POCUS Desert Island Escape

By Claire Wegner

Use with caution

Notes about the island

Notebook

POCUS Escape room

Desert Island

Backpack

Tiririri-ri!

This diary narrates the experiences of a brave castaway who, after ending up on a remote island, faces a series of clever challenges to obtain the necessary resources to build a raft and be able to escape from this desolate island. Are you ready for this thrilling survival quest?

Reinforce your knowledge and skills in POCUS through interactive questions and case-based senarios!

Introduction

Make your way through each obstacle by answering the questions correctly

Missions

Shelter

Raft

Forest

Shrubs

Plane

Backpack

Backpack

mission

Luggage

Airplane

How to orient the ultrasound transducer

The Probe

Backpack

mmm

D. Feet or left side of body

C. Feet or right side of body

B. Head or right side of body

A. Head or left side of body

The orientation marker on the transducer corresponds with the blue dot on the ultrasound image. In general, which two directions should this marker be pointing twards? Either towards the patient's....

Backpack

Let's go!

D. Moving whole probe in one direction

C. "Heel-toeing" on its long axis

B. "Fanning" from side to side on its short axis

A. twisting in a clockwise or counterclockwise direction

There are many possible tansducer manuvers that are necessary for succesful scanning. Choose the correct description for rocking?

Backpack

Here you go!

You have food and cooking utensils

GOOD!

It will be added to your backpack. You will need it to be able to eat during the days you spend on the deserted island.

You have mastered the transducer! On to the next!

Missions

Backpack

Shelter

Raft

Forest

Shrubs

Plane

mission

Test your ability to recognize normal anatomical structures and their correct placement on ultrasound

Anatomy Identification

Backpack

Forest

Logs

Backpack

Watch the video and answer the following questions

Guess the Scan!

Which of the following is the parasternal short axis view?

Backpack

B.

A.

C. Basilic vein

What structure is visible in this ultrasound?

Backpack

B. Inferior vena cava

A. Abominal aorta

A. Liver

C. Kidney

Identify this hypoechoic structure in an eFAST scan:

Backpack

B. Gallbladder

D. Bladder

C. Kidney

What is the hyperechoic line in this ultrasound?

Backpack

B. Lung

A. Diaphragm

Backpack

Great!

You have a rope, maybe it will be useful for you

GREAT!

Will be added to your backpack. You will need it for the days you spend on the desert island.

You are making great progress!

Missions

Shelter

Raft

Forest

Shrubs

Plane

Backpack

Mission

Now let's review abnormal findings on ultrasound, cruical to making the correct diagnosis!

Pathology recognition

Shrub

Food

Backpack

Backpack

The complete collapse of this structure rules out which diagnosis?

C. Deep vein thrombosis

B. Aortic aneurism

A. Lymphadenopathy

The "seashore sign" indcates normal lung sliding

Which of the following diagnosis would show the "barcode sign" (horizonal lines with no movement)?

A. Pleural Effusion

This is the M-mode of a healthy lung

Backpack

B. Pneumonia

C. Pneumothorax

Backpack

Keep it up!

You have a hatchet, it might be useful to you

GOOD!

It will be added to your backpack. You will need it for the days you spend on the deserted island.

You are almost there!

Missions

Shelter

Raft

Forest

Shrub

Airplane

Backpack

Mission

Lets tackle proper scanning technique and documentation

Mastering Ultrasound

Shelter

Tent

Backpack

Backpack

Which of the following is an important consideration when placing an internal jugular vein central line?

C. Ensure the carotid artery is located laterally to the IJ vein

B. Determine the diameter of the IJ vein for needle size

A. Position the transducer anteriorly until the carotid artery is directly below the IJ vein

https://www.pocus101.com/aorta-ultrasound-made-easy-step-by-step-guide/

Backpack

The proper documentation of an abdominal aorta inclues one longitudinal view and which of the following transverse views:

C. 2, 3, 5

B. 1, 3, 6

A. 3, 4, 5

The lower extremity DVT scan should include compression of:

https://www.pocus101.com/dvt-ultrasound-made-easy-step-by-step-guide/

Backpack

- the common femoral vein below the inguinal ligament - the juction of the deep femoral vein and superficial femoral vein - what else....?

C. These two views are sufficient

B. Popliteal vein

A. superior to internal and external iliac vein junction

Backpack

There you go!

You have a flashlight, maybe it will be useful to you

GOOD!

It will be added to your backpack. You will need it for the days you spend on the deserted island.

One last obstacle!

Missions

Shelter

Raft

Forest

Shrubs

Airplane

Backpack

Keep searching

Keep searching

Keep searching

Code: 1234

Keep searching

Check the items in your backpack and use the flashlight to find the code to access the final mission that will allow you to escape from the deserted island.

Wait, look in your backpack

Enter the code you have obtained to access the final mission

Enter the password

Next

You have explored the entire island, managed to build a raft, but now you can't remember where you left your backpack and you'll need it before you can leave. On the map, you can see the places where your backpack might be.

Shrubs

Shelter

Mountains

Airplane

Forest

Deserted Island Map

Drag the parts of the map to find where you left your backpack and be able to escape from the deserted island.

Wow, you got it!

Once again!

CONGRATULATIONS!

Congratulations adventurer! You have shown great bravery and wit. You have successfully overcome each challenge and have managed to build the raft that will take you back to the civilized world. May your journey back be filled with new adventures and emotions!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Mission

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Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to immerse yourself in a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to immerse yourself in a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Hint

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and riddles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each puzzle.

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to immerse yourself in a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to immerse yourself in a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to immerse yourself in a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Mission

A cool subtitle here

Welcome to a new mission in our exciting adventure! In this challenging task, you will face unique obstacles that will test your wit and teamwork. Get ready to dive into a world full of mysteries and emotions, where every decision will bring you closer to victory. Let the survival begin!

Clue

In this window, you will find a series of key clues that will help you solve the challenges and puzzles that await you on this deserted island. Remember to keep your eyes wide open and work as a team to decipher each riddle.

Don't give up!

even the greatest explorers faced unexpected challenges

Don't be discouraged, the adventure is not over yet! Take a moment to rest and try again. Remember every mistake is a learning opportunity that will bring you closer to victory. Cheer up, brave adventurer!

Ouch!