The funded project, titled The Pediatric Critical Care Ultrasound Initiative, was awarded a $10,000 grant through the Beckwith Institute’s Frontline Innovation Program. The grant application for the initiative was co-authored by Chris Horvat, Megan Browning, and Bob Newmyer (all PCCM fellows) with faculty support from Raj Aneja and Bob Clark. The Frontline Innovation Program is, according to its website, “dedicated to funding innovations and empowering ideas that directly impact and improve bedside care and clinical practice today.”
The Pediatric Critical Care Ultrasound Initiative is aimed at introducing ultrasound use beyond its current application for vascular access in the PICU. The initiative will encompass a multifaceted undertaking to increase attending and fellow exposure to and expertise in point-of-care ultrasound use through standardization and education related to anatomy and technical approach, regular review and feedback of technique and images, and funding to bolster currently available technology.
Project curricula will feature a combination of readings, online video and live lecture, as well as self-assessment and hands-on experience in multiple areas of inquiry. To ensure programmatic integrity, a dual quality improvement and educational session that adheres to principles of continuous process improvement will be regularly scheduled throughout the academic year. During these sessions, recorded video of images will be reviewed with the goal of discussing technique and the factors leading to success or failure and any complications encountered. This will be augmented by an accessible resource bank that will inform in-depth discussion of core principles. Frequently bedside imaging is checked by a formalized subsequent study (e.g. transthoracic echocardiogram) and these studies will further augment feedback mechanisms and learning.
Immediate next steps as a result of the funding will include the purchase of a SonoSite M-Turbo® phased array probe with a cardiac imaging software package, further “champion” training through the SCCM course in January, and the start of steering and planning meetings to map out curricular initiatives.