online education - Intro to Peripheral Arterial Physiological Testing

Online Course - Introduction to Peripheral Arterial Physiological Testing

Course Design
This is an Internet structured instructor driven course.  In addition to the course textbook, there will be numerous interactive exercises and simulations to ensure a total learning experience. The course participants will meet online in a private chat room on a weekly basis. The sessions will last approximately one hour.  Although attendance at the weekly chat sessions is not mandatory, it is highly encouraged.  Additional assignments will be posted on a class bulletin board.  The participant has the flexibly to work at a faster pace.  See specific course description for length of course.  A final exam will be given at the end of the course.  A certificate of completion will be awarded to each participant passing the individual sections and final exam. 

Online Peripheral Arterial Physiological Course Description
 This introductory physiological peripheral arterial course is specifically targeted to the professional needing to learn modality specific subject matter on physiologic peripheral arterial testing. This course is designed for the medical professional that cannot attend an off site program, and needs a modality specific correspondence program or a structured type program.  This course serves as an excellent tool for the professional needing to be cross-trained or as physiological peripheral arterial review for the ARDMS and CCI registry examinations.   The course includes:  physics, anatomy, and hemodynamics of the upper and lower extremity arterial systems, clinical aspects of disease, patient history and physical examination, peripheral arterial testing including: Doppler waveform analysis, segmental pressure, pulse volume recordings, pedal digit, hand digit, thoracic outlet syndrome, palmar arch patency, cold immersion, penile testing examination and interpretation.  The course uses a combination of extensive graphics, video and interactive exercises. The participants will have the opportunity to observe all peripheral arterial testing techniques of the lower and upper extremities including: Doppler waveforms, segmental pressures, pulse volume recordings, digit pressures, thoracic outlet syndrome, palmar arch patency and cold immersion. 

The course length is 6 weeks.
The course cost is $695.00.
This course cost includes an individual subscription membership to

Course Objectives:

  • To review basic physics and instrumentation
  • To describe arterial anatomy and hemodynamics
  • To describe clinical aspects of arterial disease,physicalexamination and patient history
  • To describe instrumentation and the various techniques of arterial testing
  • To review interpretation of the various examinations
  • To provide testing policy and procedures for each examination.

Introduction to Noninvasive Arterial Physiological Testing

1. Basic Physics And Equipment Selection
  • Sound
  • Continuous wave Doppler
  • Pulsed wave Doppler
  • Power
  • Output
2.  Basic Anatomy of the Arterial System
  • Direction terms
  • Blood vessels
  • Circulation
3.  Basic Hemodynamics of the Arterial System
  • Energy
  • Pressure
  • Blood flow
  • Pressure gradient
  • Resistance
  • Effects of exercise
  • Flow in disease
  • Flow patterns
4.  Clinical Aspects of Disease
  • Chronic peripheral disease
  • Aneurysmal disease
  • Acute arterial insufficiency
  • Associated diseases
5. Physical Examination

6. Patient History

7. Peripheral Arterial Doppler - Lower Extremities
  • Probe placement
  • Sound recognition
  • Waveform analysis
  • Testing protocol
  • Limitations
  • Sources of technical error
8.  Lower Segmental & Digit Pressure Testing
  • Resting segmental pressure measurement
  • Cuff placement
  • Testing protocol
  • Ankle/brachial Index
  • Normal testing criteria
  • Artifacts
  • Exercise testing
  • Reactive hyperemia
  • Pedal digital testing
9.  Pulse Volume Recording
  • Technique & principle
  • Cuff placement
  • Testing protocol
  • Normal testing criteria
  • Artifacts
10. Vasculogenic Impotence
  • Physiology
  • Testing protocol
  • Penile/brachial Index
  • Interpretation
  • Waveform analysis
11. Peripheral Arterial Interpretation
  • ABI
  • Segmental pressures
  • Doppler waveforms
  • Pulse volume recordings
  • Stress testing
  • Toe pressures
12. Anatomy and Disease States of the Upper Extremities
  • Anatomy of the upper extremities
  • Disease states
13. Upper Extremity Arterial Testing
  • Pulses
  • Testing protocols
  • Waveforms
  • Segmental pressures
  • Interpretation
  • Exercise testing
  • Pulse volume recording
  • Sources of technical error
14. Examination of the Hands and the Digits
  • Anatomy
  • Palmar arch testing
  • Digit Pressures
  • Cold immersion testing
  • Reactive hyperemia testing
15. Thoracic Outlet Syndrome
  • Anatomy review
  • Collateral pathways
  • Associated symptoms
  • Testing Protocols
16. Case Studies

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