & Consolidation
  • Pleural effusion: types, free versus loculated
  • Pleural fluid quantification
  • Lung consolidation
  • Pneumonia and atelectasis
  • Empyema
  • Dynamic and static air bronchograms
Chronic Disease & Pitfalls
  • Pleural thickening
  • Interstitial lung disease and pulmonary fibrosis
  • Pleural tumours
  • Lung ultrasound pitfalls
  • Image interpretation workshop
Week 3 — Clinical Applications
Acute Respiratory Failure
  • Lung POCUS in acute respiratory failure
  • Differential diagnosis of dyspnoea
  • Respiratory distress assessment
  • Monitoring disease progression
  • Integration into clinical decision-making
Protocols
  • BLUE protocol
  • FALLS protocol
  • Integration with E-FAST
  • Integration with Cardiac and Vascular POCUS
  • Multi-organ assessment in shock and respiratory failure
Infectious Disease
  • Bacterial and viral pneumonia
  • Tuberculosis
  • Ventilator-associated pneumonia
  • Opportunistic pulmonary infections
  • Serial lung assessment
Emergency & Critical Care
  • Chest trauma: rib fractures, haemothorax, pneumothorax
  • Mechanical ventilation and recruitment assessment
  • Oxygenation monitoring
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Lung POCUS in adult male and female patients
  • Acute and chronic respiratory diseases in adults
  • Perioperative lung assessment
  • Neonatal and infant lung ultrasound
  • Paediatric pneumonia and bronchiolitis
  • Respiratory distress syndrome
  • Paediatric pleural disease
  • Image optimisation in children
Obstetric & Maternal Patients
  • Physiological respiratory changes during pregnancy
  • Lung ultrasound in pregnant patients
  • Pulmonary oedema and pneumonia in pregnancy
  • Pulmonary embolism assessment
  • Critical care obstetrics
Other Special Populations
  • Geriatric, critically ill and trauma patients
  • Obese and immunocompromised patients
  • Post-operative thoracic assessment
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive Lung POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 3, participants should be able to:

  • Describe the anatomy and sonoanatomy of the lungs and pleura.
  • Perform a systematic lung ultrasound examination using standard scanning protocols.
  • Recognise normal lung ultrasound findings and differentiate them from pathological findings.
  • Diagnose pneumothorax, pleural effusion, pulmonary oedema, lung consolidation, atelectasis and interstitial syndrome using Lung POCUS.
  • Apply Lung POCUS in acute respiratory failure, chest trauma and critical illness.
  • Perform and interpret the BLUE and FALLS protocols at the bedside.
  • Integrate Lung POCUS with cardiac and vascular ultrasound for multi-organ evaluation.
  • Adapt Lung POCUS techniques across adult, paediatric, pregnant, geriatric, critically ill, trauma, obese, immunocompromised, post-operative and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

B-lines arising from the pleural line — the hallmark of interstitial syndrome an
B-lines arising from the pleural line — the hallmark of interstitial syndrome and pulmonary oedema.
Source: TeachingMedicine.com lung ultrasound tutorial.
Schematic of lung ultrasound probe positions (R1, R2, R3/PLAPS) correlated with
Schematic of lung ultrasound probe positions (R1, R2, R3/PLAPS) correlated with underlying lobar anatomy.
Source: POCUS 101.
M-mode 'stratosphere' or 'barcode' sign: abolished lung sliding in pneumothorax.
M-mode 'stratosphere' or 'barcode' sign: abolished lung sliding in pneumothorax.
Source: ResearchGate / critical care ultrasound literature.
Module summary. This month equips participants with the knowledge and practical framework to use Lung POCUS as a first-line bedside imaging tool for diagnosing, monitoring and guiding the management of respiratory and pleural diseases across diverse clinical settings and patient populations.
Key Evidence & Guidelines

References

  • Volpicelli G, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012;38:577-91.
  • Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 2008;134:117-25.
  • Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest 2015;147:1659-70.
  • AIUM. Practice Parameter for the Performance of Thoracic Ultrasound.
  • ACR Appropriateness Criteria® Dyspnea and Suspected Cardiopulmonary Disease.
← Module 2Module 4 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

R upper anteriorL upper anteriorR lower anteriorL lower anteriorLateral / PLAPS
Lung Scanning Zones — Probe Map. Anterior chest divided by parasternal, anterior axillary and nipple lines; add lateral/posterior PLAPS points for effusion and consolidation. Probe marker cephalad, perpendicular to ribs. (Schematic by QualCare–SonoFront Academy, after Lichtenstein BLUE protocol zones.)

BLUE Protocol — Acute Respiratory Failure

Acute dyspnoea
Lung sliding present?
Sliding + A-lines (A-profile)
+ DVT scan → PE; no DVT → COPD/asthma
No sliding + A-lines + lung point (A′)
Pneumothorax
Diffuse B-lines (B-profile)
Pulmonary oedema
Consolidation / PLAPS (C/A-B profiles)
Pneumonia

After Lichtenstein & Mezière, Chest 2008 — profiles combined with venous analysis.

Home / Phase One Curriculum / Module 4 of 12

MODULE 4 OF 12 • MONTH 4

Abdominal POCUS

Focused Abdominal Ultrasound for Hepatobiliary, Gastrointestinal, Genitourinary, Splenic, Pancreatic and Abdominal Vascular Disorders

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Abdominal Foundations
Foundations
  • Introduction to Abdominal POCUS
  • Indications, scope and limitations
  • Abdominal anatomy, physiology and sonoanatomy
  • Surface anatomy and abdominal landmarks
  • Clinical applications of Abdominal POCUS
Technique
  • Probe selection and orientation
  • Patient positioning
  • Scanning planes
  • Standard abdominal scanning protocols
  • Systematic examination, image optimisation, acquisition, interpretation and documentation
Organ Sonoanatomy
  • Liver anatomy and sonoanatomy
  • Gallbladder and biliary tree
  • Pancreatic anatomy
  • Spleen anatomy
  • Renal anatomy and sonoanatomy
  • Urinary bladder and ureters (focused assessment)
  • Abdominal aorta and inferior vena cava
  • Retroperitoneal structures
  • Recognition of normal findings
Week 2 — Abdominal Pathology
Hepatobiliary
  • Diffuse liver disease: fatty liver, hepatitis, cirrhosis
  • Portal hypertension
  • Hepatic masses (introduction)
  • Gallstones and biliary sludge
  • Acute cholecystitis
  • Biliary obstruction and choledocholithiasis
  • Gallbladder polyps
Pancreas & Spleen
  • Acute pancreatitis
  • Pancreatic masses (overview)
  • Splenomegaly
  • Splenic infarction and trauma
  • Focal splenic lesions
Genitourinary
  • Hydronephrosis
  • Renal calculi
  • Acute kidney injury
  • Renal cysts
  • Bladder distension and urinary retention
Fluid, Vessels & Bowel
  • Ascites and free intraperitoneal fluid
  • Abdominal aortic aneurysm
  • Inferior vena cava assessment
  • Bowel obstruction (focused assessment)
  • Image interpretation workshop
Week 3 — Clinical Applications
Acute Abdominal Pain
  • Right upper, right lower, left upper, left lower quadrant and epigastric pain assessment
  • Gastrointestinal and urinary tract emergencies
  • Bedside decision support
Critical Care & Trauma
  • Volume status assessment
  • Intra-abdominal hypertension (introduction)
  • Detection of free fluid
  • Solid organ injury
  • Serial trauma assessment
  • Integration with the E-FAST protocol
  • Monitoring response to treatment
Specialty Applications
  • Emergency medicine: sepsis and hypotension
  • Internal medicine and general surgery
  • Nephrology and gastroenterology
  • Primary care
  • Integration with Cardiac and Lung POCUS
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Abdominal POCUS in adult male and female patients
  • Common adult hepatobiliary, gastrointestinal and genitourinary disorders
  • Perioperative applications
  • Neonatal and infant abdominal ultrasound
  • Paediatric hepatobiliary and urinary tract disorders
  • Hypertrophic pyloric stenosis
  • Intussusception
  • Image optimisation in children
Obstetric & Maternal Patients
  • Physiological abdominal changes during pregnancy
  • Hepatobiliary and renal disorders in pregnancy
  • Acute abdomen in pregnancy
  • Maternal urinary tract disorders
  • Postpartum abdominal assessment
Other Special Populations
  • Geriatric, critically ill and trauma patients
  • Obese, post-operative and immunocompromised patients
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive Abdominal POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Clinical decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 4, participants should be able to:

  • Describe the anatomy and sonoanatomy of the abdominal organs and major abdominal vessels.
  • Perform a systematic focused abdominal ultrasound examination.
  • Recognise normal and abnormal appearances of the liver, gallbladder, biliary tree, pancreas, spleen, kidneys, bladder, aorta and IVC.
  • Identify gallstones, acute cholecystitis, hydronephrosis, renal calculi, ascites, abdominal aortic aneurysm and free intraperitoneal fluid.
  • Apply Abdominal POCUS in abdominal pain, trauma, sepsis, hypotension and urinary tract emergencies.
  • Integrate Abdominal POCUS with Cardiac, Lung and Vascular POCUS in multi-organ bedside assessment.
  • Adapt abdominal ultrasound techniques across all patient populations, including pregnancy and resource-limited settings.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Right upper quadrant FAST view: anechoic free fluid in Morison's pouch between l
Right upper quadrant FAST view: anechoic free fluid in Morison's pouch between liver and right kidney.
Source: POCUS.org.
Annotated sagittal view of an abdominal aortic aneurysm with diameter measuremen
Annotated sagittal view of an abdominal aortic aneurysm with diameter measurement.
Source: Wikimedia Commons.
Mild, moderate and severe hydronephrosis with schematic illustration of the rena
Mild, moderate and severe hydronephrosis with schematic illustration of the renal collecting system.
Source: Renal Fellow Network.
Module summary. This month develops the knowledge and practical framework required to confidently use Abdominal POCUS for rapid bedside diagnosis, clinical decision-making and longitudinal patient monitoring across emergency medicine, internal medicine, surgery, critical care, family medicine and other clinical specialties.
Key Evidence & Guidelines

References

  • AIUM. Practice Parameter for the Performance of an Ultrasound Examination of the Abdomen and/or Retroperitoneum.
  • ACR Appropriateness Criteria® Right Upper Quadrant Pain; Acute Nonlocalized Abdominal Pain; Suspected Abdominal Aortic Aneurysm.
  • ACEP. Emergency Ultrasound Imaging Criteria Compendium — FAST and biliary ultrasound guidelines.
  • American Institute of Ultrasound in Medicine / ACR / SRU. Practice Parameter for the Performance of an Ultrasound Examination of the Aorta.
  • Kirkpatrick AW, et al. FAST and E-FAST in trauma: international consensus literature. J Trauma / World J Emerg Surg.
← Module 3Module 5 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

RUQ — Morison’s pouchLUQ — splenorenalSub-xiphoid — pericardiumPelvis — pouch of DouglasAnterior chest — PTX
E-FAST Probe Map. Four classic FAST views plus anterior chest sliding assessment (E-FAST). Curvilinear or phased array, marker to patient's right/cephalad per convention; sweep each potential space dynamically. (Schematic by QualCare–SonoFront Academy, after ACEP/ATLS FAST guidance.)

Major Trauma in Extremis — Where Is the Bleeding?

Unstable trauma
E-FAST + CXR/pelvis
Pericardial fluid + tamponade
Resuscitative thoracotomy / window
Positive abdomen
Damage-control laparotomy
Haemothorax / PTX
Chest drain
Negative torso scan
Pelvis (binder) / long bones / external; CT when stabilised

After Arntfield & Kirkpatrick, algorithmic bedside approach to trauma in extremis (Ch. 37).

Home / Phase One Curriculum / Module 5 of 12

MODULE 5 OF 12 • MONTH 5

NeuroPOCUS

Focused Neurological Ultrasound for Intracranial Pressure, Cerebral Haemodynamics, Stroke, Neurological Emergencies and Neurocritical Care

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — NeuroPOCUS Foundations
Foundations
  • Introduction to NeuroPOCUS
  • Indications, scope and limitations of neurological ultrasound
  • Neuroanatomy and neurophysiology relevant to POCUS
  • Cranial and cerebrovascular sonoanatomy
  • Clinical applications of NeuroPOCUS
Cerebral Circulation
  • Circle of Willis
  • Major intracranial arteries
  • Venous drainage of the brain
  • Cerebral circulation
  • Cerebrospinal fluid dynamics
  • Intracranial compliance
Acoustic Windows
  • Temporal window
  • Orbital window
  • Suboccipital (foramen magnum) window
  • Submandibular window
  • Probe selection, orientation and image optimisation
Ocular–Neural Interface
  • Optic nerve and orbital sonoanatomy
  • Optic nerve sheath anatomy
  • Normal neurosonographic findings
Week 2 — NeuroPOCUS Pathology
Intracranial Pressure
  • Principles of intracranial pressure assessment
  • Raised intracranial pressure
  • Optic nerve sheath diameter (ONSD) measurement
  • Sonographic features of intracranial hypertension
  • Monitoring intracranial pressure and clinical correlation
Stroke & Haemorrhage
  • Acute ischaemic stroke
  • Intracerebral haemorrhage
  • Cerebral oedema
  • Midline shift (overview)
  • Role of NeuroPOCUS in stroke assessment
Transcranial Doppler
  • TCD principles
  • Cerebral blood flow velocity
  • Vasospasm
  • Cerebral autoregulation and perfusion assessment
  • Brain death assessment and cerebral circulatory arrest (overview)
Other Disorders
  • Severe traumatic brain injury
  • Hydrocephalus (focused assessment)
  • Cerebral venous thrombosis (overview)
  • Carotid artery disease (introduction)
  • Neurocritical care monitoring
  • NeuroPOCUS pitfalls
  • Image interpretation workshop
Week 3 — Clinical Applications
Altered Consciousness
  • Coma, delirium and encephalopathy assessment
  • Intracranial haemorrhage
  • Neurological monitoring and clinical decision-making
Stroke Pathways
  • Emergency department applications
  • Prehospital stroke assessment
  • Serial neurological monitoring
  • Integration with clinical examination
Critical Care & Perioperative
  • Traumatic brain injury
  • Subarachnoid haemorrhage
  • Neurocritical care monitoring and haemodynamic optimisation
  • Neurosurgical applications
  • Monitoring during high-risk procedures
  • Critical care transport
Internal Medicine
  • Infectious and metabolic neurological disorders
  • Neurological emergencies
  • Integration with multi-organ POCUS
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • NeuroPOCUS in adult male and female patients
  • Acute stroke, intracranial hypertension and neurovascular disease
  • Perioperative neurological assessment
  • Neonatal cranial ultrasound
  • Infant neurosonography
  • Paediatric raised intracranial pressure and hydrocephalus
  • Neonatal intraventricular haemorrhage
  • Paediatric neurological emergencies
  • Image optimisation in children
Obstetric & Maternal Patients
  • Neurological disorders in pregnancy
  • Stroke in pregnancy
  • Eclampsia and posterior reversible encephalopathy syndrome (PRES)
  • Raised intracranial pressure in pregnancy
  • Neurocritical care in obstetrics
  • Postpartum neurological emergencies
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Post-neurosurgical and immunocompromised patients
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive NeuroPOCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 5, participants should be able to:

  • Describe the anatomy and sonoanatomy of the brain, cerebral circulation and optic nerve relevant to NeuroPOCUS.
  • Perform focused neurological ultrasound examinations using appropriate cranial and orbital acoustic windows.
  • Measure and interpret optic nerve sheath diameter as a bedside assessment of raised intracranial pressure.
  • Understand the principles and clinical applications of Transcranial Doppler ultrasound.
  • Recognise NeuroPOCUS findings in raised intracranial pressure, stroke, traumatic brain injury and cerebral vasospasm.
  • Apply NeuroPOCUS in emergency medicine, neurocritical care, anaesthesia, perioperative medicine and prehospital care.
  • Integrate NeuroPOCUS with Cardiac, Lung and Vascular POCUS in critically ill neurological patients.
  • Adapt NeuroPOCUS techniques across all patient populations including neonates, pregnancy and post-neurosurgical patients.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Annotated ocular ultrasound demonstrating optic nerve sheath diameter (ONSD) mea
Annotated ocular ultrasound demonstrating optic nerve sheath diameter (ONSD) measurement 3 mm behind the retina.
Source: St. John's Riverside Emergency Medicine education.
Module summary. This month provides learners with the knowledge and clinical framework to incorporate NeuroPOCUS into the rapid bedside assessment and monitoring of neurological emergencies, stroke, traumatic brain injury and critically ill patients across emergency, intensive care, anaesthesia and neurology practice.
Key Evidence & Guidelines

References

  • Kimberly HH, et al. Focus on: emergency ultrasound for optic nerve sheath diameter measurement. Acad Emerg Med 2008;15:201-4.
  • Robba C, et al. Ultrasound non-invasive measurement of intracranial pressure in neurointensive care: systematic review. Intensive Care Med / meta-analysis literature.
  • AIUM. Practice Parameter for the Performance of Neurosonography in Neonates and Infants. In collaboration with ACR, SPR and SRU.
  • American Society of Neuroimaging / AIUM. Practice Parameter for Transcranial Doppler Ultrasonography.
  • Rasulo FA, et al. Neurocritical care ultrasound and optic nerve sheath diameter: consensus-based evidence. Critical Care.
← Module 4Module 6 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

3 mm behind retinaONSD (>5 mm ≈ raised ICP)
ONSD Measurement — Ocular Schematic. Linear probe over closed eyelid (generous gel, lowest MI). Freeze with optic nerve centred; measure sheath width 3 mm behind the globe, perpendicular to the nerve axis, both eyes. (Schematic by QualCare–SonoFront Academy, after ONSD literature (Ohle et al. 2015).)

Home / Phase One Curriculum / Module 6 of 12

MODULE 6 OF 12 • MONTH 6

Ocular POCUS

Focused Ocular Ultrasound for Ophthalmic Disorders, Orbital Pathology, Neuro-Ophthalmic Conditions and Ocular Emergencies

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Ocular Foundations
Foundations
  • Introduction to Ocular POCUS
  • Indications, scope and limitations of ocular ultrasound
  • Ocular anatomy and physiology
  • Orbital sonoanatomy
  • Clinical applications of Ocular POCUS
  • Normal ocular ultrasound findings
Globe Anatomy
  • Cornea, anterior chamber and iris
  • Lens
  • Vitreous body
  • Retina, choroid and sclera
  • Optic nerve
  • Extraocular muscles
Technique & Safety
  • Probe selection and orientation
  • Patient positioning
  • Closed-eyelid scanning technique
  • Safety precautions in ocular ultrasound
  • Image optimisation
  • Ocular measurements
  • Ocular vascular anatomy (introduction)
  • Dynamic ocular examination
Systematic Practice
  • Optic nerve sheath anatomy
  • Documentation and reporting
  • Image acquisition and interpretation
  • Common scanning errors and troubleshooting
  • Clinical case review
Week 2 — Ocular and Orbital Pathology
Posterior Segment
  • Retinal detachment and retinal tears
  • Posterior vitreous detachment
  • Vitreous haemorrhage
  • Image interpretation and clinical correlation
Lens & Globe
  • Lens dislocation
  • Cataracts
  • Globe rupture
  • Ocular trauma
  • Intraocular foreign bodies
Neuro-Ophthalmic
  • Raised intracranial pressure
  • Optic nerve sheath diameter assessment
  • Papilloedema
  • Neuro-ophthalmic applications
  • Serial monitoring
Orbital Pathology
  • Orbital and preseptal cellulitis
  • Retrobulbar haematoma
  • Ocular tumours and orbital masses (overview)
  • Extraocular muscle disorders
  • Ocular ultrasound pitfalls
  • Differential diagnosis workshop
Week 3 — Clinical Applications
Emergency Presentations
  • Acute vision loss
  • Red eye and painful eye evaluation
  • Diplopia
  • Bedside assessment of eye emergencies
  • Ocular trauma and foreign body assessment
  • Chemical eye injury (adjunctive role)
Medical Disease
  • Diabetes and ocular complications
  • Hypertension and ocular disease
  • Infectious ocular disorders
  • Autoimmune ocular disease (overview)
Critical Care
  • Raised intracranial pressure monitoring
  • Comatose patients
  • Integration of Ocular POCUS with NeuroPOCUS
  • Evidence-based clinical practice
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Ocular POCUS in adult male and female patients
  • Common adult ophthalmic emergencies and ocular trauma
  • Medical and surgical eye disorders
  • Neonatal eye assessment and infant ocular ultrasound
  • Paediatric ocular trauma
  • Retinopathy of prematurity (overview)
  • Congenital ocular disorders
  • Paediatric vision emergencies
  • Image optimisation in children
Obstetric & Maternal Patients
  • Ocular manifestations of pregnancy
  • Visual disturbances in pregnancy
  • Preeclampsia and eclampsia
  • Raised intracranial pressure in pregnancy
  • Ocular emergencies during pregnancy
  • Postpartum neuro-ophthalmic disorders
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Post-operative ophthalmic and immunocompromised patients
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive Ocular POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 6, participants should be able to:

  • Describe the anatomy and sonoanatomy of the globe, orbit and optic nerve.
  • Perform a systematic ocular ultrasound examination using safe scanning techniques.
  • Recognise normal ocular anatomy and common sonographic abnormalities.
  • Identify retinal detachment, vitreous haemorrhage, posterior vitreous detachment, lens dislocation, globe rupture and other ocular emergencies.
  • Measure and interpret optic nerve sheath diameter in the assessment of raised intracranial pressure.
  • Apply Ocular POCUS in emergency medicine, critical care, internal medicine and neurocritical care.
  • Integrate Ocular POCUS with NeuroPOCUS in neurological and ophthalmic emergencies.
  • Adapt ocular ultrasound techniques across adult, paediatric, pregnant, geriatric, critically ill, trauma, obese, post-operative and immunocompromised populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Closed-eyelid scanning technique with labelled normal ocular anatomy and retinal
Closed-eyelid scanning technique with labelled normal ocular anatomy and retinal findings.
Source: ALiEM ocular ultrasound teaching series.
Optic nerve sheath diameter measurement links ocular ultrasound to intracranial
Optic nerve sheath diameter measurement links ocular ultrasound to intracranial pressure assessment.
Source: St. John's Riverside EM.
Module summary. This month equips participants with the knowledge and practical framework to confidently use Ocular POCUS as a rapid bedside diagnostic tool for ophthalmic emergencies, neuro-ophthalmic disorders and critical care applications while integrating findings into comprehensive patient management.
Key Evidence & Guidelines

References

  • Blaivas M, et al. Bedside ultrasound in the detection of retinal detachment and vitreous pathology. Acad Emerg Med / Ann Emerg Med literature.
  • AIUM. Practice Parameter for the Performance of Ocular Ultrasound Examinations (ophthalmic ultrasound guidance).
  • ACEP. Emergency Ultrasound Guidelines — ocular ultrasound section.
  • Ohle R, et al. Sonography of the optic nerve sheath diameter for detection of raised intracranial pressure: systematic review and meta-analysis. Ann Emerg Med 2015;66:278-85.
  • Shinar Z, et al. Ocular ultrasound in the emergency department. West J Emerg Med.
← Module 5Module 7 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

Linear probe, copious gelGlobe (vitreous black), lens anterior, optic nerve posterior
Ocular POCUS — Closed-Lid Technique. Patient looks straight ahead; scan transverse and sagittal through the closed lid with minimal pressure. Ask the patient to move the eye for dynamic assessment of membranes and haemorrhage. (Schematic by QualCare–SonoFront Academy, after ACEP ocular ultrasound guidance.)

Home / Phase One Curriculum / Module 7 of 12

MODULE 7 OF 12 • MONTH 7

Obstetric & Gynaecological POCUS

Focused Obstetric and Gynaecological Ultrasound for Pregnancy, Female Pelvic Disorders, Obstetric Emergencies and Women's Health

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Foundations
Foundations
  • Introduction to Obstetric & Gynaecological POCUS
  • Indications, scope and limitations
  • Female pelvic anatomy and physiology
  • Pelvic sonoanatomy
  • Clinical applications
  • Probe selection, transabdominal and transvaginal ultrasound
  • Patient preparation, positioning, orientation and image optimisation
Normal Female Pelvis
  • Uterus and cervix
  • Endometrium
  • Ovaries and adnexa
  • Cul-de-sac (pouch of Douglas)
Early Pregnancy
  • Gestational sac
  • Yolk sac
  • Embryo
  • Crown-rump length
  • Fetal cardiac activity
  • Pregnancy dating
Systematic Practice
  • Systematic Obstetric & Gynaecological examination
  • Documentation and reporting
  • Image acquisition and interpretation
  • Common scanning errors
  • Clinical case review
Week 2 — Pathology
First Trimester Complications
  • Pregnancy of unknown location
  • Miscarriage
  • Ectopic pregnancy
  • Molar pregnancy
  • Subchorionic haematoma
Second & Third Trimester
  • Placental localisation
  • Amniotic fluid assessment
  • Fetal growth and biometry
  • Fetal presentation
  • Multiple pregnancy
  • Cervical insufficiency
  • Preterm labour assessment
Obstetric Emergencies
  • Placenta previa
  • Placental abruption
  • Vaginal bleeding assessment
Gynaecological Disorders
  • Uterine fibroids and adenomyosis
  • Endometrial pathology
  • Ovarian cysts
  • Ovarian torsion
  • Pelvic inflammatory disease
  • Pelvic pain assessment
  • Postmenopausal bleeding and pelvic masses
  • Infertility (introduction)
  • Image interpretation workshop
Week 3 — Clinical Applications
Emergency Medicine
  • Vaginal bleeding and pelvic pain
  • Hyperemesis gravidarum
  • Maternal collapse
  • Preeclampsia
  • Bedside decision-making
Labour & Delivery
  • Fetal lie and presentation
  • Fetal heart rate assessment
  • Placental and amniotic fluid assessment
  • Intrapartum ultrasound
Critical Care
  • Maternal shock
  • Obstetric haemorrhage
  • Eclampsia
  • HELLP syndrome
Outpatient & Inpatient
  • Family medicine and reproductive health
  • Menopause
  • Oncology (introduction)
  • Postoperative assessment
  • Integration with Abdominal, Cardiac and Lung POCUS
  • Evidence-based practice
Week 4 — Clinical Integration Across Patient Populations
Adult Female Patients
  • Obstetric POCUS in reproductive-age women
  • Gynaecological POCUS across the adult lifespan
  • Fertility assessment (introduction)
  • Menopause and women's health screening
  • Outpatient applications
Paediatric & Adolescent Patients
  • Neonatal female pelvic anatomy
  • Paediatric pelvic ultrasound
  • Adolescent gynaecology and pubertal disorders
  • Congenital Mullerian anomalies (overview)
  • Ovarian pathology in children and adolescents
  • Image optimisation in young patients
Obstetric & Maternal Patients
  • Normal pregnancy across all trimesters
  • High-risk pregnancy and multiple gestation
  • Maternal medical disorders
  • Postpartum assessment
  • Maternal critical care applications
Other Special Populations
  • Geriatric and postmenopausal women
  • Critically ill, trauma and obese patients
  • Postoperative gynaecological patients
  • Resource-limited and humanitarian settings
Consolidation & Assessment
  • Comprehensive review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 7, participants should be able to:

  • Describe the anatomy and sonoanatomy of the female pelvis and the pregnant uterus.
  • Perform systematic transabdominal and basic transvaginal POCUS examinations where appropriate within professional scope.
  • Recognise normal findings in early and late pregnancy.
  • Assess fetal viability, gestational age, presentation, placental location and amniotic fluid volume.
  • Identify ectopic pregnancy, miscarriage, placenta previa and placental abruption.
  • Recognise uterine fibroids, ovarian cysts, ovarian torsion and pelvic inflammatory disease.
  • Apply O&G POCUS in emergency medicine, family medicine, obstetrics, gynaecology, anaesthesia and critical care.
  • Integrate O&G POCUS with abdominal, cardiac and lung ultrasound in acutely ill patients.
  • Adapt scanning techniques across reproductive-age, adolescent, paediatric, pregnant, postpartum, postmenopausal and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

First trimester ultrasound: gestational sac measurement, yolk sac, embryo (CRL)
First trimester ultrasound: gestational sac measurement, yolk sac, embryo (CRL) and M-mode fetal heart rate.
Source: Nature Scientific Reports (open access).
Module summary. This month equips learners with the knowledge and practical framework to confidently use Obstetric and Gynaecological POCUS for bedside assessment of pregnancy, female pelvic disorders and obstetric emergencies, supporting timely clinical decision-making across primary care, emergency medicine, obstetrics, gynaecology and critical care.
Key Evidence & Guidelines

References

  • AIUM–ACR–ACOG–SMFM–SRU. Practice Parameter for the Performance of Standard Diagnostic Obstetric Ultrasound Examinations.
  • ACR Appropriateness Criteria® First Trimester Vaginal Bleeding; Suspected Ectopic Pregnancy.
  • ACEP. Emergency Ultrasound Guidelines — pelvic/first-trimester ultrasound.
  • Doubilet PM, et al. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med 2013;369:1443-51.
  • American College of Obstetricians and Gynecologists. Ultrasound in pregnancy practice bulletins.
← Module 6Module 8 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

Yolk sacEmbryoGestational sac in decidualised endometrium
Early Pregnancy Landmarks — Schematic. Transabdominal/transvaginal: confirm intrauterine location (sac + yolk sac), measure mean sac diameter and crown–rump length, and document cardiac activity by M-mode. (Schematic by QualCare–SonoFront Academy, after AIUM–ACR–ACOG OB parameter.)

Home / Phase One Curriculum / Module 8 of 12

MODULE 8 OF 12 • MONTH 8

Male Pelvic POCUS

Focused Male Genitourinary Ultrasound for the Lower Urinary Tract, Prostate, Scrotum, Penis and Male Pelvic Emergencies

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Male Pelvic Foundations
Foundations
  • Introduction to Male Pelvic POCUS
  • Indications, scope and limitations
  • Male genitourinary anatomy and physiology
  • Male pelvic sonoanatomy
  • Clinical applications
  • Probe selection, patient preparation, positioning, orientation and scanning planes
  • Image optimisation
Bladder
  • Bladder anatomy and sonoanatomy
  • Bladder wall and bladder capacity
  • Normal bladder ultrasound findings
  • Ureteric jets
  • Post-void residual volume assessment
Prostate
  • Prostate anatomy and sonoanatomy
  • Prostatic zones
  • Seminal vesicles
  • Measurement of prostate volume
  • Normal prostate ultrasound findings
  • Introduction to transabdominal and transrectal ultrasound
Scrotum & Penis
  • Testes and epididymis
  • Spermatic cord
  • Tunica vaginalis
  • Penile ultrasound basics
  • Systematic male pelvic examination
  • Documentation and reporting
Week 2 — Male Genitourinary Pathology
Bladder & Outlet
  • Urinary retention
  • Bladder outlet obstruction
  • Bladder diverticula
  • Bladder stones
  • Bladder tumours (overview)
Prostate
  • Benign prostatic hyperplasia (BPH)
  • Prostatitis
  • Prostatic abscess
  • Prostate cancer (focused recognition)
  • Prostate volume assessment
  • Lower urinary tract symptoms
Acute Scrotum
  • Testicular torsion
  • Epididymitis and epididymo-orchitis
  • Hydrocele
  • Varicocele
  • Scrotal oedema
  • Testicular trauma and tumours
  • Undescended testis
  • Differential diagnosis of acute scrotum
Penile Pathology & Pitfalls
  • Penile trauma
  • Priapism
  • Penile soft tissue infection
  • Male pelvic ultrasound pitfalls
  • Image interpretation workshop
Week 3 — Clinical Applications
Emergency Medicine
  • Acute urinary retention
  • Acute scrotal pain
  • Urological trauma
  • Urine volume assessment and catheter placement verification
  • Renal–bladder integration
  • Catheter-related problems
  • Monitoring response to treatment
Urology & Perioperative
  • Perioperative and postoperative assessment
  • Oncology (introduction)
  • Fertility assessment (overview)
Primary Care
  • BPH and lower urinary tract symptoms
  • Recurrent urinary tract infection
  • Chronic pelvic pain
  • Integration with renal ultrasound
  • Outpatient follow-up
Critical Care
  • Bladder monitoring
  • Integration with Abdominal, Renal and Vascular POCUS
  • Evidence-based clinical practice
Week 4 — Clinical Integration Across Patient Populations
Adult Patients
  • Young adults, middle-aged and older men
  • Common adult urological disorders
  • Screening, follow-up and outpatient applications
Paediatric Patients
  • Neonatal male genital anatomy
  • Infant scrotal ultrasound
  • Undescended testis and hydrocele
  • Inguinoscrotal hernia
  • Testicular torsion in children and adolescents
  • Image optimisation in paediatric patients
Special Clinical Populations
  • Spinal cord injury and neurogenic bladder
  • Patients with indwelling urinary catheters
  • Patients undergoing dialysis
  • Immunocompromised patients
  • Transplant recipients
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Post-urological surgery patients
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 8, participants should be able to:

  • Describe the anatomy and sonoanatomy of the male lower urinary tract, prostate, scrotum and penis.
  • Perform a systematic focused ultrasound examination of the bladder, prostate and scrotal contents.
  • Measure bladder volume, post-void residual volume and prostate volume.
  • Recognise common bladder, prostate and scrotal pathologies.
  • Differentiate common causes of acute scrotal pain including testicular torsion, epididymitis and hydrocele.
  • Apply Male Pelvic POCUS in emergency medicine, primary care, urology, internal medicine and critical care.
  • Integrate Male Pelvic POCUS with renal, abdominal and vascular ultrasound.
  • Adapt scanning techniques across paediatric, adult, geriatric, neurogenic bladder, post-surgical and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Dilated renal pelvis in hydronephrosis — obstructive uropathy is a core genitour
Dilated renal pelvis in hydronephrosis — obstructive uropathy is a core genitourinary POCUS finding.
Source: Loyola University Medical Education.
Grading of hydronephrosis with schematic correlation, supporting bladder–renal i
Grading of hydronephrosis with schematic correlation, supporting bladder–renal integrated assessment.
Source: Renal Fellow Network.
Module summary. This month provides learners with a structured approach to using Male Pelvic POCUS for the rapid bedside evaluation of lower urinary tract disorders, prostate disease, scrotal pathology and urological emergencies across emergency medicine, primary care, internal medicine, critical care and urology.
Key Evidence & Guidelines

References

  • AIUM–ACR–SPR–SRU. Practice Parameter for the Performance of Scrotal Ultrasound Examinations.
  • AIUM–ACR. Practice Parameter for the Performance of an Ultrasound Examination of the Prostate (and Surrounding Structures).
  • ACR Appropriateness Criteria® Acute Onset of Scrotal Pain; Lower Urinary Tract Symptoms.
  • American Urological Association. BPH and acute scrotum clinical guidance (imaging recommendations).
  • ACEP. Emergency Ultrasound Guidelines — renal/bladder and testicular applications.
← Module 7Module 9 →

Home / Phase One Curriculum / Module 9 of 12

MODULE 9 OF 12 • MONTH 9

Musculoskeletal (MSK) POCUS

Focused Musculoskeletal Ultrasound for Muscles, Tendons, Ligaments, Joints, Peripheral Nerves, Soft Tissue Disorders and Sports Injuries

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Musculoskeletal Foundations
Foundations
  • Introduction to Musculoskeletal POCUS
  • Indications, scope and limitations
  • Musculoskeletal anatomy, physiology and sonoanatomy
  • Clinical applications of MSK POCUS
Tissue Sonoanatomy
  • Muscles, fascia and cartilage
  • Bones and bursae
  • Tendons and ligaments
  • Peripheral nerve sonoanatomy
  • Common upper and lower limb nerves
Technique
  • High-frequency linear transducers
  • Patient positioning and probe orientation
  • Dynamic ultrasound and nerve examination
  • Doppler applications in MSK ultrasound
  • Image optimisation and acquisition
Systematic Practice
  • Normal ultrasound appearance of muscles, tendons and ligaments
  • Systematic MSK examination
  • Documentation and reporting
  • Common scanning errors
  • Clinical case review
Week 2 — Musculoskeletal Pathology
Muscle & Joint
  • Muscle tears, contusions and haematomas
  • Myositis and sprains
  • Joint effusions and synovitis
  • Bursitis and osteoarthritis
  • Compartment syndrome (overview)
Tendon
  • Tendinopathy and tendon tears
  • Calcific tendinitis
  • Tenosynovitis
  • Trigger finger
  • Tendon healing
  • Ligament injuries
Peripheral Nerve
  • Entrapment neuropathies
  • Carpal tunnel syndrome
  • Ulnar neuropathy
  • Morton's neuroma
  • Peripheral nerve tumours (overview)
Soft Tissue
  • Abscesses and cellulitis
  • Foreign bodies
  • Soft tissue masses and tumours (overview)
  • Image interpretation workshop
Week 3 — Clinical Applications
Sports Medicine
  • Acute sports and overuse injuries
  • Return-to-play assessment
  • Injury prevention
  • Rehabilitation monitoring
Emergency Medicine
  • Fracture assessment
  • Tendon ruptures
  • Joint dislocations
  • Soft tissue trauma and wound assessment
Rheumatology
  • Inflammatory arthritis
  • Crystal arthropathies
  • Connective tissue disorders
  • Synovial disease monitoring
Guided Procedures
  • Joint aspiration and injection
  • Bursa and tendon sheath injection
  • Soft tissue aspiration
  • Procedural safety
  • Integration with vascular, nerve and soft tissue assessment
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • MSK POCUS in adult male and female patients
  • Occupational, degenerative and sports applications
  • Neonatal musculoskeletal assessment
  • Developmental hip assessment (introduction)
  • Paediatric fractures and growth plate injuries
  • Juvenile arthritis
  • Sports injuries in children and adolescents
  • Image optimisation in paediatric patients
Obstetric & Maternal Patients
  • Pregnancy-related musculoskeletal disorders
  • Pelvic girdle pain
  • Carpal tunnel syndrome in pregnancy
  • Lower limb tendinopathies
  • Postpartum musculoskeletal conditions
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Post-orthopaedic surgery patients
  • Rehabilitation applications
  • Amputees
  • Resource-limited and field medicine applications
Consolidation & Assessment
  • Comprehensive MSK POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 9, participants should be able to:

  • Describe the anatomy and sonoanatomy of muscles, tendons, ligaments, joints, bursae and peripheral nerves.
  • Perform a systematic musculoskeletal ultrasound examination using dynamic scanning techniques.
  • Recognise normal and abnormal musculoskeletal ultrasound findings.
  • Identify common muscle, tendon, ligament, joint, nerve and soft tissue disorders.
  • Apply MSK POCUS in sports medicine, emergency medicine, orthopaedics, rheumatology, rehabilitation and primary care.
  • Perform basic ultrasound-guided musculoskeletal procedures safely within professional scope of practice.
  • Integrate MSK POCUS with vascular and peripheral nerve ultrasound.
  • Adapt scanning techniques across paediatric, pregnant, geriatric, trauma, post-surgical, amputee and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

High-resolution musculoskeletal ultrasound demonstrating tendon pathology adjace
High-resolution musculoskeletal ultrasound demonstrating tendon pathology adjacent to the bony cortex.
Source: EPOS / European Society of Radiology poster.
Academy-style supervised hands-on scanning — practical skills are central to MSK
Academy-style supervised hands-on scanning — practical skills are central to MSK POCUS training.
Source: Radiology Key / Pocket Guide to POCUS.
Module summary. This month equips participants with the knowledge and practical framework to use Musculoskeletal POCUS for diagnosing soft tissue injuries, joint disorders, peripheral nerve pathology and sports-related conditions, while introducing ultrasound-guided musculoskeletal interventions applicable across multiple clinical specialties.
Key Evidence & Guidelines

References

  • AIUM. Practice Parameter for the Performance of a Musculoskeletal Ultrasound Examination. In collaboration with ACR, SRU and SPR.
  • ACR Appropriateness Criteria® Chronic Ankle Pain; Suspected Rotator Cuff / Soft Tissue Pathology.
  • Jacobson JA. Fundamentals of Musculoskeletal Ultrasound. Elsevier.
  • AIUM–ACR. Practice Parameter for the Performance of Peripheral Nerve Ultrasound / Ultrasound-Guided MSK Procedures.
  • American Physical Therapy Association. Imaging in physical therapist practice guidance.
← Module 8Module 10 →

Home / Phase One Curriculum / Module 10 of 12

MODULE 10 OF 12 • MONTH 10

Vascular POCUS

Focused Vascular Ultrasound for Venous and Arterial Disorders, Haemodynamics, Vascular Access and Peripheral Vascular Emergencies

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Vascular Foundations
Foundations
  • Introduction to Vascular POCUS
  • Indications, scope and limitations
  • Vascular anatomy, physiology and haemodynamic principles
  • Arterial and venous sonoanatomy
  • Clinical applications of Vascular POCUS
Technique
  • High-frequency linear transducers
  • Probe orientation and patient positioning
  • Scanning planes and image optimisation
  • Vessel identification
  • Compressibility and flow characteristics
  • Doppler waveform interpretation
Imaging Modalities
  • B-mode imaging
  • Colour Doppler
  • Power Doppler
  • Spectral Doppler
  • Normal arterial and venous ultrasound
Systematic Practice
  • Systematic vascular examination
  • Image acquisition
  • Documentation and reporting
  • Common scanning errors
  • Clinical case review
Week 2 — Vascular Pathology
Venous Disease
  • Deep vein thrombosis (DVT)
  • Two-point and three-point compression techniques
  • Whole-leg compression ultrasound
  • Superficial venous thrombosis
  • Chronic venous insufficiency and varicose veins
  • Internal jugular vein assessment
  • Lymphoedema (overview)
Arterial Disease
  • Peripheral arterial disease
  • Arterial occlusion and stenosis
  • Acute and chronic limb ischaemia
  • Doppler findings
  • Carotid ultrasound
Aneurysmal & Traumatic Disease
  • Abdominal aortic aneurysm
  • Aortic dissection (focused recognition)
  • Peripheral aneurysms and pseudoaneurysms
  • Arteriovenous fistulas
  • Vascular trauma
Pitfalls
  • Differential diagnosis
  • Artefacts in vascular imaging
  • Vascular ultrasound pitfalls
  • Image interpretation workshop
Week 3 — Clinical Applications
Emergency Medicine
  • Suspected DVT and pulmonary embolism assessment
  • Acute limb ischaemia
  • Vascular trauma
  • Shock and volume status assessment
  • Integration with Cardiac POCUS
Vascular Access
  • Ultrasound-guided peripheral intravenous cannulation
  • Central venous cannulation
  • Arterial cannulation
  • Midline catheters
  • Procedural safety
Dialysis & Nephrology
  • Arteriovenous fistulas and dialysis grafts
  • Catheter assessment
  • Vascular complications
  • Longitudinal monitoring
Critical Care
  • Haemodynamic monitoring
  • Inferior vena cava assessment
  • Multi-organ integration
  • Evidence-based clinical practice
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Vascular POCUS in adult male and female patients
  • Cardiovascular risk, venous thromboembolism and peripheral arterial disease
  • Outpatient applications
  • Neonatal vascular access
  • Paediatric venous ultrasound and DVT
  • Congenital vascular anomalies (overview)
  • Paediatric arterial disorders
  • Image optimisation in children
Obstetric & Maternal Patients
  • Venous thromboembolism in pregnancy
  • Lower limb DVT assessment
  • Ovarian vein thrombosis
  • Ultrasound-guided vascular access in pregnancy
  • Postpartum vascular complications
  • Maternal haemodynamic assessment
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Oncology and dialysis patients
  • Post-vascular surgery patients
  • Resource-limited and prehospital applications
Consolidation & Assessment
  • Comprehensive Vascular POCUS review
  • Image interpretation workshop
  • Integrated clinical case discussions
  • Decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 10, participants should be able to:

  • Describe the anatomy and sonoanatomy of the arterial and venous systems.
  • Perform systematic venous and arterial ultrasound examinations.
  • Recognise normal vascular anatomy and Doppler flow patterns.
  • Diagnose deep vein thrombosis, peripheral arterial disease, abdominal aortic aneurysm and other common vascular disorders.
  • Perform ultrasound-guided vascular access safely within professional scope of practice.
  • Apply Vascular POCUS in emergency medicine, critical care, nephrology, surgery, anaesthesia and primary care.
  • Integrate Vascular POCUS with cardiac, lung and abdominal ultrasound for comprehensive haemodynamic assessment.
  • Adapt vascular ultrasound techniques across paediatric, pregnant, oncology, dialysis, post-surgical and resource-limited populations.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

Compression ultrasound of the common femoral vein (CFV) with and without probe p
Compression ultrasound of the common femoral vein (CFV) with and without probe pressure — the cornerstone of bedside DVT diagnosis.
Source: POCUS.org.
Annotated axial image of an abdominal aortic aneurysm with outer-wall-to-outer-w
Annotated axial image of an abdominal aortic aneurysm with outer-wall-to-outer-wall measurement.
Source: Wikimedia Commons.
Module summary. This month prepares participants to confidently use Vascular POCUS for diagnosing venous and arterial disorders, guiding vascular access, assessing haemodynamic status and supporting clinical decision-making across emergency medicine, anaesthesia, critical care, surgery, nephrology, internal medicine and primary care.
Key Evidence & Guidelines

References

  • AIUM–ACR–SRU. Practice Parameter for the Performance of Peripheral Venous / Arterial Duplex Ultrasound.
  • Needleman L, et al. Ultrasound for lower extremity deep venous thrombosis: multidisciplinary recommendations. Circulation 2018;137:1505-15.
  • ACR Appropriateness Criteria® Suspected Lower Extremity Deep Vein Thrombosis; Suspected Upper Extremity DVT.
  • ACEP. Emergency Ultrasound Guidelines — vascular/DVT applications.
  • AIUM. Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures.
← Module 9Module 11 →
Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

Right leg, anterior1. Common femoral V (groin)2. Femoral V (mid-thigh, 3-pt)3. Popliteal V (behind knee)
DVT Compression Points — Probe Map. Transverse orientation, compress every 1–2 cm: the vein must coapt completely. Non-compressibility = thrombus. Two-point = groin + popliteal; three-point adds the femoral vein in the thigh. (Schematic by QualCare–SonoFront Academy, after Needleman et al., Circulation 2018.)

Suspected DVT — Bedside Compression Pathway

Swollen painful leg
2–3 point compression US
Non-compressible vein
DVT → anticoagulate; consider PE scan (lung + RV)
Fully compressible
No proximal DVT; if high suspicion → whole-leg/repeat in 5–7 days

After ACEP guidelines and Needleman et al. multidisciplinary consensus.

Home / Phase One Curriculum / Module 11 of 12

MODULE 11 OF 12 • MONTH 11

Rapid Bedside POCUS Protocols

Integrated Multi-Organ POCUS Protocols for Emergency Medicine, Critical Care, Anaesthesia, Perioperative Medicine and Acute Care

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Trauma and Shock Protocols
Foundations
  • Introduction to integrated POCUS protocols
  • Clinical reasoning and decision-making
  • Multi-organ POCUS approach
  • Protocol selection
  • Documentation and reporting
E-FAST
  • Extended Focused Assessment with Sonography for Trauma
  • Pneumothorax and haemothorax assessment
  • Intraperitoneal free fluid
  • Pericardial effusion
  • Trauma decision-making
FATE
  • Focused Assessed Transthoracic Echocardiography
  • Focused cardiac ultrasound
  • Haemodynamic and volume status assessment
  • Integration with Lung and Vascular POCUS
RUSH
  • Rapid Ultrasound in Shock protocol
  • Pump assessment
  • Tank assessment
  • Pipe assessment
  • Differentiating shock states
  • Clinical integration
  • Protocol comparison and common pitfalls
  • Trauma and shock simulation exercises
Week 2 — Respiratory and Critical Care Protocols
BLUE Protocol
  • Bedside Lung Ultrasound in Emergency
  • Differential diagnosis of acute respiratory failure
  • Lung ultrasound profiles
  • Clinical decision-making
  • Pneumothorax, DVT and cardiac assessment
FALLS Protocol
  • Fluid Administration Limited by Lung Sonography
  • Fluid responsiveness
  • Haemodynamic monitoring
  • Shock resuscitation
  • Integration with Cardiac POCUS
Cardiac Arrest Protocols
  • SESAME protocol
  • Cardiac Arrest Sonographic Assessment (CASA)
  • Reversible causes of cardiac arrest
  • Cardiac standstill
  • Pericardial tamponade and pulmonary embolism
  • Integration into Advanced Life Support
  • Emergency airway considerations
Simulation & Practice
  • Critical care simulations
  • Protocol selection exercises
  • Evidence-based practice
  • Clinical case discussions
Week 3 — Specialty-Specific and Emerging Protocols
FASH Protocol
  • Focused Assessment with Sonography for HIV/Tuberculosis
  • Extrapulmonary tuberculosis
  • HIV-associated disease
  • Resource-limited applications
  • Tropical medicine
Compression Protocols
  • Two-point and three-point compression protocols
  • Integration with pulmonary embolism assessment
  • Venous thromboembolism pathways
VExUS Protocol
  • Venous Excess Ultrasound (introduction)
  • Inferior vena cava assessment
  • Hepatic, portal and renal vein Doppler
  • Venous congestion assessment
Whole-Patient Integration
  • Multi-organ POCUS in sepsis
  • Multi-organ POCUS in acute kidney injury
  • Perioperative and internal medicine applications
  • Whole-patient assessment
  • Integrated multi-protocol case discussions
  • Simulation and quality improvement
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Multi-organ POCUS in adult male and female patients
  • Emergency department, internal medicine, surgical and intensive care applications
  • Paediatric E-FAST
  • Paediatric lung protocols and cardiac assessment
  • Paediatric shock and trauma
  • Neonatal critical care applications
Obstetric & Maternal Patients
  • Obstetric emergency POCUS
  • Maternal shock and obstetric haemorrhage
  • Ectopic pregnancy
  • Pulmonary embolism in pregnancy
  • Maternal critical care
Other Special Populations
  • Geriatric, critically ill, trauma and obese patients
  • Oncology patients
  • Resource-limited, humanitarian and disaster medicine
  • Prehospital and retrieval medicine
Consolidation & Assessment
  • Comprehensive protocol review
  • Integrated image interpretation workshop
  • Multi-system clinical case discussions
  • Protocol-based decision-making exercises
  • Monthly mock examination
  • Feedback and performance review
Learning Objectives

By the end of Month 11, participants should be able to:

  • Select and perform the appropriate rapid bedside POCUS protocol based on the patient's presenting complaint.
  • Perform and interpret the E-FAST, RUSH, FATE, BLUE, FALLS, SESAME, CASA and FASH protocols.
  • Understand the principles of VExUS and focused venous congestion assessment.
  • Integrate cardiac, lung, abdominal and vascular ultrasound into a structured multi-organ assessment.
  • Apply protocol-driven POCUS in trauma, shock, respiratory failure, cardiac arrest, sepsis, acute kidney injury and perioperative care.
  • Adapt integrated POCUS protocols across adult, paediatric, obstetric, geriatric, trauma, oncology, disaster and resource-limited settings.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

E-FAST right upper quadrant view with free fluid (arrows) — the most sensitive s
E-FAST right upper quadrant view with free fluid (arrows) — the most sensitive single view for intraperitoneal bleeding.
Source: wikidoc / Morison's pouch.
Barcode (stratosphere) sign on M-mode — integrated into E-FAST and BLUE protocol
Barcode (stratosphere) sign on M-mode — integrated into E-FAST and BLUE protocol assessment of pneumothorax.
Source: ResearchGate / emergency ultrasound literature.
Standardised anterior and PLAPS-point probe positions used in the BLUE protocol.
Standardised anterior and PLAPS-point probe positions used in the BLUE protocol.
Source: Cureus (open access).
Module summary. This month transitions participants from organ-specific ultrasound to whole-patient, protocol-driven bedside assessment, enabling rapid diagnosis, prioritisation and management of critically ill and emergency patients across emergency medicine, anaesthesia, intensive care, surgery, obstetrics and acute medical practice.
Key Evidence & Guidelines

References

  • Lichtenstein DA, Mezière GA. BLUE protocol. Chest 2008;134:117-25; FALLS protocol, Chest 2015;147:1659-70.
  • Perera P, et al. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically ill. Emerg Med Clin North Am / Crit Ultrasound J.
  • American College of Surgeons / ACEP. ATLS and FAST/E-FAST trauma imaging guidance.
  • Jensen MB, et al. FATE protocol. Eur J Anaesthesiol 2004;21:700-7.
  • Beaulieu M, et al. VExUS venous congestion assessment. J Cardiothorac Vasc Anesth 2020;34:1937-9.
  • Heller M, Melanson S. FASH exam in HIV/TB endemic settings. emergency ultrasound literature.
← Module 10Module 12 →

Home / Phase One Curriculum / Module 12 of 12

MODULE 12 OF 12 • MONTH 12

Introduction to Ultrasound-Guided Interventions

Principles and Practice of Ultrasound-Guided Procedures for Diagnostic and Therapeutic Interventions

Weekly Teaching Plan

Four Weeks of Live Interactive Lectures

Each module runs across four weeks — foundations, pathology, clinical applications, and clinical integration across patient populations — closing with a review, image-interpretation workshop, integrated case discussions, mock examination and feedback review.

Week 1 — Foundations of Ultrasound-Guided Interventions
Foundations
  • Introduction to ultrasound-guided procedures
  • Indications, scope and limitations
  • Clinical applications across medical and surgical specialties
  • Patient selection and contraindications
  • Benefits of ultrasound guidance
Needle Skills
  • Needle visualisation principles
  • In-plane and out-of-plane techniques
  • Needle tracking
  • Hand-eye coordination
  • Procedural planning
Patient & Equipment
  • Patient positioning
  • Probe and equipment selection
  • Procedural anatomy and sonoanatomy
  • Ergonomics during procedures
Safety & Training
  • Sterile technique and skin preparation
  • Local anaesthesia
  • Prevention, recognition and management of complications
  • Infection prevention
  • Consent
  • Documentation and reporting
  • Ultrasound phantom training and simulation-based education
  • Common technical errors and troubleshooting
  • Clinical case review
Week 2 — Vascular Access and Drainage Procedures
Peripheral & Midline Access
  • Ultrasound-guided peripheral intravenous cannulation
  • Difficult intravenous access
  • Midline catheter placement
  • Peripheral venous assessment
  • Procedural troubleshooting
Central Access
  • Internal jugular vein cannulation
  • Femoral vein cannulation
  • Subclavian/axillary vein (introduction)
  • Prevention of procedural complications
Arterial Access
  • Radial artery cannulation
  • Femoral and dorsalis pedis arteries
  • Haemodynamic monitoring applications
Drainage Procedures
  • Ultrasound-guided thoracentesis and pleural drain placement (introduction)
  • Paracentesis and ascitic drain placement
  • Pericardiocentesis (introduction)
  • Suprapubic bladder aspiration
  • Abscess aspiration and drainage
  • Soft tissue fluid collection drainage
  • Procedural safety
  • Image interpretation workshop
Week 3 — MSK, Regional Anaesthesia and Pain Procedures
Musculoskeletal Procedures
  • Ultrasound-guided joint aspiration and injection
  • Bursa aspiration and injection
  • Tendon sheath procedures
  • Soft tissue biopsy (introduction)
  • Fine needle aspiration (introduction)
  • Peripheral nerve hydrodissection (introduction)
  • Trigger point injections
  • Chronic pain applications
Regional Anaesthesia
  • Principles of ultrasound-guided regional anaesthesia
  • Nerve sonoanatomy
  • Needle guidance techniques
  • Local anaesthetic spread
  • Prevention of complications
  • Introduction to upper and lower limb nerve blocks
  • Introduction to truncal and fascial plane blocks
Clinical Integration
  • Foreign body localisation
  • Ultrasound-guided pain medicine (introduction)
  • Procedural safety
  • Clinical case discussions
Week 4 — Clinical Integration Across Patient Populations
Adult & Paediatric Patients
  • Ultrasound-guided procedures in adult male and female patients
  • Emergency, medical, surgical and outpatient applications
  • Procedures in neonates, infants, children and adolescents
  • Paediatric vascular access and drainage procedures
  • Paediatric regional anaesthesia (introduction)
Obstetric & Maternal Patients
  • Ultrasound-guided vascular access in pregnancy
  • Regional anaesthesia for obstetrics
  • Maternal procedural safety
Other Special Populations
  • Geriatric and critically ill patients
  • Anticoagulated and coagulopathic patients
  • Obese patients
  • Resource-limited and humanitarian settings
Programme Consolidation
  • Comprehensive programme review
  • Integrated image interpretation workshop
  • Multi-system clinical case discussions
  • Procedural simulation exercises
  • Final mock examination
  • Phase One feedback and performance review
  • Pathways to Phase Two and international certification
Learning Objectives

By the end of Month 12, participants should be able to:

  • Explain the principles of ultrasound guidance for diagnostic and therapeutic procedures.
  • Demonstrate in-plane and out-of-plane needle visualisation techniques on phantoms and simulation models.
  • Apply sterile technique, patient safety, consent and documentation standards for invasive procedures.
  • Perform ultrasound-guided peripheral and central vascular access within professional scope of practice.
  • Understand the principles of ultrasound-guided thoracentesis, paracentesis, drainage and MSK procedures.
  • Understand the foundations of ultrasound-guided regional anaesthesia and pain procedures.
  • Integrate procedural ultrasound across adult, paediatric, obstetric, geriatric and critically ill populations.
  • Prepare for Phase Two advanced procedural training and international certification pathways.
Image Gallery

Real Clinical Images

Authentic ultrasound images and schematic diagrams used in teaching this module, reproduced with source attribution.

In-plane needle guidance into the internal jugular vein during ultrasound-guided
In-plane needle guidance into the internal jugular vein during ultrasound-guided central line placement.
Source: POCUS 101.
Supervised ultrasound-guided internal jugular central venous catheterisation — r
Supervised ultrasound-guided internal jugular central venous catheterisation — real patient, real-time guidance.
Source: Radiology Key / Pocket Guide to POCUS.
Module summary. This capstone month consolidates Phase One, introducing the principles and safe practice of ultrasound-guided interventions and preparing learners for Phase Two advanced procedural training and international certification examinations.
Key Evidence & Guidelines

References

  • AIUM. Practice Parameter for the Use of Ultrasound to Guide Vascular Access Procedures.
  • AIUM–ACR–SRU. Practice Parameter for the Performance of Ultrasound-Guided Procedures (thoracentesis, paracentesis, biopsy).
  • Agency for Healthcare Research and Quality (AHRQ) & CDC guidance on ultrasound-guided central line insertion.
  • American Society of Regional Anesthesia (ASRA). Guidelines for ultrasound-guided regional anesthesia education.
  • Troianos CA, et al. Guidelines for performing ultrasound guided vascular cannulation: ASE/SCA recommendations. Anesth Analg 2011.
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Algorithms & Probe Placement

Schematics, Probe Maps & Decision Algorithms

Regional anatomy with probe positions and evidence-based decision pathways for this module’s core concepts.

In-plane: whole shaft seenOut-of-plane: tip as a dot
In-Plane vs Out-of-Plane Needle Approach. In-plane (long axis): needle parallel to the beam — full shaft and tip visible, preferred for central access. Out-of-plane (short axis): vessel as a circle, needle seen as a bright dot — useful for small superficial vessels. (Schematic by QualCare–SonoFront Academy, after AIUM vascular access guidance.)