Ariana Medical Complex Trainings

Our highly experienced education team comprises specialist doctors, nurses, paramedics and rescue staff

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Basic Electrocardiography Training

CURRICULUM

Action Potential and conduction system

  • Cardiac cell Structure
  • Type of Channels
  • Mechanism of Trans membrane transport
  • Phases of Action potential

Conductive System

  • Specification of Cardiac conductive system
  • Automaticity
  • Conductivity
  • Excitability
  • Refractoriness

  ECG machine

  • First opinion of Recording ECG
  • Technical aspect of Electrocardiograph
  • Types of Electrocardiography Displaying

  Lead System

  • Bipolar Lead System
  • Augmented Limb Lead System
  • Precordial Lead System
  • Modified Lead system

  Wave Formation

  • Vector analysis
  • Definition of Diplet and Dipole
  • Definition of Segments and Waves

  Standardization

  • Identification
  • Lead Placement
  • Paper speed
  • Voltage
  • Artifacts

  Interpretation of ECG

  • Indication of ECG
  • P Wave
  • PR /PQ interval
  • P-P Interval
  • Rate and Regularity
  • Rhythm
  • QRS Complex
  • QT interval /QTc
  • R-R interval
  • T Wave
  • ST Segments and J point
  • U wave

Practice , Group Discussion

How to Write ECG Report

Course duration :1 Months ( 30 hours Lectures and 30 hours Practice )  

Basic  Echocardiography Training :

Curriculum

1- Fundamentals of Cardiology ( 5 Lectures )

  • Anatomy
  • Physiology and Normal Homodynamic
  • Terminology

2-How to obtain a good Echocardiography examination; (3 lectures)

  • Ultrasound physics, technique, and medical knowledge.
  • Ultrasound and transducers.
  • Screen display and knob settings.
  • Echocardiography report.

3-Transethoracic Echocardiography. (6 Lectures)

  • Tow dimensional echocardiography
  • Parasternal position.
  • Long axis view of the left ventricle.
  • Long axis of the right ventricle.
  • Short axis view.
  • Apical position.
  • Sub costal position.
  • Suprasternal position.
  • M-mode echocardiography.

4-Doppler Echocardiography and Color flow Imaging; Comprehensive noninvasive Homodynamic Assessment. (5 Lectures)

  • Doppler echocardiography.
  • Color flow imaging.
  • Trans valvular gradients
  • Intracardiac pressure.
  • Stroke volume and cardiac out.
  • Pulmonary and systemic flow ratio.
  • Continuity equation.
  • Pressure half time.
  • Regurgitate volume, fraction and orifice area.

5-Contrast Echocardiography. (1 Lecture)

  • Evaluation of shunts.
  • Augmentation of Doppler velocity signals.
  • Gas filled micro-bulbuls.
  • Enhancement of the definition of Endocardial borders.

6-Assessment of systolic function and quantification of cardiac chambers.(5 Lectures )

  • Left ventricle and right ventricle dimension.
  • Atrial size and volume.
  • Left ventricular mass and volume.
  • Systolic function variables.
  • Regional wall motion analysis.

7-Assessment of diastolic function and diastolic heart failure.(5 Lectures )

  • Diastolic function, Doppler flow velocity.
  • Left atrium.
  • Techniques for diastolic Doppler parameters.
  • Grading of diastolic dysfunctions.
  • Clinical application assessment of Diastolic function.
  • Diagnosis of Diastolic Heart Failure, Cardiomyopathy and Constrictive Pericarditis.

8-pulmonary hypertension and pulmonary vein stenosis.(2 Lectures )

  • 2D echocardiography.
  • Doppler echocardiography.
  • Cor-pulmonal and pulmonary embolism.
  • Evaluation of Pulmonary veins.

9- Coronary artery disease and acute myocardial infarction.( 6 Lectures )

  • Evaluation of myocardial wall motion.
  • Evaluation of chest pain syndrome.
  • Acute MI.
  • TAKO-TSUBO.
  • Diastolic function in ischemia.
  • Risk stratifications.

10-valvular heart disease ( 6 Lectures )

  • Aortic stenosis.
  • Aortic regurgitation.
  • Mitral stenosis.
  • Mitral regurgitation.
  • Tricuspid regurgitation.
  • Tricuspid stenosis.
  • Pulmonary stenosis.
  • Pulmonary regurgitation.
  • Drug induced valvular disease.
  • Valvular regurgitation in normal subjects.

11-Prosthetic valve evaluation. (2 Lectures)

  • 2D echocardiography.
  • Doppler and color flow imaging.
  • Prosthetic patient miss mach.
  • Calculation of effective prosthetic orifice area.

12-Infective Endocarditis. (2 Lectures)

  • New diagnostic criteria.
  • Echocardiography appearance.
  • Tran esophageal echocardiography.
  • Nonbacterial thrombotic Endocarditis.

13 – Cardiomyopathy. (6 Lectures)

  • Dilated Cardiomyopathy.
  • Hypertrophic Cardiomyopathy.
  • Restrictive cardiomyopathy.
  • Arrhythmogenic right ventricle cardiomyopathy.
  • Non compaction of ventricular myocardium.

14- Cardiac disease due to systemic illness, genetics, Medications or infection. (2 Lectures)

  • Amyloidosis and infiltrative Cardiomyopathy.
  • Carcinoid.
  • Drug induce cardiac disease.
  • Hemochromatosis.
  • Hypereosinophilic syndrome.
  • Radiation induced cardiomyopathy.
  • Renal failure.
  • Sarcoidosis.
  • Wegener granulomatosis.
  • Scleroderma.
  • Sepsis.
  • Systemic lupus erythematosus.
  • Genetic Disease.

15-Pericardial disease.(2 Lectures )

  • Congenitally absent pericardium.
  • Pericardial cyst.
  • Pericardial Effusion and Tamponade.
  • Constrictive Pericarditis.
  • Restriction versus constriction.
  • Effusive constrictive Pericarditis.
  • Transient Constrictive Pericarditis.

16 – Cardiac Tumors and masses. ( 2 Lectures )

  • Papillary fibroelastoma.
  • Malignant tumor of the heart.
  • Other masses.
  • Pseudo tumors and pitfalls.

17-Disease of the Aorta.( 2 Lectures )

  • Aortic aneurysm.
  • Aneurysm of sinus of Valsalva.
  • Aortic Sclerosis and Aortic Debris.
  • Aortic Dissection and intramural hematoma.
  • Aortic rupture.

18 -Echocardiography in congenital heart disease. ( 20 Lectures )

  • Cardiac Embryology
  • Fetal circulation
  • Normal Cardiac Chambers Morphology and differentiation
  • Cardiac and Visceral orientation (cardiac sidedness )
  • Diagnosis of CHD ( ECG, Chest x-Ray , Cardiac CT , Cardiac MRI , Cardiac Catheterization )
  • Indication of Echocardiography in CHD
  • Segmental approach to congenital heart defects
  • Image orientations in congenital heart defects
  • Goal directed comprehensive evaluation of CHD by Echocardiography
  • ACHD AP classification
  • Classification of CHD
  • ASD
  • VSD
  • PDA
  • Anomalous systemic veins connection
  • Coarctation of aorta
  • Ventricular outflow obstruction.
  • Ebsteins anomaly
  • Tetralogy of fallouts
  • Complete transposition of great vessels ( D- TGA )
  • Congenitally corrected TGA.
  • Univentricular atrio-ventricular connection.
  • A-V canal defect.
  • PAPVC
  • TAPVC
  • DORV
  • Normal Aortic Arch and its anomalies
  • Eisenmenger’s syndrome

19 -Goal –Directed and Comprehensive Examination. (3 Lectures)

  • Evaluation of ventricular function and coronary artery disease.
  • Evaluation of dyspnea and heart failure.
  • Systemic hypertension.
  • Atrial fibrillation.
  • Chest pain.
  • Nonspecific electrocardiographic abnormalities.
  • Cardiac source of emboli or syncope
  • Hypotension, syncope or cardiogenic shock.
  • Cardiac contusion.

Each lecture is one hour (60min).
Total number of lectures is 84
Total number of Practice 240 hours .
Course duration is 6 month


Basic Doppler training

CURRICULUM

  • Technical concept of Doppler US
  • PHYSIC OF SOUND.
  • FUNDAMENTALS OF DOPPLER PHYSICS.
  • DOPPLER MODALITIES.
  • ILLUSTRATION OF DOPPLER ULTRASOUND MACHINE.
  • VASCULAR HEMODYNAMIC.
  • TYPE OF VESSELS.
  • NORMAL FLOW PROFILE IN VESSELS.
  • ARTERIAL FLOWER PATTERN
  • HEMODYNAMICS OF STENSIS.
  • VENOUS FLOW PATTERN.
  • ABNORMAL FLOW PATTERNS IN ARTERIAL AND VENOUS SYSTEM.

3-ABDOMINAL VASCULATURE.

  • ABDOMINAL AORTA ANEURYSM.
  • DISSECTION OF ABDOMINAL AORTA.
  • INFERIOR VENA CAVA (IVC) COLLAPSIBILITY INDEX.
  • IVC THROMBOSIS.

4-PEREPHERAL VASCULAR DOPPLER.

  • PEREPHRERAL ARTERIES STENOSIS.
  • DIFFUSE ARTERIAL DISEASE.
  • DEEP VENOUS THROMBOSIS (DVT).

5- KIDNEY DOPPLER.

  • NORMAL RENAL ARTERY FLOW PATTERN.
  • RENAL ARTERY STENOSIS.
  • RENAL VEIN THROMBOSIS
  • RENAL INFARCTION.

 6-LIVER DOPPLER.

  • NORMAL HEPATIC ARTERY FLOW PATTERN.
  • NORMAL HEPATIC VEINS FLOW PROFILE.
  • NORMAL PORTAL VEINS FLOW WAVEFORM.
  • PORTAL HYPERTENTION.

7- DOPPLER ULTRASOUND IN GYNECOLOGY.

  • NORMAL UTERINE ARTERY FLOW PATTERN.
  • DOPPLER WAVEFORM CHANGES DURING MENSTRUATION.
  • DOPPLER FINDINGS IN OVARIAN TORSION.

8- DOPPLER ULTRASOUND IN OBSTETRIC.

  • DOPPLER STUDY OF UTERINE ARTERIES DURING PREGNANCY.
  • UMBILICAL ARTERY DOPPLER STUDY.
  • FETAL MID CEREBRAL ARTERY DOPPLER.

9-CAROTID ARTERY

  • Anatomy of carotid artery
  • Evaluation of Carotid and vertebral Arteries
  • CAROTID ARTERY Pathology
  • IMT (Intimal Medial Thickness)
  • Methods of Carotid stenosis measurements (ECST, NASCET, CC method)

10-INTERNAL JUGURLAR ARTERY DOPPLER STUDY.

11- specific tests (ABI, FMD)

  • Indication
  • Tips and Tricks

Surgical Skill Training :

Basics of surgery curriculum :

  • History of surgery
  • Suture materials
  • Knotting
  • Suturing technique
  • NGT application
  • Operation theater
  • ETT application
  • Thoracocentesis
  • Peritoneal paracentesis
  • Arthrocentesis
  • Lumbar puncture
  • Catheterization (male and female)
  • IV cannulation and Cut down
  • Dressing and Bandage
  • Arterial line catheter
  • Circumcision

This course will be ended with in the 20 hours of lectures and practical works in the skill lab, conference room and operation theater.

ACLS training :

  • Rhythm Identification (   2Lecturs )
  • Core Drugs Used in ACLS ( Drug therapy ) (2Lecturs)
  • Defibrillator & DC Shock Introducing and Its Application (2Lecturs )
  • Science and Art of ACLS (4 lectures )
  • Pediatrics ACLS (2Lecturs)
  • Respiratory Support , Intubation , Ventilator machine (2Lecturs)
  • Practice in Groups (How to Apply DC Shock, Intubation, Chest Compression, and other Practical application of CPR on the basis of Latest American Heart Association Guidelines) 10 X 60min
  • Each lecture is one hour (60min)

BLS Training :

  • Science and Art of BLS (4 lectures )
  • Respiratory Support ,
  • AED machine
  • Practice in Groups (How to Apply AED , Chest Compression and other Practical application of CPR on the basis of Latest American Heart Association Guidelines  ) 6  X 60min

Infection Prevention

  • Introduction to the infection prevention course (1lecture )
  • Chain of infection(1lecture )
  • Hands washing(1lecture )
  • Gloves(1lecture )
  • Personal protective equipment (1lecture )
  • Surgical Anti Sepsis (1lecture )
  • Processing of Cloths(1lecture )
  • Sterilization(1lecture )

    Basic ultrasound training curriculum

    Duration of course (6months )
    4months lectures \2months practices

    Ultrasound physic and instrument

    • Sound definition
    • Sound wave
    • Type of sound
    • Generation of ultrasound
    • History of ultrasound
    • Interaction of sound in medium
    • Cross sectional anatomy
    • Image orientation
    • Terminology of ultrasound ( pulse, echo, beam, echogenicity , hyperechoic, hypoechoic, acoustic window, resolution)

    Ultrasound machine and optimization

    • Commuter
    • Transducer
    • Monitor

    Sonographic appearance of masses

    • Cystic
    • Solid
    • Complex

    Liver ultrasound

    • Anatomy of liver
    • Sonographic appearance of normal liver
    • Liver pathology
    • Focal liver diseases
    • Diffuse liver disease

    Biliary system

    Gall bladder

    • Normal anatomy
    • Main function
    • Patient preparation
    • Scanning technique
    • Normal sonographic appearance
    • Pathology Of Biliary system
      • Gallstone
      • Acute cholecystitis
      • Polyps
      • Adnomyomatosis
      • Carcinoma of GB
      • Biliary sludge (viscid bile)
      • Obstructive jaundice
      • Biliary ascaris


    Kidney ultrasound

    • Normal anatomy and variations
    • Normal sonographic appearance
    • Pathology of kidney
      • Renal cystic disease
      • Renal solid masses
      • Hydronephrosis
      • Pyonephrosis
      • Nephrocalcinosis
      • Kidney stone
      • Medical renal disease

    Urinary bladder

    • Normal anatomy
    • Normal sonographic appearance
    • Ureteric jet phenomena
    • Bladder masses
    • Bladder calculi
    • Diverticulum
    • Cystitis

    Spleen

    • Normal anatomy
    • Scanning technique
    • Normal sonographic appearance
    • Splenomegaly
    • Splenic focal lesion

    Pancreas

    • Normal anatomy
    • Scanning technique
    • Patient preparation
    • Normal sonographic appearance
    • Focal disease
      • Carcinoma
      • Cyst
      • Pseudocyst
    • Diffuse diseases
      • Acute pancreatitis
      • Chronic pancreatitis

    Gynecology  ultrasound

    • Normal Anatomy and physiology
      • Uterus
      • Adnexa\ ovaries
    • Method of scanning
      • Transabdominal
      • Transvaginal
      • Trans labial
    • Normal sonographic appearances

    – Uterus

    – Adnexa\ ovaries

    • Pathology
      • Common uterine anomalies
      • Displaced IUCD
      • Pelvic inflammatory disease PID (Acute and chronic)
      • Pelvic masses ( cystic, solid, complex)
      • Poly cystic ovaries disease
      • Endometrial hyperplasia
      • Endometrial polyp

    Obstetric ultrasound

    • Normal First trimester ultrasound
    • Overviews of first trimester
    • Normal pregnancy progression
    • Sonographic technique ( trans abdominal, transvaginal )
    • Visualization of early gestation
    • Visualization of embryo
    • Multiple gestation
    • Determination of gestation age ( Gestation Sac Size, Crown-Rump length )
    • First trimester risk assessment (nuchal translucency measurement, nasal bone )
    • First trimester complications
    • Placental hematomas and subchorionic hemorrhage
    • Absent intrauterine sac (ectopic sac)
    • Anembryonic pregnancy (blighted ovum)
    • Criteria for abnormal sac
    • Gestational trophoblastic diseases
    • Absent cardiac activity
    • Diagnosis of embryonic abnormalities in the first trimester
    • Acrania
    • Anencephaly
    • Cephalocele
    • Ventriculomegaly
    • Spina bifida
    • Cystic haygroma
    • Sonography of the second and third trimester
    • Initial steps and examination overview
      • Fetal presentation
    • Fetal anatomy of the second and third
      • The cranium
      • Face profile
      • Fetal spinal anomaly
      • The thorax
      • The heart
      • Fetal circulation
      • The gastrointestinal anomalies
      • Urinary anomalies
      • The genitalia
      • Upper and lower extremities
      • The umbilical cord
      • The placenta
      • The amniotic fluid(normal and abnormal finding )
    • Diagnosis of fetus anomalies
    • Omphalocele
    • Gastroschisis
    • Hydrocephaly
    • Hydrenencephaly
    • Infantile polycystic kidneys
    • Multi cystic dysplastic kidney
    • Encephalocele and spina bifida
    • Posterior urethric valve
    • Skeletal dysplasia
    • Fetal biometry
    • First trimester
    • Gestational sac diameter
    • Crown- Rump length
    • Second and third trimester
    • Biparietal diameter (BPD)
    • Head circumference
    • Abdominal circumference
    • Bone length (femur length-FL, Humers )














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