WINFOCUS Focused Cardiac Ultrasound© Provider Course


Kaul Skills Lab is the collaborating partner of WINFOCUS in Pakistan.

Course Description

This blended course on Focused Cardiac Ultrasound (FoCUS) that includes e-lectures,videos, evaluation, scenarios, quizzes, & in-person hands-on skill component of WINFOCUS FoCUS© Course is based on WINFOCUS' 15 years of teaching experience around the globe. The FoCUS© course is specifically designed for critical care and emergency physicians, anesthesiologists, acute cardiac care clinicians, and healthcare providers in general, dealing with cardiovascular emergencies. The course is targeted at those who are new to cardiac ultrasound and covers the use of limited Transthoracic Echocardiography (TTE) in the setting of cardiac arrest, peri-resuscitation and shock, and as a screening tool for the unstable patient in the ICU or any emergency setting. It might also be of interest to more experienced echocardiographers interested in making the ultrasound investigation of the critically ill patient more effective and ALS-compliant. The course (formerly known as Winfocus Basic Echo, WBE) has reached its 140th edition since 2008, and has been delivered in more than 50 countries worldwide. Its educational content conforms to the proceedings of the 1st International Consensus Conference on Focused Cardiac UltraSound (Via G, Hussain A, et al. International Evidence-Based Recommendations for Focused Cardiac Ultrasound - J AM SOC ECHOCARDIOGRAPHY 2014). As additional benefit, It prepares for WINFOCUS FoCUS© International Certification.

Focused cardiac ultrasound (FoCUS) is a simplified, clinician-performed application of echocardiography that is rapidly expanding in use, especially in emergency and critical care medicine. Performed by appropriately trained clinicians, typically not cardiologists, FoCUS ascertains the essential information needed in critical scenarios for time-sensitive clinical decision making.

This brand new, up-to-date edition (2022) is based on a concept of evidence-based ultrasonography and a thorough description of the pathophysiology underpinning the taught sonographic signs and patterns. A clinical-sonographic integrated approach facilitates appropriate FoCUS implementation into real life clinical scenarios. The new flipped classroom format entails an e-Course as pre-requisite to the workshop. This content is made available also after the workshop for consolidating FoCUS competencies and skills. Six hours of hands-on training will be provided during the 1 day workshop, with a guaranteed trainer to trainee ratio of no greater than 1 to 5. Language of formal lectures of the course and e-Learning will be ENGLISH.


  • Foundations of the specific WINFOCUS educational approach to FoCUS
  • Know how WINFOCUS FoCUS curriculum is structured
  • Know the outline of the e-learning component of WINFOCUS FoCUS curriculum
  • know the specific features of FoCUS in comparison to comprehensive echocardiography
  • be aware of the place of FoCUS ultrasound within echocardiography competencies & training
  • be aware of the role of FoCUS within the approach to critical patients with cardiovascular compromise
  • describe the principles, aims & targets of a FoCUS exam
  • understand spatial relationships between the transducer and cardiac anatomical planes
  • know the theoretical background to obtain a set of transthoracic views for FoCUS
  • start scanning to obtain FoCUS Views
  • learn how to handle the ultrasound machine in the critical care setting
  • understand the differences between ultrasound transducers and their applications
  • recognize basic features of ultrasound devices
  • know the theoretical background required to use the controls for image optimization
  • understand why the FoCUS exam should start by screening for the signs of chronic heart disease
  • remember the simple rules of thumb to recognize the signs of chronic cardiac disease based on pathophysiology
  • remember the most frequent patterns of chronic heart disease
  • understand LV systolic function assessment based on ejection fraction
  • describe eyeballing techniques to assess global LV systolic function
  • identify FoCUS signs of global LV systolic dysfunction
  • recognize the presence of gross discrepancies in LV regional systolic function
  • understand RV distinctive features that make RV systolic function assessment more difficult compared to LV
  • acquire confidence with ultrasound signs of RV failure
  • know how to perform a TAPSE measurement
  • correctly interpret RV failure us findings in the context of possible severe pulmonary embolism or chronic RV disease
  • understand which kind of information FoCUS can provide on intravascular fluid status
  • know how to screen for severe central hypovolemia
  • know how to diagnose fluid responsiveness, to the extent that FoCUS allows
  • identify FoCUS signs of potential fluid intolerance
  • raise suspicion for the presence of vasodilation as the main cause of shock
  • recognize pericardial effusion and estimate its size/volume
  • know the theoretical background to use 2-d echo to detect findings consistent with tamponade
  • be aware of how tamponade can sometimes be difficult to diagnose
  • be aware of the limitations of FoCUS in the diagnosis of tamponade
  • know the confounding factors in the diagnosis of tamponade
  • understand the role of FoCUS as concerns cardiac valves disease and intracardiac masses
  • remember the basis of the FoCUS approach to valves: assessment of morphology and motion
  • remember the targets of the FoCUS assessment of mitral and aortic valves: masses, abnormal thickening, holes,
  • exaggerated mobility / restriction to motion
  • recognize intracardiac masses & prosthetic devices
  • understand the role of FoCUS during cardiac arrest
  • know theoretical background to safely implement FoCUS into acts for cardiac arrest
  • be able to recognize FoCUS Patterns that may be seen in cardiac arrest with non-shockable cardiac rhythms
  • understand the limited prognostic information that can be derived from the FoCUS patterns seen during cardiac arrest
  • know the main FoCUS patterns in shock
  • start implementing a systematic clinical-ultrasound integrated approach to shock
  • be aware of situations going beyond the diagnostic capability of FoCUS
  • 10+ International trainers
  • Engaging videos
  • Pubmed referred literature
  • Checklists & report sheets for practice
  • Cheat sheets & Infographics
  • Hand-to-eye coordination videos
Register E-Course Now
Hands-on Workshop
  • 8+ hours hand-on workshop
  • 12 hands-on stations
  • 6 trainers
  • 5:1 trainer-trainee ratio
  • Simulated patients
  • Completion certificate
Register Workshop
Collaborating Partner in Pakistan
For registration & further queries: or call: +92-0318-4179410 (Mr. Shahroze Rasheed)
Demo e-Lecture available at:
Course Description at: