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 )