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Updated: Mar 19, 2026

Echocardiographic Assessment Using Subxiphoid-Only Examination for Hypotensive Patients
Published on: April 18, 2025
Bedside echo for chest pain: an algorithm for education and assessment
Richard Amini1, Lori A Stolz1, Jeffrey Z Kartchner1
1Department of Emergency Medicine, University of Arizona Medical Center, Tucson, AZ, USA.
This study highlights an effective 1-day ultrasound workshop for emergency medicine residents. The algorithm-based training improved knowledge and skill acquisition in diagnosing undifferentiated chest pain using goal-directed ultrasound.
Area of Science:
- Emergency Medicine
- Medical Education
- Diagnostic Ultrasound
Background:
- Goal-directed ultrasound (GDU) protocols enhance efficiency and patient care.
- Hands-on training workshops improve ultrasound skill acquisition.
Purpose of the Study:
- To describe a novel algorithm-focused education workshop for undifferentiated chest pain.
- To enhance emergency medicine resident training in ultrasound milestone competencies.
Main Methods:
- A cross-sectional study at an academic medical center.
- Developed and implemented a novel GDU algorithm for undifferentiated chest pain.
- Integrated the algorithm into a 1-day workshop (asynchronous, didactic, case-based, hands-on).
Main Results:
- 95% of residents participated in the objective standardized clinical exam.
- Knowledge-based question performance improved with postgraduate year (PGY) level.
- PGY-1 residents showed higher application of the novel algorithm.
Conclusions:
- The 1-day algorithm-based ultrasound workshop was an engaging learning technique.
- This educational approach effectively trained residents in GDU for chest pain evaluation.
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