Airway Thoracic SDOT FormTrainee Name *Trainee NameCortez, BryanGrant, ConnorMartel, ElenaTorres, DiegoFacilitator *Your NameKenton AndersonNick AshenburgTim BatchelorYouyou DuanmuMarjan Ghazi-AskarJohn KendallPat LanterViveta LoboFran RileyMonica SaxenaBasic CompetenceProfessionalism *Demonstrates professional manner, positions patient correctly, mindful of patient comfort, cleans probe before and after usage, demonstrates care of machinePassFailEnters patient information correctly and selects the appropriate exam type *PassFailSelects correct probe *PassFailScoringProbe is handled well *Probe is held at right angle to skin, anchored to prevent sliding, and with enough contact and gel to obtain interpretable images. Indicator is to patient’s head or to the patient’s right.Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionAdjusts gain and depth appropriately *Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionObtains correct views of both hemithoraces *Scans longitudinally in the most non-dependent areas anteriorly in multiple locations. Scans coronally to view both lung basesOutstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionCorrectly identifies presence/absence of pneumothorax *Is there a pneumothorax? What ultrasound findings rule out pneumothorax? What are A-lines and B-lines? Do A-lines rule out pneumothorax? Do B-lines?Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionCorrectly identifies presence/absence of pleural effusion *Is there a pleural effusion? What is extension of the thoracic spine and why would this indicate fluid in the chest?Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionCorrectly identifies presence/absence of alveolar interstitial syndromes *PROMPT: What do bilateral versus unilateral B-lines suggest? Is there a consolidation? What are air bronchograms and hepatization? What would suggest consolidation as opposed to atelectasis?Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionObtains a transverse view of the trachea just above the sternal notch *PROMPT: Identify the trachea and the esophagus on transverse view. What is the double lumen sign?Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionObtains a longitudinal view of the cricothyroid membrane and identifies relevant anatomy *PROMPT: Identify the thyroid cartilage, cricoid cartilage, and the cricothyroid membrane.Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionSaves images that are appropriate *Images include the entire area of interest instead of a zoomed in segment, tries to avoid saving misleading imagesOutstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionCommunicates appropriate findings to patient and patient’s practitioners *Outstanding/OptimalGood/AcceptablePoor/UnacceptableComplete OmissionTotal PointsResident Written Interpretation: *Please write indication, limitations, findings/impression:Patient Difficulty Level *EasyMediumDifficultTime to Complete ExamMinutesMinutes01235678910SecondsSeconds0123567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859Number of scans at time of test *Number of scans at time of test0123567891011121314151617181920212223242525+Faculty CommentsComprehensive DeterminationOverall Airway/Thoracic Ultrasound Skill *Score <25 is likely inadequate/borderlineAdequateBorderlineInadequateSubmit