|
1. Probe Handling and patient guidance
| | |
10
|
|
- Orientation
| | |
|
• Correct or directly checked independently by image movement or coupling
|
2
| |
|
• Corrected after initial difficulties or upon request
|
1
| |
|
• Only with manual assistance
|
0
| |
|
- Positioning
| | |
|
• Correct, or directly transferred from another view with optimal pivoting
|
2
| |
|
• Corrected after initial difficulties or upon request
|
1
| |
|
• Only with manual assistance
|
0
| |
|
- Coupling
| | |
|
• Coupling with gel and pressure variation
|
2
| |
|
• Corrected after initial difficulties or upon request
|
1
| |
|
• Missing use of gel or pressure, probe not connected with skin or uncontrolled pressure on xiphoid/ribs
|
0
| |
|
- Adequate amplification
| | |
|
• Adequate and independent adjustment of amplification
|
2
| |
|
• Corrected after initial difficulties or upon request
|
1
| |
|
• No adequate amplification adjustment despite request
|
0
| |
|
- Guiding of the patient
| | |
|
• Positioning on the subject’s left side
|
1
| |
|
• Left arm bended beneath head
|
1
| |
|
2. Examination
| | |
18
|
|
- Standard view anatomical structures
| | |
|
• Correct view (without assistance) of
| | |
|
o both ventricles, atria and atrioventricular valves
|
6
| |
|
o Perpendicular septum
|
2
| |
|
o Apex in 12 o’clock direction
|
2
| |
|
o Maximum ventricle extension (no foreshortening)
|
2
| |
|
• Correct view only with verbal assistance
|
4
| |
|
• Correct view only with manual assistance
|
2
| |
|
• Standard view cannot be displayed despite manual assistance
|
0
| |
|
- Standard view measurement
| | |
|
• Correct pulsed wave doppler measurement with
| | |
|
o sample volume at mitral valve level
| | |
|
o correct flow profile
|
2
| |
|
• Correct measurement only with manual assistance
|
2
| |
|
• Incorrect measurement despite manual assistance
|
0
| |
|
3. (Correct) Image description/explanation
| | |
4
|
|
- Ventricle left/right
|
1
| |
|
- Interventricular septum
|
1
| |
|
- Aortic and mitral valve
|
2
| |
|
4. Overall Performance
| | |
8
|
|
- Confident
|
8
| |
| |
7
| |
| |
6
| |
| |
5
| |
| |
4
| |
| |
3
| |
| |
2
| |
|
- Marked deficits
|
1
| |
|
Total score
| | |
40
|
