TTE FOCUS Views vs ACP MKSAP

In the practice of anesthesia, critical care and emergency medicine there is often a need for a quick, qualitative assessment of cardiac function. Focused Cardiac Ultrasound (FOCUS) is the process of carrying out this rapid qualitative assessment by practitioners in these fields. Training for carrying out a FOCUS assessment requires practitioners to understand the 3D structures of the heart that are seen in the 2D transthoracic echocardiography (TTE) image. We have created this interactive application to assist with teaching and learning the assessment of normal and pathologic cardiac function with FOCUS. FOCUS assessments are based on a subset of 5 of the 20 standard TTE views: Parasternal long axis Parasternal short axis Apical four chamber Subcostal four chamber Subcostal inferior vena cava Users can view the TTE recordings for each of the 5 FOCUS views and see a corresponding 3D model of the probe, ultrasound plane, heart and rib cage for each view. Each FOCUS view can be selected from a menu at the left of the screen, or by using arrow buttons to go to the next or previous view in the list. For each view, the 3D model of the probe, ultrasound plane, heart and rib cage can be rotated in the horizontal or vertical plane to view it from any angle. The rib cage can be removed, the part of the heart above the echo plane can be removed, and the heart model can be oriented so the structures correspond to the TTE image. This module reviews the use of FOCUS to assess pericardial abnormalities of localised effusion and tamponade and their effect on cardiac function. *NOTE: This app has not yet been updated to include the right ventricle, left ventricle and hypovolemic pathologies found on the website. http://pie.med.utoronto.ca/TTE/TTE_content/focus.html

This app supplements the online version and is included with your ACP MKSAP subscription. Simply log in with your ACP or ACP MKSAP username and password. If you need assistance setting up your account, visit ACP Online. Some functionality within the app requires an active Internet connection. Your suggestions for future updates and enhanced features are welcome at mksap_editors@acponline.org. The new ACP Medical Knowledge Self-Assessment Program℠ (ACP MKSAP℠) provides you with the most current and critical information in the core of internal medicine and its subspecialties so you can stay aware of what you need to know as a practicing physician in internal medicine today. ACP MKSAP consists of well-researched text sections and thousands of exam-like multiple-choice questions along with hundreds of figures, charts, and tables to enhance your learning experience. ACP MKSAP's original, high-quality questions comprise patient-based clinical scenarios based on the latest evidence. Each question will challenge your decision-making, help you discover areas of strength, and target areas for you to update or acquire new knowledge. This app enables ACP MKSAP subscribers to read all of the text and answer all of the questions offline. When you are connected to the Internet, answers will sync automatically with the online version. The publisher of this app, the American College of Physicians, is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 161,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Subscriber License Agreement: https://mksap.acponline.org/license