Table 3.
Learning targets of the “virtual station” within the hands-on training (HOT).
Picture number | Related topic | Mode (B/M) | Details to recognize | Difficulty level |
---|---|---|---|---|
1 | Normal and edema | B | A-line, reverberation artifacts, multiple B-lines | 2 |
2 | Normal | B | Peritoneum, kidney, and bony rib artifact with posterior acoustic shadowing | 1 |
3 | Fluid differential diagnosis | B | Four B-mode views of fluids: subdiaphragmatic fluid and liver, ascites, spleen, and diaphragm, PLE, lobe atelectasis, diaphragm and liver, and ascites and small bowel | 1 |
4 | PLE | B | Spleen, fluid, and compression atelectasis | 1 |
5 | PLE/ascites | B | Small amounts of PLE, diaphragm, and ascites | 2 |
6 | Acoustic shadowing, anatomy and, stone | B | Liver and hyperechogenic diaphragm, gall bladder and stone with posterior acoustic shadowing | 1 |
7 | PLE, M-mode appearance | B and M | Small PLE, multiple comet tails, A-line, and separated visceral pleura | 2 |
8 | PLE | B | Large amount of PLE, good view of diaphragm and spleen | 1 |
9 | Peripheral pulmonary embolism | B | Visible triangular break in visceral pleural line due to peripheral pulmonary embolism, lung tissue | 2 |
10 | Lung pulse, normal M-mode | B and M | Reverberation artifacts of pleural line, lung pulse, sonoanatomical finding of “seashore” sign in the M-mode | 2 |
11 | Stratosphere sign | B and M | Multiple reverberation artifacts, pleural line | 2 |
12 | Lung point | B and M | Breakup of pleural line (change point between seashore/stratosphere sign) | 2 |
PLE: pleural effusion; PTX: pneumothorax; US: ultrasound examination.