247 Critical Care

David is a practicing Clinical Academic at University College London (UCL) and University College London Hospitals (UCLH). He trained in Medicine, Anaesthesia and Critical Care and worked in Wessex, Oxford, Toronto and London. He started his career at a time when those wielding an echo probe on ICU were considered mavericks. David will end his career pleased to see point-of-care ultrasound use to now be commonplace and improving the management of patients in so many non-traditional clinical settings. Echocardiography like so much we do in medicine requires an understanding of scientific principles, the acquisition of knowledge and skills and the application of each to support a patient diagnosis and management plan. Disease pattern recognition in the echo images we produce play an important part in the learning journey from novice to expert echocardiographer. When considered in the context of a patient’s history, echo is both a powerful diagnostic tool and dynamic monitor of cardiac function. As such, we provide here an opportunity for students to test their own knowledge by reviewing both the clinical case history and the echo clips, to come up with their own assessment, good luck!