Emergency Point-of-Care Ultrasound Minimal Archived Images Criteria
REQUIRED PATIENT IDENTIFIERS
Patient Name
Medical record number
Name of provider performing
Name of provider reviewing
REQUIRED LABELS
R = Right
L = Left
Cor = Coronal
Sag = Sagittal
Trv = Transverse
REQUIRED SETTINGS
Cardiac
Abd
Ob-gyn
Ophtho
Vasc or Ven
Soft tissue or MSK
FAST
Hepatorenal with subphrenic space, superior pole, and inferior pole
Splenorenal with subphrenic space, superior pole, and inferior pole
Suprapubic transverse
Suprapubic sagittal
Cardiac subxiphoid or parasternal long
EFAST (FAST + LUNG)
Hepatorenal with subphrenic space, superior pole, and inferior pole
Splenorenal with subphrenic space, superior pole, and inferior pole
Suprapubic transverse
Suprapubic sagittal
Cardiac subxiphoid or parasternal long
Anterior lung apical region (Left and Right)
Inferior pleural base region (Left and Right)
AORTA
Transverse proximal at SMA with measurement
Transverse mid with measurement
Transverse distal with measurement
Transverse iliac bifurcation with measurement
Sagittal aorta
N.B. Normal < 3cm and < 1.5cm bifurcation; measure outer wall to outer wall in the anterior-posterior diameter
BILIARY
Longitudinal gallbladder to include neck
Transverse gallbladder
Anterior gallbladder wall
Common bile duct
N.B. Measure anterior wall normal < 3mm; common bile duct inner wall to inner wall normal < 6mm with portal vein
CARDIAC (2 of 4 views)
Subxiphoid
Sagittal IVC
Parasternal long-axis
Aortic root measurement in long-axis
Parasternal short-axis
Apical 4 chamber
N.B. Show a clear pericardium-myocardium interface; document asystole in M-mode
N.B. Measure aortic root from leading edge to leading edge (outer to inner wall)
DEEP VENOUS THROMBOSIS
Femoral region
Common femoral vein
Sapho-femoral vein junction
Bifurcation of superficial and deep femoral veins
Mid femoral vein
Distal femoral vein
Popliteal region
N.B. Show both uncompressed and compressed vessel during clip
LUNG
Right anterior lung apical region
Right lateral lung axillary region
Right inferior pleural base region
RIght subscapular region
Left anterior lung apical region
Left lateral lung axillary region
Left inferior pleural base region
Left subscapular region
N.B. Show rib-intercostal space-rib, document with video clips
RENAL
Coronal and transverse view of symptomatic kidney
Coronal and transverse view asymptomatic kidney
Suprapubic transverse and sagittal view of bladder
OB-GYN
Trans-abdominal
Transverse uterus
Sagittal uterus
Bilateral adnexa
EMM measurement
N.B. Show a clear posterior cul-de-sac, vaginal stripe and bladder/uterus interface. Measure endo-myometrial mantle minimal; thickness < 8mm concerning, document fetal heart rate in M-mode. Adnexa should be evaluated for masses and free fluid.
Trans-vaginal
Coronal uterus
Sagittal uterus
Bilateral adnexa
EMM measurement
N.B. Show a clear posterior cul-de-sac, vaginal stripe and bladder/uterus interface. Measure endo-myometrial mantle minimal; thickness < 8mm concerning, document fetal heart rate in M-mode. Adnexa should be evaluated for masses and free fluid.
VASCULAR ACCESS
Vessel to be cannulated non compressed
Vessel to be cannulated compressed
Needle, wire or catheter in vessel
N.B. Catheter in vessel can be documented after securing line
SOFT TISSUE
Affected area in transverse and sagittal
Unaffected area in transverse and sagittal
N.B. Include sufficient depth to visualize underlying fascial plane
BLADDER VOLUME
Suprapubic transverse measurement of width and height
Suprapubic sagittal measurement of depth
N.B. Calculate bladder volume
OCULAR
Affected transverse and sagittal globe
Unaffected transverse and sagittal globe
N.B. Use ophthalmology setting for exam type if available
PROCEDURAL
Transverse plane
Sagittal plane
Coronal plane
N.B. Demonstrate area in 2 of 3 planes to evaluate surrounding structures e.g. paracentesis, thoracentesis, pericardiocentesis, abscess drainage, foreign body localization