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WINFOCUS SWISS CONGRESS Hôpitaux Universitaires de Genève www.winfocus.ch @WinfocusCH #WFCH2018 ACUTE CARE ULTRASOUND 3 February 28 th — March 2 nd 2018

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Page 1: ACUTE CARE ULTRASOUND - swiss-paediatrics.org Winfocus Swiss... · CHF For more information, please visit our website ... LP 17.00 – 17.30 Ultrasound-guided venous and arterial

WINFOCUSSWISS CONGRESSHôpitaux Universitaires de Genève

www.winfocus.ch @WinfocusCH #WFCH2018

ACUTE CAREULTRASOUND

3

February 28th

— March 2nd 2018

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Dear colleagues,it’s a personal pleasure to direct and coordinate the “3° Winfocus-Switzerland Congress” with an extraordinary, international and renowned worldwide colleagues to make this event much greater - if it’s possible - than all previous years!

During these three days, we will offer an exciting scientific first day entitled “More than emergency ultrasound”, where international speakers will discuss about the echography assessment in all highest emergencies fields in point-of-care echography. Moreover, during this first day will be a unique happening for Winfocus-Switzerland: all members will be able to discuss directly with all our experts in the post-lecture meetings and encounter these renowned colleagues throughout our social sessions. A new poster-challenge session will offer furthermore the opportunity to experts in ultrasound to discuss their own scientific works in the emergency ultrasound field during the plenary session.

According to previous years, the second and third day will be dedicated at didactics: it’s a pleasure for me inform you that this year Winfocus-Switzerland will offer nine parallels courses entirely dedicated to ultrasounds, both with a basic and advanced level. All basic courses are dedicated to the professionals who have to approach the emergency ultrasound for the first time, while advanced courses are dedicated to those who already know the basic elements of ultrasounds and want to improve their knowledge in a specific field. This year we offer a pediatrics course, a topic that - I’m sure - will stimulate some of you to join us for its high degree of interest, expertise and utility during daily clinical practice. Also this year, specific attention will be dedicated to our nursing section, an exclusive of Winfocus-Switzerland, which in previous years has brought enormous enthusiasm to those involved in the field, who have been able to better understand the application of ultrasound in theoretic clinical area and in daily clinical practice.

The presence of small workgroups, especially during the several workshops, is another key element to ensure good quality of the course. In deed, the present symposium will allow, all our colleagues interested in learning these techniques, to work side by side with the greatest international experts in the subject, in order to better learn this medical eld of high practical interest. The presence of an interdisciplinary faculty and internationally renowned directors is really a key-element of this Congress that will offer a first level scientific program that will thrill all participants.

Prof. Karim Bendjelid

WELCOME ADDRESS

2 — Winfocus 2018

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SCIENTIFIC DIRECTOR

– Prof. Karim Bendjelid Geneva

CONGRESS ORGANIZER

– Dr. med. Samuele Ceruti Geneva

COURSES COORDINATORS

– Prof. Karim Bendjelid Geneva

– Dr. med. Francesco Caronni, Lugano

– Inf. spec. Daniele Franceschini Bellinzona

– Prof. Bret Nelson New York

– Dr. med. Deborah Pugin Geneva

– Dr. med. Andrea Saporito Bellinzona

– Dr. med. Barbara Schild Bellinzona

– Dr. med. Gabriele Via Lugano

– Dr. med. Giovanni Volpicelli Turin

WINFOCUS-SWITZERLAND PRESIDENT

– Prof. Karim Bendjelid Geneva

WINFOCUS-SWITZERLAND SECRETARY

– Dr. med. Marco Betello Geneva

WINFOCUS-SWITZERLAND TREASURER

– Dr. med. Gabriele Lecca XXXXXX

BOARD AND COMMITTEE

Winfocus 2018 — 3

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All participants who wish to attend the Scientific Sessions are required to register for the mee-ting. Registration online is preferred and will help in avoiding delays during the meeting itself. Please visit www.winfocus.ch and send your inscription to joining us. The official language is English (French for nurses, Français pour les infirmiers). No simultaneous translation will be provided, but participants can interact speaking their mother language (French, Italian, German).

REGISTRATION FEE INCLUDES

— Participation to all three days (scientific and didactical sessions)— Congress Kit— Entrance to Exhibition Area— Coffee Break and Lunch— Attendance Certificate— Credits from Swiss Societies

REGISTRATION FEE

— Course Lung-Ultrasound (LUNG-US) 650.- CHF— Course Winfocus Basic Echo-ICU (WBE) 650.- CHF— Course More than Basic Echo-ICU (MTWBE) 650.- CHF— Course UltraSound Life Support-Basic Level (USLS-BL) 650.- CHF— Course UltraSound Life Support-Advanced Level (USLS-AL) 650.- CHF— Course Nurse Ultrasound (NURSE-US) 340.- CHF— Course Ultrasound Neurological Assessment (NEURO-US) 650.- CHF— Course Pediatric Ultrasound (PED-US) 650.- CHFFor more information, please visit our website www.winfocus.ch

CANCELLATION POLICY

A 70% refund of the registration fee will be paid ONLY for written cancellations prior to Decem-

ber 31st, 2017 . No refund will be made after the above date.

GENERAL INFORMATION

4 — Winfocus 2018

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VENUE ADDRESSHôpitaux Universitaires de GenèveRue Gabrielle-Perret-Gentil 4, 1205 - Geneva

HOW TO REACH THE VENUE

– By carFrom highway 1 exit n. 2 Geneva Lac – continue to Centre and hospitalsFrom highway A40 exit n. 13 Lausanne/Aeroport/Cointrin/Centre then A41 follow indication to Centre and hospitals.Parking in Geneva is quite expensive.To find your parking please visit: www.geneve-parking.ch

– From Geneva AirportTake express train to Cornavin Station (7’ ride), then take the bus n. 1(dir. Petit-Bel-Air) or n. 5 (dir. Thônex-Vallard) and get off at Hôpital bus stop. OR Take bus line n. 5 and get off at Hôpital bus stop (33’ ride)

– From Cornavin Train StationTake the bus n. 1 (dir. Petit-Bel-Air) or n. 5 (dir. Thônex-Vallard) and get off at Hôpital bus stop.

– Public transportation in the areaBus n° 1, 5, 7, 35 | Bus stop name: Hôpital Tram n° 12 | Bus stop name: AugustinsFor any other information please visit: http://plan-mobilite.hug-ge.ch/

HOW TO REACH US

Winfocus 2018 — 5

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TIME TABLE OPENING SESSION

6 — Winfocus 2018

28th FEBRUARY 2018

AUDITORIUM SALLE OPERA HALL 2

6.30 - 7.00

7.00 - 7.30REGISTRATION

7.30 - 8.00

8.00 - 8.30

ULTRASOUNDS IN HEMODYNAMICS

8.30 - 9.00

9.00 - 9.30

10.00 - 10.30

10.30 - 11.00 COFFEE BREAK

11.00 - 11.30

LUNG & ULTRASOUNDS

11.30 - 12.00

12.00 - 12.30

12.30 - 13.00

13.00 - 13.30LUNCH

13.30 - 14.00

14.00 - 14.30PEDIATRICS

ULTRASOUND IN EMERGENCY

14.30 - 15.00INDUSTRY LECTURES15.00 - 15.30

15.30 - 16.00

16.00 - 16.30 COFFEE BREAK

16.30 - 17.00ULTRASOUNDS IN

LOCAL ANESTHESIAWINFOCUS

EXAMINATION17.00 - 17.30

17.30 - 18.00

18.00 - 18.30 CONCLUSION

18.30 - 19.00

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TIME TABLE 1 MARCH1s

t MAR

CH 20

18

AUDIT

ORIUM

SALL

E OPE

RAHA

LL 1

HALL

2HA

LL 3

HALL

4HA

LL 5

HALL

6HA

LL 7

7.00 -

7.30

7.30 -

8.00

REGIS

TRAT

ION

8.00 -

8.30

8.30 -

9.00

8.30 -

10.30

Introd

uctio

n to

TCD NE

URO

8.30 -

10.30

Introd

uctio

n to

lung u

ltraso

und

LUNG

US

8.30 -

10.30

Left &

Righ

t dy

sfunc

tion WB

E

8.30 -

10.30

Left &

Righ

tsys

tolic d

ysfun

ction

MTWB

E

8.30 -

10.30

Basic

of US

eF

AST/C

ardiac

US

PEDIA

TRIC-

US

8.30 -

10.30

Ultras

ound

s int

roduc

tion

USLS

-BL

8.30 -

10.30

Airwa

y & Br

eathi

ng

(advan

ced l

evel)

USLS

-AL

8.30 -

10.30

Ultras

ound

sint

roduc

tion

NURS

E

9.00 -

9.30

9.30 -

10.00

10.00

- 10.3

0

10.30

- 11.0

0CO

FFEE

BREA

K

11.00

- 11.3

011

.00 - 1

3.00

TBI &

Ha

emmo

rhage

NEUR

O

HOT-S

ESSIO

NS

11.00

- 13.0

0

Comm

on pa

tholog

y(1)

LUNG

US

11.00

- 13.0

0

Airwa

y & Br

eathi

ng

(basic

level)

USLS

-BL

14.00

- 16.0

0

Cardi

ac &

vascu

lar

ultras

ound

NURS

E

11.30

- 12.0

0

12.00

- 12.3

0

12.30

- 13.0

0

13.00

- 13.3

0LU

NCH

13.30

- 14.0

0

14.00

- 14.3

0

HOT-S

ESSIO

NS

14.00

- 16.0

0

Comm

on pa

tholog

y (1)

WBE

14.00

- 16.0

0

Cardi

ac ou

tput

measu

remen

t

MTWB

E

14.00

- 16.0

0

Vascu

lar US

Pro

cedu

res

PEDIA

TRIC-

US

14.00

- 16.0

0

Cardi

ac &

Neuro

logy

(advan

ced l

evel)

USLS

-AL

14.30

- 15.0

0

15.00

- 15.3

0

15.30

- 16.0

0

16.00

- 16.3

0CO

FFEE

BREA

K

16.30

- 17.0

016

.30 - 1

8.30

Quest

ions &

An

swers

NEUR

O

HOT-S

ESSIO

NS

16.30

- 18.3

0

Comm

on pa

tholog

y(2)

LUNG

US

16.30

- 18.3

0

Circu

lation

(ba

sic lev

el)

USLS

-BL

8.30 -

10.30

Abdo

mina

l &

Vascu

lar US

NURS

E

17.00

- 17.3

0

17.30

- 18.0

0

18.00

- 18.3

0

18.30

- 19.0

0

Winfocus 2018 — 7

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TIME TABLE 2 MARCH

8 — Winfocus 2018

2nd M

ARCH

2018

AUDIT

ORIUM

SALL

E OPE

RAHA

LL 1

HALL

2HA

LL 3

HALL

4HA

LL 5

HALL

6HA

LL 7

7.30 -

8.00

8.00 -

8.30

REGIS

TRAT

ION

8.30 -

9.00

HOT-S

ESSIO

NS

8.30 -

10.30

Protoc

ols &

multio

rgan a

pproa

ch

LUNG

US

8.30 -

10.30

Comm

on pa

tholog

y (2)

WBE

8.30 -

10.30

Diasto

licdys

functio

n

MTWB

E

8.30 -

10.30

Pedia

tric

abdo

minal U

S

PEDIA

TRIC-

US

8.30 -

10.30

Abdo

minal

(advan

ced lev

el)

USLS

-AL

9.00 -

9.30

9.30 -

10.00

10.00

- 10.3

0

10.30

- 11.0

0CO

FFEE

BREA

K

11.00

- 11.3

0

HOT-S

ESSIO

NS

11.00

- 13.0

0

Traum

a & m

ech

ventila

tion

LUNG

US

11.00

- 13.0

0

Pitfall

& Lim

itation

Re

view

WBE

11.00

- 13.0

0

Valvul

arass

essme

nt MTWB

E

11.00

- 13.0

0

Abdo

minal &

CV

lines US

LS-BL

14.00

- 16.0

0

Ultras

ound

inAC

LS NU

RSE

11.30

- 12.0

0

12.00

- 12.3

0

12.30

- 13.0

0

13.00

- 13.3

0LU

NCH

13.30

- 14.0

0

14.00

- 14.3

0

HOT-S

ESSIO

NS

14.00

- 16.0

0

Integ

rated

HD

asses

sment

LUNG

US

14.00

- 16.0

0

Head

& Ne

ckRU

SH pr

otoco

l

PEDIA

TRIC-

US

14.00

- 16.0

0

Limbs

& Trau

ma

USLS

-AL

14.30

- 15.0

0DIP

LOMA

(Neu

ro)15

.00 - 1

5.30

15.30

- 16.0

0

16.00

- 16.3

0CO

FFEE

BREA

K

16.30

- 17.0

0DIP

LOMA

AS

SIGNM

ENT

HOT-S

ESSIO

NS

16.30

- 18.3

0

A glob

alap

proach

MTWB

E

16.30

- 18.3

0

Q&A

Final t

est

PEDIA

TRIC-

US

16.30

- 18.3

0

A glob

al app

roach

USLS

-BL

16.30

- 18.3

0

Q&A

Final t

est NU

RSE

17.00

- 17.3

0

17.30

- 18.0

0

18.00

- 18.3

0

18.30

- 19.0

0

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PROGRAMS

Winfocus 2018 — 9

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Opening Session: “Acute Care Ultrasound”

SCIENTIFIC DIRECTOR – Karim Bendjelid Hôpitaux Universitaires de Genève KB

FACULTY– Diego Arroyo Hôpital Cantonal de Fribourg DA– Belaid Bouhemad Hôpital le bocage, CHU, Dijon BB– C. Banfi Hôpitaux Universitaires de Genève CB– Karim Bendjelid Hôpitaux Universitaires de Genève KB– Francesco Caronni Ospedale Regionale di Lugano FC– Charisse Kwan SickKids Hospital, Toronto CK– L. Gargani Institute of Clinical Physiology, Pisa LG– M. Gauthey SickKids Hospital, Toronto MG– Raphael Giraud Hôpitaux Universitaires de Genève RG– M. Licker Hôpitaux Universitaires de Genève ML– J. Maizel Amiens University Medical Center JM– Andrea Saporito Ospedale Regionale di Bellinzona AS– Barbara Schild Ospedale Regionale di Bellinzona BS– M. Tessaro SickKids Hospital, Toronto MT– A. Testuz Hôpitaux Universitaires de Genève AT– Gabriele Via Cardiocentro Ticino, Lugano GVI– Giovanni Volpicelli Ospedale S. Luigi Gonzaga, Torino GVO

10 — Winfocus 2018

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7.30 – 8.30 Registration HEMODYNAMIC SESSION — Chairman: K. Bendjelid, C. Banfi 8.30 – 9.15 Echocardiography in the ICU DA 9.15 – 10.15 Echocardiography during special procedures AT 10.15 – 10.45 Echocardiography during Heart-Lung mechanical support RG 10.45 – 11.00 Roundtable 11.00 – 11.30 Coffee break

PULMONARY SESSION — Chairman: F. Canonni, G. Volpicelli 11.30 – 11.55 20 years of B-lines: how they have changed the management of a critical patient. LG 11.55 – 12.20 Do I need lung US to diagnose Ventilator-associated pneumonia? BB 12.20 – 12.45 Pulmonary embolism: do I need ultrasound? ?GV 12.45 – 13.00 Roundtable 13.00 – 14.00 Lunch

PEDIATRIC SESSION — Chairman: B. Schild, M. Gauthey 14.00 – 14.50 Resuscitation, Lung consolidation, Neck mass. CK 14.55 – 15.45 Abdominal pain, Papilledema, Skull fracture. MT 15.45 – 16.00 Roundtable 16.00 – 16.30 Coffee break

ANESTHESIOLOGY SESSION — Chairman: A. Saporito, M. Liker 16.30 – 17.00 Ultrasound in airway management: useful tool or fancy toy? LP 17.00 – 17.30 Ultrasound-guided venous and arterial access: all you always want ed to know, and never dared to ask (a state of the art lecture). JM 17.30 – 18.00 Could POCUS add anything to the anesthesia preoperative evaluation? AS 18.00 – 18.30 US of the Diaphragm in cardiothoracic anesthesia and intensive care ?GV 1 8.30 – 18.45 Roundtable 18.45 End of Symposium

28TH FEBRUARY Auditorium

Winfocus 2018 — 11

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This course focuses on echocardiography in the very specific context of emergency and critical care medicine. The aim of the course is to give a sound knowledge about practical and easy to learn protocols, which can be incorporated into the diagnostic algorithm of critical patients in order to rapidly reach a diagnosis and manage unstable patients.A sound knowledge of basic ultrasound is required. Participants will be thought cardiac anatomy and sono-anatomy, images acquisition techniques and common pathological echographic patterns, contextualized in ACLS protocols in order to learn how to perform a completed ultrasound-assisted advanced life-support.

DIRECTOR – G. Via Lugano GVI

FACULTY – P. Abraham Lyon PA– C. Ballmer Sion CB– R. Giraud Geneva RG– B. Pinto Geneva BP– Y. Fleury Friboug YF

WINFOCUS BASIC–ECHO ICU

12 — Winfocus 2018

HOT INSTRUCTION - WBE

A1 A2

A3

• 5 Workstations (A1, A2, A3, A4, A5)

• 7 hours of practical works

• 3 roundsHOT 1 = first day (120 min)HOT 2 = first day (90 min)HOT 3 = second day (210 min)

• 5 Groups (4-5 people for each)

• RotationHOT 1 + 2 = every 42 minHOT 3 = every 42 min

• Healthy models, laptop, simulations

A5

A4

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7.30 – 8.30 Registration 8.30 – 9.00 FoCUS in Critical Care: aims and place in echocardiography GVI 9.00 – 9.30 FoCUS views and targets of the exam RG 9.30 – 9.50 FoCUS signs of Chronic cardiac disease GVI 9.50 – 10.10 FoCUS signs of LV systolic dysfunction RG 10.10 – 10.30 FoCUS signs of RV systolic dysfunction GVI 10.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 1 13.00 – 14.00 Lunch 14.00 – 14.30 FoCUS signs of severe hypovolemia GVI 14.30 – 14.50 FoCUS signs of pericardial effusions and tamponade YF 14.55 – 15.30 FoCUS signs of obvious valvular pathology GVI 16.00 – 16.30 Coffee break 16.30 – 18.30 HANDS ON TRAINING SESSION 2 18.30 End of day

8.00 – 8.30 Registration 8.30 – 8.55 FoCUS cardiac ultrasound in cardiac arrest RG 8.50 – 9.25 FoCUS cardiac ultrasound in shock GVI 9.25 – 9.45 FoCUS cardiac ultrasound in respiratory failure GVI 9.45 – 10.30 Lung ultrasound in cardiac arrest & shock: pneumothorax, wet lung GVI 10.30 – 11.00 Coffee break 11.00 – 11.30 Pitfall and limitations of Focused Cardiac Ultrasound RG 11.30 – 12.00 Additional: FoCUS integration in the whole body ultrasound approach GVI 12.00 – 12.15 The Winfocus Basic echo (WBE) certification GVI 13.00 – 14.00 Lunch 14.00 – 16.00 HANDS ON TRAINING SESSION 3 16.00 – 16.30 Coffee break 16.30 – 18.00 HANDS ON TRAINING SESSION 4 18.00 End of Congress

1ST MARCH

2ND MARCH

Winfocus 2018 — 13

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This course goes deeper in Heart Echo and in all clinical scenario encountered in emergency department, ICU and operating theatre; it’s especially directed to best manage more advanced problems, like valvular assessment during acute disease, diastolic dysfunction assessment in ICU, how to manage more complex clinical scenario (multiple shock) with the use of ultrasound. This course has been created to increase the practical sessions in which all participants can practically will discuss about practical management of hard situations and commons echocardiographic pitfalls, increasing the experience in the use of echocardiography in own personal clinical setting.

DIRECTOR – K. Bendjelid Geneva KB

FACULTY – D. Arroyo Fribourg BA– F. Rouyer Geneva FR– M. Conti Lugano MC– O. Grosgurin Geneva OG– S. Doll Fribourg SD

More Than Basic ECHO–ICU

14 — Winfocus 2018

HOT INSTRUCTION - MTWBE

A1 A2

A3

• 5 Workstations (A1, A2, A3, A4, A5)

• 5 hours and 1/2 of practical works

• 3 roundsHOT 1 = first day (120 min)HOT 2 = first day (90 min)HOT 3 = second day (120 min)

• 5 Groups (3-4 people for each)

• RotationHOT 1 = every 22 minHOT 2 = every 18 minHOT 3 = every 22 min

• Healthy models, laptop, simulations

A4

A5

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7.30 – 8.30 Registration 8.30 – 9.30 Quantitative assessment of LV systolic function KB 9.30 – 10.15 Quantitative assessment of RV systolic function DA 10.15 – 10.30 Pulmonary embolism: pratical cases DA 10.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 1 13.00 – 14.00 Lunch 14.00 – 15.00 Fluid responsiveness assessment KB 15.00 – 16.00 Cardiac output measurements KB 16.00 – 16.30 Coffee break 16.30 – 18.30 HANDS ON TRAINING SESSION 2 18.30 End of day

8.00 – 8.30 Registration 8.30 – 9.30 LV diastolic function and LV filling pressures DA 9.30 – 10.30 ARDS and hemodynamics DA 1 0.30 – 11.00 Coffee break 11.00 – 12.00 Severe valve dysfunction part 1: aortic and mitral stenosis DA 12.00 – 13.00 Severe valve dysfunction part 2: mitral and aortic regurgitation ?? 13.00 – 14.00 Lunch 14.00 – 16.00 HANDS ON TRAINING SESSION 3 16.00 – 16.30 Coffee break 16.30 – 17.15 Septic Shock DA 17.15 – 17.45 A global approach KB 17.45 – 18.00 Evaluation test 18.00 End of Congress

1ST MARCH

2ND MARCH

Winfocus 2018 — 15

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This two-days course on Lung Ultrasound is meant to give an overview of the use of critical lung ultrasound. Starting from the basics, it will be useful to participants who approach lung US for the first time and those who already use it but wold like to know more deeply the fundamentals; the course will then move to advanced topics concerning diagnosis and monitoring of the critical patient.

The course will develop also the multiorgan ultrasound approach in different settings, such as respiratory failure, shock, trauma, pulmonary embolism.

DIRECTOR – G. Volpicelli Torino GVO

FACULTY– C. Brusasco Genova CB– E. Boero Torino EB– B. Bouhemad Dijon BB– F. Caronni Lugano FCA– F. Corradi Genova FCO– A. Schreiber Pavia AS– E. Zamprogno Lugano EZ

Lung UltraSound

16 — Winfocus 2018

HOT INSTRUCTION - LUNG US

A1 A2

A4 A3

• 4 Workstations (A1, A2, A3, A4)

• 3 hours and half of practical works

• 2 roundsHOT 1 = first day (120 min)HOT 2 = second day (90 min)

• 4 Groups (4-5 people for each)

• RotationHOT 1 = every 30 minHOT 2 = every 22 min

• Healthy models, laptop, simulations

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7.30 – 8.30 Registration 8.30 – 8.40 Course introduction GVO 8.40 – 9.00 Interactive cases pre-course EB 9.00 – 9.50 Application of general US competences to the lung AS 9.50 – 10.30 Interstitial syndrome FC? 10.30 – 11.00 Coffee break 11.00 – 11.40 Practical applications: case report (Faculty) 11.40 – 12.20 Pneumothorax GVO 12.20 – 13.00 Pleural effusion CB 13.00 – 14.00 Lunch 14.00 – 16.00 HANDS ON TRAINING SESSION 1 16.00 – 16.30 Coffee break 16.30 – 17.30 Diagnosis of consolidations and differential diagnosis BB 17.30 – 18.00 Practical applications: interactive case report EB 18.30 End of day

1ST MARCH

8.00 – 8.30 Registration 8.30 – 9.20 Improving LungUS performance at bedside GVO 9.20 – 9.50 Protocols in acute respiratory failure and shock FC? 9.50 – 10.30 Multiorgan approaches to pulmonary embolism GVO 10.30 – 11.00 Coffee break 11.00 – 11.40 Multiorgan approaches to shock and trauma FC? 11.40 – 12.20 Monitoring pulmonary aeration and LungUS-guided mechanical ventilation BB 12.20 – 13.00 Monitoring pulmonary congestion AS 13.00 – 14.00 Lunch 14.00 – 14.50 Integrated hemodynamic assessment EZ 14.50 – 16.00 Practical applications: interactive case report EB 16.00 – 16.30 Coffee break 16.30 – 18.00 HANDS ON TRAINING SESSION 2 18.00 End of day

2ND MARCH

Winfocus 2018 — 17

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The Pediatric Emergency and Critical Care Ultrasound Course provides participants with a strong foundation to perform the core ultrasound applications as outlined in the ultrasound practice guidelines. The program is taught by leading ultrasound international expert physician and sonographers to provide the perfect balance of physicians’ clinical experience and sonographers expertise. Main objective is to demonstrate the participant’s knowledge to better perform and/or interpret pediatric emergency and critical care ultrasound examination, demonstrating protocols for evaluation of trauma patients, according to actual ultrasound guidelines.

DIRECTOR – B. Schild Bellinzona BS

FACULTY– M. Gauthey Toronto MG– K. Fathi Toronto KF– G. Harvey Toronto GH– C. Kwan Toronto CK– M. Lee Toronto ML– A. Martin Geneva ALM– L. Mclean Toronto LM– M.Tessaro Toronto MT– A. Tonson la Tour Geneva ATT

PEDRIATRIC and NEONATAL US

18 — Winfocus 2018

HOT INSTRUCTION - PED-US

A1

A2

A3

• 3 Workstations (A1, A2, A3)

• 6 hours of practical works

• 3 roundsHOT 1 = first day (120 min)HOT 2 = first day (120 min)HOT 3 = second day (120 min)

• 3 Groups (4-5 people for each)

• RotationEach 40 minutes

• Healthy models, laptop, simulations

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8.00 – 8.30 Registration 8.30 – 8.45 Introduction, course overview BS 8.45 – 9.15 Physics of ultrasound, knobology MG,ML 9.15 – 10.00 eFAST ATT 10.00 – 10.30 Focused Cardiac Ultrasound KF 1 0.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 1 13.00 – 14.00 Lunch 14.00 – 14.30 Vascular access GH 14.30 – 15.00 Heads & eye MG 15.00 – 15.30 Soft tissue, neck CK 15.30 – 16.00 MSK KF 16.00 – 16.30 Coffee break 16.30 – 18.30 HANDS ON TRAINING SESSION 2 18.30 End of day

8.00 – 8.30 Registration 8.30 – 9.30 Pediatric abdomen (appendicitis, intussusception, pyloric stenosis, gall bladder, bowel, hydronephrosis) MG 9.30 – 10.30 Lung Ultrasound ML 10.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 3 13.00 – 14.00 Lunch 14.00 – 14.45 Pediatric Rush LM 14.45 – 15.30 US in the NICU/PICU ALM 15.30 – 16.00 ABCD scenarios (all faculty) 16.00 – 16.30 Coffee break 16.30 – 17.00 Final discussion (Q&A) 17.00 – 18.00 Evaluation test 18.00 End of Congress

1ST MARCH

2ND MARCH

Winfocus 2018 — 19

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This course is designed for nurses working in the emergency room, anesthesiology and intensive care. It is meant to teach nurses the principles of ultrasound, how to use and properly set an ultrasound machine and how to acquire good images. The techniques thought are meant to help nurses in their everyday practice, improving their outcome through easy and standardized protocols and techniques.

The course will cover: ultrasound guided peripheral venous accesses in case of dif cult veins, endotracheal and gastric tubes correct positioning con rmation, bladder scanning for identi cation of urinary retention and Foley catheter positioning confirmation and many other useful applications.

DIRECTOR – D. Franceschini Bellinzona DF

FACULTY – F. Bussienne Sion FB– S. Charlot–Tapie Geneva SCT– A. Lo Piccolo Bellinzona ALP– R. Raulais Geneva RR

Nurse UltraSound

20 — Winfocus 2018

HOT INSTRUCTION - NurseUS

• 5 Workstations (A1, A2, A3, A4, A5)

• 6 hours of practical works

• 3 roundsHOT 1 = first day (120 min)HOT 2 = first day (120 min)HOT 3 = second day (120 min)

• 5 Groups (5-6 people for each)

• RotationEach 24 minutes

• Healthy models, laptop, simulations

A1 A2

A3A5

A4

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7.30 – 8.30 Registration 8.30 – 9.15 Physics of ultrasound (plenary session) ?AS 9.15 – 9.30 Introduction, Winfocus certification pathway DF 9.30 – 10.30 Chest ultrasound (basic & principles) ALP 10.30 – 11.00 Coffee break

11.00 – 12.00 Introduction to echocardiography (cardiac windows, heart morphology) FB 9.30 – 10.30 Caval vein FB 13.00 – 14.00 Lunch

14.00 – 16.00 HANDS ON TRAINING SESSION 1 16.00 – 16.30 Coffee break

16.30 – 17.30 eFAST (windows % peritoneal free fluid evaluation) ALP 17.30 – 18.30 US-guided peripheral & central access SCT, RR 18.30 End of day

7.30 – 8.30 Registration

8.30 – 10.30 HANDS ON TRAINING SESSION 2 10.30 – 11.00 Coffee break 11.00 - 12.00 Pelvic ultrasound - evaluation & residual bladder measure RR 12.00 - 13.00 Ultrasound CPR (ACLS/ALS conformed) FB 13.00 – 14.00 Lunch

14.00 - 16.00 HANDS ON TRAINING SESSION 3 FF 1 6.00 - 16.30 Coffee break 16.30 - 17.00 Final discussion (Q&A) 17.00 - 18.00 Evaluation test 18.00 End of Congress

1ST MARCH

2ND MARCH

Winfocus 2018 — 21

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This course is meant for beginners. It has been designed to provide a solid ground on which you can build a sound knowledge in emergency and critical care ultrasound. It starts with an introduction about the physics of ultrasound, with the aim of getting you acquainted with the basic principles with the aim of teach you how the machine works and how its setting can be optimized to obtain good images.

An introduction to the ultrasound-assisted ABC will follow, explaining how echography can help you in managing airway management and common cardio-respiratory emergencies. Ultrasound-guided intravenous access will also be thought. Lot of time will be dedicated in the afternoon to hands-on sessions on models and simulators.

DIRECTOR – A. Saporito Bellinzona AS

FACULTY– F. Boroli Geneva FB– M. Betello Geneva MB– E. Garcia Lausanne EG– G. Lecca Monthey GL

UltraSound Life Support

22 — Winfocus 2018

HOT INSTRUCTION - USLS-BL

A1 A2

A4 A3

• 4 Workstations (A1, A2, A3, A4)

• 6 hours of practical works

• 3 roundsHOT 1 = first day (120 min)HOT 2 = second day (120 min)HOT 3 = second day (120 min)

• 4 Groups (4-5 people for each)

• RotationHOT 1 = every 30 minHOT 2 = every 30 minHOT 3 = every 30 min

• Healthy models, laptop, simulations

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7.30 – 8.30 Registration 8.30 – 9.30 Physics of ultrasounds AS 9.30 – 10.30 Knobology FB 10.30 – 11.00 Coffee break 11.00 – 12.00 Airway’s management MB 12.00 – 13.00 Lung Ultrasound - basic level EG 13.00 – 14.00 Lunch 14.00 – 16.00 HANDS ON TRAINING SESSION 1 16.00 – 16.30 Coffee break 16.30 – 18.30 Basic echocardiography - anatomy FB 18.30 End of day

8.00 – 8.30 Registration 8.30 – 10.30 HANDS ON TRAINING SESSION 2 10.30 – 11.00 Coffee break 10.30 – 12.00 eFAST in emergency department GL 12.00 – 13.00 Central Venous Lines and Ultrasounds MB 13.00 – 14.00 Lunch 14.00 – 16.00 HANDS ON TRAINING SESSION 3 16.00 – 16.30 Coffee break 16.30 – 17.30 Winfocus educational pathway AS 17.30 – 18.00 Evaluation test 18.00 End of Congress

1ST MARCH

2ND MARCH

Basic Level

Winfocus 2018 — 23

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This course is meant for the ones who have already attended the USLS basic course, or already have sound knowledge of basic ultrasound and want to improve their technique or apply it in an emergency and critical care setting. The course will provide a detailed teaching on ABCD-assisted ultrasound, with detailed lectures on advanced lung and cardiac ultrasound.

Many clinical scenarios have been designed in order to test your understanding and make you con dent with the practical application of these techniques. In the hands-on session you will have the occasion to practice on models and a session with an advanced simulator will be organized to mimic common clinical scenarios and their ultrasound-assisted management.

DIRECTOR – F. Teran New York FT FACULTY – L. Anselmi Bellinzona LA – J. Coiffer Sion JC– I. Gimigliano Bellinzona IG – L. Neri Lugano LN

UltraSound Life Support

24 — Winfocus 2018

HOT INSTRUCTION - USLS-AL

A1 A2

B1 B2

• 4 Workstations (A1, A2, A3, A4)

• 7 hours of practical works

• 4 roundsHOT 1 = first day (120 min)HOT 2 = first day (90 min)HOT 3 = second day (120 min)HOT 4 = second day (75 min)

• 2 parallels Groups (4-5 people for each)

• RotationHOT 1 = every 60 minHOT 2 = every 45 minHOT 3 = every 60 minHOT 4 = every 35 min

• Healthy models, laptop, simulations

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7.30 – 8.30 Registration 8.30 – 9.30 Airway assessment, procedures & treatment. LA 9.30 – 10.30 Breathing assessment (effusion, consolidations, pneumothorax), procedures (needle aspiration, thoracocentesis, thoracotomy) & treatment (the BLUE-protocol) JC 10.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 1 13.00 – 14.00 Lunch 14.00 – 15.00 Cardiac assessment, procedures and protocols FEEL-FATE protocols) FT 15.00 – 16.00 Disability assessment (optic nerve evaluation) - US-enhanced neurological management LN 16.00 – 16.30 Coffee break 16.30 – 18.30 HANDS ON TRAINING SESSION 2 18.30 End of day

7.30 – 8.30 Registration 8.30 – 9.30 Head assessment: fractures, soft tissue lesions, aortic vascular US, Chest fractures, lung contusion, ARDS-staging FT 9.30 – 10.30 Abdominal assessment (spleen, liver, biliary tracts) - US Trauma Life Support (US-TLS) FT 10.30 – 11.00 Coffee break 11.00 – 13.00 HANDS ON TRAINING SESSION 3 13.00 – 14.00 Lunch 14.00 – 14.45 Limb assessment (fractures, muscular and soft tissue lesions) - Head to toes procedures LN 14.45 – 15.30 US-trauma secondary management (US-TLS, US-ACLS, pre-hospital protocols) LN 15.30 – 16.00 Evaluation test 16.00 – 16.30 Coffee break

16.30 – 18.00 HANDS ON TRAINING SESSION 4 18.00 End of Congress

1ST MARCH

2ND MARCH

Advanced Level

Winfocus 2018 — 25

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The Ultrasound Neurological Assessment course has been created for Emergency and Critical Care specialists. The aim of the course is first to give basic knowledge of TransCranial Doppler and then speci cally cover different pathologies present in the ICU or ER (SAH, TBI...) and their management with TransCranial Doppler.

During the afternoon session, practical experience can be gained in different TransCranial Doppler approaches (optic nerve sheath evaluation, parenchymal echography, arterial Doppler). Clinical cases will be presented and discussed at the end of the afternoon.

DIRECTOR – D. Pugin Geneva DP

FACULTY– D. Perren–Landis Geneva DPL– A. Jeleff Neuchâtel AJ– A. May Geneva AM– M. Betello Geneva MB

UltraSound Neurological

26 — Winfocus 2018

HOT INSTRUCTION - NeuroUS

A1 A2

A3

• 4 Workstations (A1, A2, A3, A4)

• 2 hours of practical works

• 1 roundsHOT 1 = first day (120 min)

• 4 Groups (3-4 people for each)

• RotationHOT 1 = every 30 min

• Healthy models, laptop, simulations

A4

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7.30 – 8.30 Registration 8.30 – 9.15 Physics of ultrasounds ?AS 9.15 – 10.30 Foundamental of Trans-Cranial Doppler ?MB 10.30 – 11.00 Coffee break 11.00 – 12.00 Sub-Arachnoidal Haemorrage AJ 12.00 – 13.00 Ultrasound interest in Traumatic Brain Injury DPL 13.00 – 14.00 Lunch 14.00 – 15.00 HANDS ON TRAINING SESSION 1 16.00 – 16.30 Coffee break 16.30 – 17.30 Clinical case reports DPL 17.30 – 17.45 Q&A 16.30 – 18.30 Evaluation test 18.30 End of day

7.30 – 8.30 Registration 8.30 – 10.30 Patient evaluation N. 1 10.30 – 11.00 Coffee break 11.00 – 13.00 Feedback 1st evaluation 13.00 – 14.00 Lunch 14.00 – 14.45 Patient evaluation N. 2 16.00 – 16.30 Coffee break 16.30 – 17.45 Feedback 2st evaluation 18.00 End of Congress

1ST MARCH

2ND MARCH

Assessment

Winfocus 2018 — 27

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