Cardiac ultrasound

Focus Assessed Transthoracic Echocardiography (FATE)


FATE is an acronym for “Focus Assessed Transthoracic Echocardiography”

FATE is the original focused echo protocol for all physicians – practiced since 1989

FATE is easily and quickly learned and can be applied in all clinical scenarios – e.g. pre-, intra-, and postoperatively, intensive care medicine, emergencies, and resuscitation

FATE can be performed with the patient in the sitting position

The FATE card (see figure) also encompasses quick guidance in the interpretation of the echocardiographic findings and their application in the clinical context

FATE can be performed in all locations: OR, ICU, emergency room, pre-hospital, ambulance, in-flight, patient’s home – there are no limitations

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You can download the FATE card from: usabcd.org/FATE-card

FATE levels of training


There are currently two available levels of FATE training

Basic FATE (Level 1)
Based on two-dimensional imaging of the four easiest cardiac views, IVC and pleural supplemented by M-mode, the subject learns cardiac function and the most important pathology seen in critical care

No precourse qualifications are required

Advanced FATE (Level 2)
Basic FATE supplemented with extended cardiac views and Doppler ultrasound for cardiac output and pressure measurements, together with assessment of LV diastolic function. This module requires completion of Basic FATE level of training or a similar level

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Requirements for Level 1 certification as suggested by USabcd

The FATE card


The course is based on the famous FATE card, either the laminated hard copy or apps for iPhone or Android

You should keep the FATE card in front of you during the entire course

You can download the FATE card here

The FATE Card app is also available in the Appstore and Google Play

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