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Ultrasonography constitutes an integral part of modern patient care. It forms part of treatment algorithms for management of cardiac arrest, pulmonary emboli (i.e., detection of deep vein thrombosis), central vascular device insertion and guides hemodynamic assessment in common clinical syndromes such as sepsis and acute respiratory distress syndrome.

  • To achieve the full benefits in patient care that ultrasound brings to emergency and critical care, clinicians need to minimize the contamination risk from the use of ultrasound probes and machines that are shared medical devices (i.e., move from patient-to-patient).

Current standards and practice of infection control and prevention in POCUS are inadequate in many parts of the world.

  • We need to consider evidence-based research on the potential risk of cross-infection, its impact on clinical workflows and patient outcomes.
  • The purpose of this webinar is to adapt and expand the 2017 Australasian Society for Ultrasound in Medicine (ASUM) and the Australasian College for Infection Prevention Control (ACIPC) guidelines on minimum standards for reprocessing (i.e., cleaning and high-level disinfection)of ultrasound transducers to the specifics of Point of Care Ultrasound (POCUS) environment and provide advice to Emergency and ICU practitioners and health care administrators.

Presenters

Pro. David J. Weber, (MD, MPH, FIDSA, FSHEA, FRSM) is board certified in internal medicine, infectious disease, critical care medicine and preventative medicine. His research career has focused on healthcare-associated infections, antibiotic stewardship, new and emerging diseases and vaccine implementation. Dr Weber also chairs the TB Advisory Committee, North Carolina Department of Health.

Dr. Cartan Costello (MB BCH BAO, FCICM, FACRRM, FRACGP, BA Com, Grad Dip Crit Care Echo) is an Australian-based health professional. Dr Costello is an intensivist and has extensive experience in echocardiography. He is the author of numerous scientific publications regarding echo. Education is his true passion, and he has been training doctors in the echo for many years

Dr Genevieve Carbonatto FACEM, Dip Obs, Dip Paed, CCPU, Emergency Physician and educator in ultrasound courses and workshops targeting Emergency doctors at Royal Prince Alfred Hospital. Discusses her experience in reprocessing ultrasound probes using HLD in Emergency Departments

Leaning Objectives

  • What evidence-based research on infectious diseases should be taken into consideration?
  • An overview of the ASUM/ACIPC 2017 Guidelines for Reprocessing Ultrasound Transducers?
  • What are the current specifics of ultrasound practice within POCUS relevant to infection control?
  • What are the administrative, financial and practical implementations that need to be considered?
  • Discuss specific recommendations for POCUS.

Webinars On Demand by Presenter and Topic

Dr Genevieve Carbonatto:

Insights into the broader need to improve POCUS infrastructure and practice in reprocessing ultrasound probes within Emergency Departments

Emergency Department
Infection Risk

Dr Cartan Costello:

Specifics of ultrasound practice within POCUS relevant to infection control. Overview of recommendations from the USIG Guidelines

Intensive Care Unit and other Departments Infection Risk

POCUS Infection risk

Prof David Weber:

Overview of Guidelines for Reprocessing Ultrasound Transducers. Defining the Spaulding classification and insights into infectious diseases and cross-infection risk when Low Level disinfection method is applied instead of High-Level Disinfection.

Q&A

Q1.Pro Weber, you mention UVC disinfection in your presentation. We currently use a hydrogen peroxide system and at times we get bubbles on the transducer tip. The probe is often replaced. Does UVC have an impact on the probe material, as we are often told it does? Julia Marsh

Q2.Question for Cartan. We often get infections from Peripheral Intravenous Catheters. We have a peripheral IV insertion bundles which we use as a checklist, put ultrasound is not included in the checklist. What does your ICU department do? Emma Wright

Q3.Dr Costello, re insertion of central lines in ICU. usually the same probe used on the critical field is used for the initial landmark ultrasound. The common argument for not performing HLD of probe after the landmark US and immediately prior to use on critical field is practicality and time.  Is LLD an alternative or should we be insisting on HLD at this point?  Simon Meyer-Henry

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