In step 1 we covered identifying chambers, not just counting chambers. I suggest mentally go through this process every time until it becomes automatic.
Since we don't see anomalies very frequently, we tend to get lulled into a sense of complacency. When an anomaly does arise, our minds will sometimes try to dismiss the abnormality as angle, shadowing or whatever and of course, sometimes it will be just that.... but don't be afraid to bring the patient back to get a better look or send them for an echo... better to be safe than sorry.
The video for step 2 is the longest of our 5 part series, but it is well worth watching and may be the most important step. We will teach you an important, yet easy, way of preventing yourself from missing some of the more challenging and subtle anomalies and give you some "hard lines" you should never cross when approaching the fetal heart.
It's only 12 minutes, but I have a short attention span! If you're like me, you can click on the settings button in the right lower corner of the video and adjust the speed to 1.5x (Yes, Roy will sound a little bit like a chipmunk, but it'll save you time). I haven't figured out how to do it on a mobile device, but if you do, let me know!!
Subscribe below and make sure you don't miss the next step! We'll also let you know when the full website becomes available.
Thanks for watching,
Dr. Roy Filly is professor emeritus of Radiology and Obsetrics/Gynecology at UCSF and co-founder of the fetal treatment program.