Fellow Education

In addition to their clinical training, fellows will participate in our trauma committee, SICU IDC meetings, and more as part of their systems education. Fellows will also be exposed to weekly lectures on SCC topics and AAST ACS modules, as well as a robust critical care ultrasonography (CCUS) curriculum. The CCUS curriculum includes lectures and hands-on training in conjunction with our Emergency Ultrasound Fellowship, and the education received on echocardiography involves computer modules and hands-on training with anesthesiology and cardiology while at the Veterans Affairs Medical Center. 

Didactics

The following is a list of timely topics that are covered during lectures every Tuesday from 2 to 3 p.m. in the SICU Conference Room and broadcasted over Zoom. These lectures are geared towards our SCC and ACS fellows and it is mandatory that they attend; however, the burn surgery fellow, residents, and medical students are welcome to as well. 

AAST ACS Module Topics

• Pleural infections; parapneumonic effusions/empyema
• Sacral pressure injury
• Palliative care in critical illness
• Severe and complicated c. diff
• Necrotizing soft tissue infections
• Difficult airway
• Ischemic bowel disease
• Cardiac tamponade
• Sternal fracture/rib fracture/SSRF
• Traumatic brain injury
• Fat embolism syndrome
• Abdominal compartment syndrome
• GI bleeding
• Nutrition/feeding access/short gut
• GE varices
• Blunt cardiac injury
• Vascular interventions for hypothermia
• Pelvic vascular injuries
• Acute ischemia of extremities
• Air embolism
• Iatrogenic vascular injuries
• Vascular intervention for VTE prophylaxis and treatment
• Tracheobronchial injuries
• Esophageal perforation
• Femoral artery injuries
• Vena cava injuries
• Ascending aorta injuries
• Blunt aortic injuries
• Extremity compartment syndrome
• REBOA
• Abdominal aortic injury
• Massive hemothorax

• SCC Topics

• Advanced ventilator management
• Antibiotic management
• ICU delirium
• Nutrition – ASPEN guidelines
• Surgical feeding access
• Severe pancreatitis and complications
• ECMO
• Cardiac arrhythmias
• Cardiogenic shock, PACs, and bedside echo
• ARDS
• Coagulopathy, ROTEM/TEG and resuscitation
• Seizure
• Acute renal failure and RRT
• Urogenital tract injuries
• Prehospital transportation and care
• Pain management – multimodal, regional blocks and catheters

• University of Utah Health Critical Care Ultrasonography (UUHCCUS) Curriculum

  Intro	Introduction to Ultrasonography
  Unit 1	Basic Principles
  Unit 2	Hands-On Practice
  Unit 3	Thoracic (Lung & Pleural) Ultrasonography
  Unit 4	Basic Critical Care Echocardiography
  Unit 5	Cardiac Pathologies
  Unit 6	FAST & RUSH Exams
  Unit 7	Cardiac Arrest & Volume Assessment
  Unit 8	Advanced Critical Care Echocardiography
  Unit 9	Vascular Ultrasonography (Abdominal Aorta & DVT Evaluation)
  Unit 10	Vascular Ultrasonography (Vascular Access)
  Unit 11	Abdominal Ultrasonography (Gallbladder, Common Bile Duct, & Bowel/Appendix)
  Unit 12	Abdominal Ultrasonography (Kidneys & Bladder)