Left parasternal four chamber view

RE: Left parasternal four chamber view

Stephen Williams — Tue, 07 Jun 2016 19:11:14 GMT

Thanks, that looks useful, may get a copy. I'm lucky to have Doppler I guess, not because we spent a lot but because we sourced low cost ex-medical kit from the US.

Steve

RE: Left parasternal four chamber view

Beats — Sun, 05 Jun 2016 17:49:38 GMT

i found http://www.tetonnm.com/ecg2dtoc.html a good summary of left-views sufficient for me to try them in 2d with no prior training - i dont have doppler

RE: Left parasternal four chamber view

Stephen Williams — Sun, 05 Jun 2016 08:51:24 GMT

Thanks Nikki, that's helpful. I wonder if I have been starting too cranial, I did try going as ventrally as I could. I'm on the Improve International cardiology intermediate course next month, I'm sure there will be training on this, so no panic if I don't get there just yet, I am just trying to get best value out of it by learning what I can and can't do first, helps focus the learning next month,

Steve

RE: Left parasternal four chamber view

nikki — Sat, 04 Jun 2016 22:39:13 GMT

Haven't seen any good online videos but the BCF practical course I went on was really helpful. I was taught to image the liver via the left thoracic window, then move 1 rib space cranially and angle the probe up towards the ears. You should be right down on the ventral aspect of the chest. You then just have to rotate the probe slightly to move from 4 chamber to 5 chamber and then be able to move the heart around on the screen a bit to be able to get Doppler aligned. The subcostal view is also good if you're looking to measure aortic outflow velocities to look for aortic stenosis.