Thursday & Friday, May 18-19, 2023
IN-PERSON, HANDS-ON PROGRAM
Advances in the use of ultrasonography enhance our ability to better characterize acute kidney injury (AKI) and volume assessment in critically ill patients. The initial approach to AKI differentiates between pre-renal, intrinsic, and post-renal/obstructive AKI. Pre-renal AKI results from decreased perfusion of the kidney parenchyma. Intrinsic AKI is an insult that progresses to damage of the kidney tubules and/or direct damage to the nephron itself. Post-renal AKI develops from blockage after the kidney collecting system, such as nephrolithiasis, malignancy compressing a ureter, or prostatic hypertrophy. Pre-renal and post-renal injuries can be reversible, but prolonged injury may develop into intrinsic AKI. The rapid diagnosis of pre- and post-renal obstruction can lead to reversal; ultrasonography through high quality imaging is therefore critical for clinical care, and identification of chronic kidney disease (CKD). Assessment of volume status is an essential component to the care of both the critically ill patient and the care of patient with heart and renal failure. Volume resuscitation management is guided by often inaccurate methods, leading to delays in care management decisions. While volume depletion and decreased cardiac output lead to end organ damage and increased morbidity and mortality, so too does fluid overload lead to pulmonary edema and respiratory failure, heart failure, AKI, hepatic congestion, tissue breakdown and impaired bowel function. POCUS offers additional methods of volume assessment through lung imaging to evaluate for interstitial edema and pleural effusions. A focused cardiac evaluation with POCUS can also be helpful for non-cardiologist physicians in identifying left ventricular dysfunction, valvular dysfunction and pericardial effusions. Point of Care Ultrasound (POCUS) enhances ability to characterize acute kidney injury and volume assessment in critically ill patients. Challenges to POCUS training for nephrologists include: relatively new use of POCUS, physicians lack POCUS training, and lack of POCUS in graduate medical education. Our objective is to train nephrologists utilizing a 2-day curriculum that satisfys POCUS certification through the American Society of Diagnostic and Interventional Nephrology.
1. Point of care Ultrasound targets acute kidney injury and volume assessment in critically ill patients through POCUS.
2. Identify and train nephrologists utilizing a 2-day curriculum that satisfies POCUS certification through the American Society of Diagnostic and Interventional Nephrology.
3. Discuss and train the uses of POCUS with physicians and graduate medical education students who lack POCUS training.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Columbia University. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco Joint Accreditation #4008163.
Physicians (ACCME) Credit Designation Statement
Amedco LLC designates this live virtual activity for a maximum of 16.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
PAs may claim a maximum of 16.00 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.
The American Association of Nurse Practitioners (AANP) recognizes the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC) as approved accreditors and allow reciprocity for AANPCP continuing education credit. Maximum of 16.00 hours.
This course will satisfy the instructional requirements (8 hours CME didactic training, 8 hours CME hands-on course) for the American Society of Diagnostic and Interventional Nephrology for POCUS.
Please refer to the POCUS application on the ASDIN website for details https://www.asdin.org/page/RUSCert
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