Case Study Overcoming ECHO training challenges in Critical Care Settings James MacBrayne, Consultant in Critical Care and Anaesthesia at Aberdeen Royal Infirmary (UK) looks at the obstacles to ECHO training within intensive care and how simulation training is reversing the skills deficit of this diagnostic skill in the Critical Care unit. The hospital acquired a HeartWorks Simulator for TOE and TTE education a year ago to meet the growing demand for echo training within the Cardiology and Critical Care departments. Commenting on the hospital’s training provision prior to introducing simulation into their programmes, Dr. MacBrayne said, “We could only really practice on real patients and in the critical care environment many of the TTE windows were suboptimal meaning it was difficul

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