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Information for ECHO Training

SDMS CME Tracker

The Sonographer Education portion of the SHINE website is designed to assist cardiac sonographers in performing the initial neonatal echocardiogram as part of a comprehensive evaluation for hypoxia. Sonographers performing these echocardiograms may not regularly image pediatric patients and may have limited familiarity with the differences between congenital echocardiography and adult echocardiography. The program reviews "The Terrible Ten" echo findings of critical congenital heart disease and helps the sonographer generate a differential based on those findings. The program also discusses common forms of critical congenital heart disease in more detail.

The program is organized into an introduction and overview portion, detailed discussion of the "Terrible Ten" findings, and individual sections on each form of critical congenital heart disease. To assist in learning, a pretest and posttest are included.

Please Note: CME credit is currently not available for this activity. Reaccreditation from SDMS is underway and credit should be available again soon.

Pretest (Click to expand)

Learning Objectives

Upon completion of this educational module, participants will be able to:

  1. Recognize echocardiography findings that may indicate significant congenital heart disease in a newborn.
  2. Generate a differential diagnosis of congenital heart disease based on echocardiogram findings.
  3. Understand the pathophysiology of the most common forms of critical congenital heart disease.

 

Take the Pretest

Overview (Click to expand)

Introduction to Sonographer Education

The "Terrible Ten" (Click to expand)

Terrible Ten Overview

Terrible Ten #1: There is Retrograde Filling of the Ascending Aorta

Terrible Ten #2: The Aortic Arch Cannot Be Demonstrated in the SSN View

Terrible Ten #3: There Is Exclusive Right to Left Shunting at Atrial or Ductal Level

Terrible Ten #4: The Apical 4 Chamber View Is Abnormal

Terrible Ten #5: An AV Valve Leaks... A Lot

Terrible Ten #6: The Cardiac Apex Is Midline or Rightward

Terrible Ten #7: A Normal Parasternal Long Axis View of the LV and Aorta Cannot Be Demonstrated

Terrible Ten #8: A Normal Parasternal Short Axis View of the RV/PV/MPA Cannot Be Demonstrated

Terrible Ten #9: The Aortic Valve and Pulmonary Valve Are Parallel

Terrible Ten #10: Something Just Does Not Look Right

Critical Congenital Heart Disease (Click to expand)

Cardiomyopathy

Coarctation of the Aorta (CoA)

Critical Aortic Stenosis (Critical AS)

D-transposition of the Great Vessels (D-TGA)

Ebstein's Anomaly

Hypoplastic Left Heart Syndrome (HLHS)

Interrupted Aortic Arch (IAA)

Levo-transposition of the Great Arteries (L-TGA)

Single Ventricle Lesion

Tetralogy of Fallot

Total Anomalous Pulmonary Venous Return (TAPVR)

Tricuspid Atresia and Pulmonary Atresia with Intact Ventricular Septum

Posttest (Click to expand)

Learning Objectives

Upon completion of this educational module, participants will be able to:

  1. Recognize echocardiography findings that may indicate significant congenital heart disease in a newborn.
  2. Generate a differential diagnosis of congenital heart disease based on echocardiogram findings.
  3. Understand the pathophysiology of the most common forms of critical congenital heart disease.

 

Take the Posttest

Post-Course Survey (Click to expand)

Leave Your Feedback

Upon completion of this educational module, please take a moment to complete this short survey regarding the course content.

 

Take the Survey