IFA Talks

6th IFAD 2017 - 006 - ADRIAN WONG


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"What you do now—you cut it through." As you do, you'll see a tiny portion of the anterior mitral leaflet, particularly the A2 segment, and just behind it, a glimpse of the posterior leaflet. This is one of the foundational skills we teach in the Point-of-Care Ultrasound (POCUS) Beginners Course at the IFAD Fluid Academy Meeting.

I am Adrian Wong from UK, and I am the course director for this POCUS course, which I helped organize to include both didactic lectures and hands-on sessions. The goal is to give novices a solid introduction to bedside ultrasound—scanning the heart, lungs, abdomen, and vascular system—essential tools in modern critical care.

And yes—Kuma Rinrich! I finally had the pleasure of meeting you here in Europe!

Most of today's attendees are complete beginners in point-of-care ultrasound. Many are from Belgium, and they've come to develop a skill that is rapidly becoming essential in daily clinical practice. We're helping them build confidence through structured teaching, followed by interactive scanning sessions where they get to apply the concepts in real time.

One key concept we emphasize is the phenomenon of foreshortening—something as simple as rotating the probe just slightly can dramatically alter the image and lead to misinterpretation. That's why both technique and anatomical understanding are crucial.

I believe this is a very important congress. While the word "fluid" is in the title, the IFAD meeting is about much more than fluid therapy—it brings together experts across the spectrum of critical care medicine. Still, fluid remains one of the cornerstones of critical care, and this event provides a platform to debate and dissect its use in real-world clinical practice.

Fluid management has always been controversial—what type of fluid should we give, how much, when, and when should we take it off? These are basic yet vital questions. And because fluid administration is one of the most common interventions in medicine, it often doesn't receive the scrutiny it deserves. That's why meetings like IFAD are so valuable. They provide space not only to review the evidence but also to debate our practices, challenge assumptions, and improve patient care.

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IFA TalksBy Manu Malbrain