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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5784_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •How to Use this Book
- •Contents
- •Contributors
- •Objectives
- •US Management
- •Ultrasound Management Goals
- •Quality Improvement
- •Clinical Protocols
- •Information Management
- •Ultrasound Strategy
- •Situational Awareness
- •Creating a US Network with Key System Personnel
- •Timing
- •New Frontiers
- •Pitfalls
- •References
- •Objectives
- •Introduction
- •Leadership
- •Ultrasound Equipment
- •US Training
- •Who Else Is Using Ultrasound?
- •The Ultrasound Director Job
- •Extramural Involvement
- •Compensation
- •System Wide POC US Director
- •Medico-Legal Issues
- •Defensive Planning
- •Key Recommendation
- •Relevant Literature
- •References
- •Objectives
- •Introduction
- •Job Search
- •Peak Value
- •Contract Considerations
- •Negotiation
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •The Presentation
- •Programming
- •Capture Your Data
- •Synergy
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Pre-course Materials
- •Ultrasound Courses
- •Course Setting
- •Supplemental Education
- •Determining Competency
- •Pitfalls
- •Key Recommendations
- •References
- •Learning Objectives
- •Introduction
- •Deliberate Practice
- •Educational Goals
- •Blended Learning
- •Web-Based Instruction
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Main Ideas
- •Curriculum Development
- •General Needs Assessment
- •Targeted Needs Assessment
- •Basic Competencies
- •Advanced Competencies
- •Educational Strategies
- •Implementation
- •Ultrasound Champion
- •Funding Considerations
- •Discussion
- •Pitfalls
- •Key Recommendations
- •Medical School Year 2
- •Medical School Year 3
- •Medical School Year 4
- •References
- •Objectives
- •Introduction
- •Curriculum
- •Faculty
- •Equipment
- •Competency Assessment
- •Other Residency Experiences
- •EUS Fellowship Guidelines/Core Content
- •Education Skills
- •Quality Assurance
- •Leadership
- •Equipment
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Networking
- •Coding/Billing/Reimbursement
- •Budget/Economics
- •Credentialing/Privileges
- •Point-of-Care Ultrasound Program Accreditation
- •Problem Solving
- •Politics/Institutional POC US/Negotiation Skills
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Initial Education
- •Trainee-Based Pathway
- •Practice-Based Pathway
- •Experiential Component
- •Credentialing
- •Supervision
- •Independently Practicing APPs
- •Non-independently Practicing APPs
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Simulator Considerations
- •Commercially Available Simulators
- •Partial-Task Trainers: Phantoms
- •Anatomic Simulator: Live Model
- •Anatomic Simulator: Phantom
- •Anatomic Simulator: Computer-Based
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Machine Selection
- •Compact Cart-Based Ultrasound Machines
- •Hand-Carried Ultrasound Machines
- •Pocket-Carried Ultrasound Machines
- •Pole or Arm Mounted US Machines
- •Probe Selection
- •Equipment Purchase Considerations
- •Service
- •Image Quality
- •Machine Companies
- •Summary
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •US Machine Cleaning
- •Preventive Maintenance
- •Basic Toolkit
- •VCRs/CD Recorders
- •Broken Control Surface Buttons
- •Ultrasound Cart Wheel Assemblies
- •Wiring Check
- •Customizing
- •Essential Supplies
- •Power Cords
- •Small Parts Transducer Holder
- •US Carts Are Not Sacrosanct!
- •Color Code Your Transducers
- •US Cart Supplies
- •Industrial Velcro
- •Label Maker
- •Midline Markers
- •Artwork
- •Anthropomorphize Your Fleet
- •Signage
- •Ultrasound Supply Storage Cabinets
- •Poster Printer
- •Service Options
- •Original Equipment Manufacturer
- •Biomed Engineering
- •Equipment Insurance
- •Multi-Vendor Service Providers
- •Breakdowns
- •Longevity
- •Pitfalls
- •Key Recommendations
- •Objectives
- •Introduction
- •Machine Accessories
- •Barcode Reader
- •USB Accessories
- •Probe Accessories
- •Endocavitary Probe Covers
- •Sterile Probe Covers
- •Ultrasound Gel
- •Ultrasound Gel Warmers
- •Procedural Guidance Accessories
- •Echogenic Needles
- •Control Syringes
- •Needle Guides
- •Peripheral Intravenous Catheters
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Bioeffects
- •System Power
- •Thermal Index
- •Thermal Bioeffects
- •Mechanical Index
- •Nonthermal Bioeffects
- •Prudent Use
- •Ultrasound Safety Education
- •Infection Control
- •Noncritical Devices (Noninvasive Probes)
- •Semi-Critical Devices
- •Critical Devices
- •Other Ultrasound Machine Elements
- •Summary
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Terminology
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Infrastructure
- •Middleware
- •Data Entry
- •Report Generation
- •Image Review/Quality Improvement
- •Education/Credentialing
- •Order Entry/Billing
- •Middleware Vendors
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Media Acquisition Options
- •Internal Image Acquisition
- •External Image Acquisition
- •Image Format
- •Internet Cloud Storage
- •Video Editing Software
- •Ultrasound Education Creation
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Departmental Aspects
- •Interdepartmental Aspects
- •National Organizational Aspects
- •The Contrarian’s Viewpoint
- •Accreditation
- •Future Considerations
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Key Terms
- •Historical Background
- •Obtaining Point-of-Care Ultrasound Privileges (Step-by-Step)
- •You Were Denied Privileging, Now What?
- •Pitfalls
- •Key Points
- •References
- •Objectives
- •Introduction
- •What Is Accreditation?
- •Other Ultrasound Imaging Accreditation Organizations
- •Pitfalls
- •Key Recommendation
- •References
- •Objectives
- •Introduction
- •CPT Coding
- •Global vs. Professional vs. Technical
- •Facility Setting
- •Professional Component
- •Technical Component
- •Medicare Patients: Hospital Outpatient Prospective Payment System
- •Medicare Patients: Inpatient Versus Outpatient
- •RVUs
- •Machine Purchase
- •Hand-Held Ultrasound Devices
- •Limited vs. Complete Ultrasound
- •Diagnostic vs. Procedural Codes
- •Add-on Codes
- •Nonphysicians Performing Ultrasounds
- •RN/Medics Performing Ultrasound-Guided Procedures
- •Licensed Independent Practitioners
- •Insurance Payment Policies
- •Technical Billing
- •Core Emergency Ultrasound CPT Codes
- •Diagnostic POC US
- •Trauma Ultrasound 93308, 76705, 76604
- •Female Pelvic Ultrasound: Pregnant 76815, 76817; Nonpregnant 76857, 76830
- •Abdominal Aortic Aneurysm (AAA), Urinary Tract 76775, Screening AAA 76706, Bladder 76857
- •Cardiac 93308
- •Biliary, Bowel, Hemoperitoneum, Appendix 76705
- •Abdominal Ultrasound LCDs: L31572, L34572
- •Deep Venous Thrombosis (DVT) 93971
- •Soft Tissue/Musculoskeletal
- •Thoracic Ultrasound 76604
- •Ocular Ultrasound 76512
- •Ultrasound-Guided Procedures
- •Advanced Emergency Ultrasound Codes
- •Outpatient vs. Inpatient
- •Government ABCs
- •Medicare
- •MACs
- •Medical Necessity/ICD
- •Payment Edits
- •Multiple Procedure Payment Reduction (MPPR)
- •Billing Optimization
- •Conclusion
- •Exhibit 1
- •Emergency Ultrasound Coding Guide 2017
- •References
- •Objectives
- •Introduction
- •Ultrasound Management in Global Medicine: Key Concepts
- •Equipment
- •Maintenance
- •Program Implementation
- •Education Strategies
- •Politics: Funding, Billing, Infrastructure
- •Discussion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Pediatric Abdominal Complaints
- •Pre-urethral (Bladder Size) Catheterization
- •Head Trauma
- •Musculoskeletal Complaints
- •FAST
- •Soft Tissue Infections
- •Pneumonia
- •Venous Access
- •Equipment
- •Managing Anxiety/Pain
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Ultrasound During Triage
- •Incorporating Ultrasound into Disaster Planning
- •Equipment
- •Conclusion
- •Key Recommendations
- •Objectives
- •Introduction
- •Trauma Evaluation
- •Cardiac Arrest
- •Telemedicine
- •Limitations
- •Conclusion
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Commitment
- •Soliciting Department Chair/Director Support
- •Safety
- •Cost
- •Ultrasound Director Support
- •Following Guidelines
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Applications
- •Education
- •Medical Knowledge
- •Pathways
- •Skills Acquisition
- •Program Infrastructure
- •Program Director
- •Research Protocol Implementation
- •Equipment
- •Data Management
- •Quality Assurance
- •Conclusion
- •Pitfalls
- •Key Recommendations
- •References
- •Objectives
- •Introduction
- •Needs Assessment
- •Practical Considerations
- •Pitfalls
- •Key Recommendations
- •References
- •ACEP US Guidelines
- •ACEP Emergency US Imaging Criteria Compendium
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ACEP US Guidelines
ACEP US Guidelines
459
460
ACEP US Guidelines
ACEP US Guidelines
461
462
ACEP US Guidelines
ACEP US Guidelines
463
464
ACEP US Guidelines
ACEP US Guidelines
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466
ACEP US Guidelines
ACEP US Guidelines
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