Apical Proficiency

Front 1

1

Back 1

Clip 4 Chamber

Front 2

2

Back 2

Measure LA
(Calc, Cardiac, Volumes, LA Area 1)

Front 3

3

Back 3

Decrease 4 Chamber

Front 4

4

Back 4

Clip 2 Chamber

Front 5

5

Back 5

Measure LA
(Calc, Cardiac, Volumes, LA Area 2)

Front 6

6

Back 6

Decrease 2 Chamber

Front 7

7

Back 7

Clip 3 Chamber

Front 8

8

Back 8

Decrease 3 Chamber

Front 9

9

Back 9

APEX

Front 10

10

Back 10

2 Chamber- Color Mitral

Front 11

11

Back 11

3 Chamber- Color Mitral

Front 12

12

Back 12

3 Chamber- Aortic Valve

Front 13

13

Back 13

3 Chamber- PW on Aortic
(SMALL GATE / baseline UP / sweep 100 / NEED CLOSING CLICKS)

dark hallow peaks

Front 14

14

Back 14

Trace 3 peaks

(calc, cardiac, AOv Stenosis, LVOT TVI)

*aquire each separately on seq.

Front 15

15

Back 15

3 Chamber- CW on Aortic
(baseline UP, MUST HAVE CLICK)

Front 16

16

Back 16

Trace ONE peak

(calc, cardiac, AoV stenosis, AoV TVI)

Front 17

17

Back 17

4 Chamber- Color Mitral

Front 18

18

Back 18

4 Chamber- CW Mitral
(baseline LOW, E and A peaks)

Front 19

19

Back 19

4 Chamber- PW Mitral
(Small Gate, baseline DOWN.. E and A peaks)

Front 20

20

Back 20

4 Chamber- Measure E and A peaks
THREE TIMES
Peak E
Peak A

1/2 TIME

--> Top of E to baseline follow slope

Front 21

21

Back 21

Tissue Doppler 4 Chamber
-->Medical and Lateral
hit PW
DTI
Gain down
Measure ONE peak below baseline

Front 22

22

Back 22

4 Chamber- Pulmonary Veins
--> color, PW
--> DTI needs to be off and gain up
--> Baseline little lower
(systole, diastole, reversal)

Front 23

23

Back 23

Clip 5 Chamber-Color

Front 24

24

Back 24

5 Chamber- PW
-->Small gain, baseline UP

Front 25

25

Back 25

5 Chamber- Measure THREE peaks
(calc, cardiac, AoV stenosis, LVOT TVI)

Front 26

26

Back 26

5 Chamber- CW

(Baseline UP)

Front 27

27

Back 27

5 Chamber- CW
Measure 1 Peak
(calc, cardiac, AoV stenosis, AoV TVI)

Front 28

28

Back 28

4 Chamber- Swing in Tricuspid- COLOR

Front 29

29

Back 29

4 Chamber- CW Tricuspid
Baseline UP
Scale 1 & 3
LOUD AND ANGRY

Front 30

30

Back 30

Clip Para-apical

Front 31

31

Back 31

Color Para-Apical

Front 32

32

Back 32

CW Tricuspid