Definition

There are three possible training levels in which to practice EMUS.

• Core skills involve the most basic level of independent practice and covers FAST, assessment of the abdominal aortic aneurysm, vascular access and ECHO in life support.
• Level 2 involves training and practice in at least three extended areas
• Level 3 implies sub-specialty expertise

However, there are many applications of EMUS. The most notoriety has been attached to trauma and the focussed assessment using sonography in trauma (FAST) scan. In fact, it is probably more used in the assessment of abdominal pain where an abdominal aortic aneurysm (AAA) may be the cause.

Central vascular access can be carried out much more safely and reliably due to the direct visualisation that ultrasound affords. Peripheral vascular access can be carried out in situations where veins cannot otherwise be found.

Foreign bodies may be seen, and pus collections confirmed, with very limited skills. More advanced use includes assessment of obstructive uropathy, foetal visualisation, assessment of gall bladder pathology, deep vein thrombosis and musculo-skeletal assessments.