R. M. Lang, M. Bierig, R. B. Devereux, F. A. Flachskampf, E. Foster et al., Recommendations for Chamber Quantification: A Report from the American Society of Echocardiography's Guidelines and Standards Committee and the Chamber Quantification Writing Group, Developed in Conjunction with the European Association of Echocardiography, a Branch of the European Society of Cardiology, J Am Soc Echocardiogr, vol.18, issue.12, pp.1440-63, 2005.

G. S. Rozycki, M. G. Ochsner, J. H. Jaffin, and H. R. Champion, Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients, J Trauma, vol.34, issue.4, pp.526-527, 1993.

G. S. Rozycki, M. G. Ochsner, J. A. Schmidt, H. L. Frankel, T. P. Davis et al., A prospective study of surgeon-performed ultrasound as the primary adjuvant modality for injured patient assessment, J Trauma, vol.39, issue.3, pp.492-500, 1995.

A. N. Neskovic, T. Edvardsen, M. Galderisi, M. Garbi, G. Gullace et al., Focus cardiac ultrasound: the European Association of Cardiovascular Imaging viewpoint, Eur Heart J -Cardiovasc Imaging, vol.15, issue.9, pp.956-60, 2014.

C. Alauze, Echographie en pré hospitalier, p.13, 2006.

J. Disponible,

F. Adnet, M. Galinski, and F. Lapostolle, Echographie en traumatologie pour l'urgentiste : de l'enseignement à la pratique, Réanimation, vol.13, issue.8, pp.465-70, 2004.

J. K. Kristensen, B. Buemann, and E. Kühl, Ultrasonic scanning in the diagnosis of splenic haematomas, Acta Chir Scand, vol.137, issue.7, pp.653-660, 1971.

B. Thomas, R. E. Falcone, D. Vasquez, S. Santanello, M. Townsend et al., Ultrasound evaluation of blunt abdominal trauma: program implementation, initial experience, and learning curve, J Trauma. mars, vol.42, issue.3, pp.388-390, 1997.

T. S. Mcelveen and G. R. Collin, The role of ultrasonography in blunt abdominal trauma: a prospective study, Am Surg. févr, vol.63, issue.2, pp.184-192, 1997.

S. W. Branney, E. E. Moore, S. V. Cantrill, J. M. Burch, and S. J. Terry, Ultrasound based key clinical pathway reduces the use of hospital resources for the evaluation of blunt abdominal trauma, J Trauma, vol.42, issue.6, pp.1086-90, 1997.

G. Via, A. Hussain, M. Wells, R. Reardon, M. Elbarbary et al., International evidencebased recommendations for focused cardiac ultrasound, J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr, vol.27, issue.7, pp.683-684, 2014.

F. Mancuso, V. N. Siqueira, V. A. Moisés, A. Gois, A. De-paola et al., Focused Cardiac Ultrasound Using a Pocket-Size Device in the Emergency Room, Arq Bras Cardiol, vol.103, issue.6, pp.530-537, 2014.

X. Bobbia, L. Zieleskiewicz, C. Pradeilles, C. Hudson, L. Muller et al., The clinical impact and prevalence of emergency point-of-care ultrasound: A prospective multicenter study, p.54
URL : https://hal.archives-ouvertes.fr/hal-01729795

, Anaesth Crit Care Pain Med, vol.36, issue.6, pp.383-392, 2017.

H. Massen and C. Mercat, Intérêt des explorations par les ultrasons dans les véhicules de transport primaires d'urgence des malades ou blessés, Rev SAMU, vol.7, pp.321-325, 1983.

K. P. Rooney, Pre-hospital assessment with ultrasound in emergencies: implementation in the field, World J Emerg Med, vol.7, issue.2, p.117, 2016.

K. L. Booth, M. J. Reed, S. Brady, K. R. Cranfield, R. Kishen et al., Training paramedics in focussed echo in life support, Eur J Emerg Med Off J Eur Soc Emerg Med, vol.22, issue.6, pp.430-435, 2015.

M. Brooke, J. Walton, D. Scutt, J. Connolly, and B. Jarman, Acquisition and interpretation of focused diagnostic ultrasound images by ultrasound-naive advanced paramedics: trialling a PHUS education programme, Emerg Med J EMJ, vol.29, issue.4, pp.322-328, 2012.

F. Lapostolle, T. Petrovic, G. Lenoir, J. Catineau, M. Galinski et al., Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians, Am J Emerg Med, vol.24, issue.2, pp.237-279, 2006.

M. Grimbert, Évaluation des besoins en échographie pré-hospitalière au SMUR du Centre Hospitalier de Roubaix, 2017.

S. Benenati, A. Chardin, F. Laborne, R. Kadji, D. Sapir et al., Échoscopie ultraportable en SMUR (SMURSCOPE) : impact sur la prise en charge pré-hospitalière et l'orientation du patient, Anesth Réanimation, vol.1, pp.34-39, 2015.

-. Société-française-de-médecine-d'urgence and . Sfmu, Disponibilité et pratique de l'échographie clinique en SMUR : Enquête Nationale, 2016.

S. De-la, J. Duchenne, M. Martinez, C. Rothmann, P. Claret et al., Premier niveau de compétence pour l'échographie clinique en médecine d'urgence. Recommandations de la Société française de médecine d'urgence par consensus formalisé, 22. membres de la commission des référentiels, vol.6, pp.284-95, 2016.

L. A. Melniker, E. Leibner, M. G. Mckenney, P. Lopez, W. M. Briggs et al., Randomized Controlled Clinical Trial of Point-of-Care, Limited Ultrasonography for Trauma in the Emergency Department: The First Sonography Outcomes Assessment Program Trial, Ann Emerg Med, vol.48, issue.3, pp.227-262, 2006.

J. Montoya, S. P. Stawicki, D. C. Evans, D. P. Bahner, S. Sparks et al., From FAST to E-FAST: an overview of the evolution of ultrasound-based traumatic injury assessment, Eur J Trauma Emerg Surg, vol.42, issue.2, pp.119-145, 2016.

G. Volpicelli, M. Elbarbary, M. Blaivas, D. A. Lichtenstein, G. Mathis et al., International evidence-based recommendations for point-of-care lung ultrasound, Intensive Care Med, vol.38, issue.4, pp.577-91, 2012.

K. Alrajhi, M. Y. Woo, and C. Vaillancourt, Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis, Chest, vol.141, issue.3, pp.703-711, 2012.

O. J. Ma and J. R. Mateer, Trauma ultrasound examination versus chest radiography in the detection of hemothorax, Ann Emerg Med, vol.29, issue.3, pp.315-316, 1997.

P. Brun, J. Bessereau, H. Chenaitia, A. Pradel, C. Deniel et al., Stay and play eFAST or scoop and run eFAST? That is the question!, Am J Emerg Med, vol.32, issue.2, pp.166-70, 2014.

D. A. Lichtenstein and G. A. Mezière, Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol, Chest, vol.134, issue.1, pp.117-142, 2008.

D. A. Lichtenstein, Échographie pleuro-pulmonaire. /data/revues/16240693/v0012i01/02000051

D. Sur,

A. J. Labovitz, V. E. Noble, M. Bierig, S. A. Goldstein, R. Jones et al., Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians, J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr, vol.23, issue.12, pp.1225-1255, 2010.

R. Breitkreutz, F. Walcher, and F. H. Seeger, Focused echocardiographic evaluation in resuscitation management: Concept of an advanced life support-conformed algorithm, Crit Care Med, vol.35, pp.150-61, 2007.

C. L. Moore, G. A. Rose, V. S. Tayal, D. M. Sullivan, J. A. Arrowood et al., Determination of left ventricular function by emergency physician echocardiography of hypotensive patients, Acad Emerg Med Off J Soc Acad Emerg Med, vol.9, issue.3, pp.186-93, 2002.

M. R. Randazzo, E. R. Snoey, M. A. Levitt, and K. Binder, Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography, Acad Emerg Med Off J Soc Acad Emerg Med, vol.10, issue.9, pp.973-980, 2003.

A. R. Manasia, H. M. Nagaraj, R. B. Kodali, L. B. Croft, J. M. Oropello et al., Feasibility and potential clinical utility of goal-directed transthoracic echocardiography performed by noncardiologist intensivists using a small hand-carried device (SonoHeart) in critically ill patients, J Cardiothorac Vasc Anesth, vol.19, issue.2, pp.155-164, 2005.

B. P. Lucas, C. Candotti, B. Margeta, A. T. Evans, B. Mba et al., Diagnostic accuracy of hospitalist-performed hand-carried ultrasound echocardiography after a brief training program, J Hosp Med, vol.4, issue.6, pp.340-349, 2009.

A. Beraud, N. W. Rizk, R. G. Pearl, D. H. Liang, and A. J. Patterson, Focused transthoracic echocardiography during critical care medicine training: curriculum implementation and evaluation of proficiency, Crit Care Med, vol.41, issue.8, pp.179-181, 2013.

P. Vignon, F. Mücke, F. Bellec, B. Marin, J. Croce et al., Basic critical care echocardiography: validation of a curriculum dedicated to noncardiologist residents, Crit Care Med, vol.39, issue.4, pp.636-678, 2011.

R. C. Tanzola, S. Md, . Walsh, W. M. Bsc, M. A. Hopman et al., Brief report: Focused transthoracic echocardiography training in a cohort of Canadian anesthesiology residents: a pilot study, J Can Anesth, 2013.

P. Vignon, A. Dugard, J. Abraham, D. Belcour, G. Gondran et al., Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit, Intensive Care Med, vol.33, issue.10, pp.1795-1804, 2007.

T. Martin and C. Carrié, Evaluation des compétences diagnostiques après un programme de formation spécifique à l'échoscopie préhospitalière chez les patients instables, 2015.

, Expert Round Table on Ultrasound in ICU. International expert statement on training standards for critical care ultrasonography, Intensive Care Med, vol.37, issue.7, pp.1077-83, 2011.

S. J. Kern, R. S. Smith, W. R. Fry, S. D. Helmer, J. A. Reed et al., Sonographic examination of abdominal trauma by senior surgical residents, Am Surg, vol.63, issue.8, pp.669-74, 1997.

R. S. Smith, S. J. Kern, W. R. Fry, and S. D. Helmer, Institutional Learning Curve of Surgeon-Performed Trauma Ultrasound, Arch Surg, vol.133, issue.5, pp.530-536, 1998.

S. R. Shackford, F. B. Rogers, T. M. Osler, M. E. Trabulsy, D. W. Clauss et al., Focused abdominal sonogram for trauma: the learning curve of nonradiologist clinicians in detecting hemoperitoneum, J Trauma, vol.46, issue.4, pp.562-564, 1999.

M. Biais, C. Carrié, F. Delaunay, N. Morel, P. Revel et al., Evaluation of a new pocket echoscopic device for focused cardiac ultrasonography in an emergency setting, Crit Care, vol.16, issue.3, p.82, 2012.

F. Co?kun, E. Ak?nc?, and M. A. Ceyhan, Sahin Kavakl? H. Our new stethoscope in the emergency department: handheld ultrasound. Ulus Travma Ve Acil Cerrahi Derg Turk, J Trauma Emerg Surg TJTES, vol.17, issue.6, pp.488-92, 2011.

J. R. Marin, A. M. Abo, A. C. Arroyo, S. J. Doniger, J. W. Fischer et al., Pediatric emergency medicine point-of-care ultrasound: summary of the evidence, Crit Ultrasound J, vol.8, issue.1, p.16, 2016.

J. L. Coz, S. Orlandini, L. Titomanlio, and V. E. Rinaldi, Point of care ultrasonography in the pediatric emergency department, Ital J Pediatr, vol.44, issue.1, p.87, 2018.

D. Klugman and J. T. Berger, Echocardiography & Focused Cardiac Ultrasound, Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc, vol.17, issue.8, pp.222-226, 2016.

J. R. Marin, N. S. Zuckerbraun, and J. M. Kahn, Use of emergency ultrasound in United States pediatric emergency medicine fellowship programs in 2011, J Ultrasound Med Off J Am Inst Ultrasound Med, vol.31, issue.9, pp.1357-63, 2012.

D. Ramirez-schrempp, D. H. Dorfman, I. Tien, and A. S. Liteplo, Bedside ultrasound in pediatric emergency medicine fellowship programs in the United States: little formal training, Pediatr Emerg Care, vol.24, issue.10, pp.664-671, 2008.

O. Brissaud, J. Guichoux, F. Villega, and G. Orliaguet, Quelle évaluation hémodynamique non invasive en réanimation pédiatrique en, Ann Fr Anesth Réanimation, vol.29, issue.3, pp.233-274, 2009.

B. Angèle, Echocardiographie et SMUR pédiatrique. Création d'un référentiel et de formations d'échographie cardiaque pédiatrique embarquée, 2016.

J. F. Holmes, A. Gladman, and C. H. Chang, Performance of abdominal ultrasonography in pediatric blunt trauma patients: a meta-analysis, J Pediatr Surg, vol.42, issue.9, pp.1588-94, 2007.

G. A. Taylor and C. J. Sivit, Posttraumatic peritoneal fluid: Is it a reliable indicator of intraabdominal injury in children?, J Pediatr Surg, vol.30, issue.12, pp.1644-1652, 1995.

D. Klugman and J. T. Berger, Echocardiography as a hemodynamic monitor in critically ill children, Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc, vol.12, issue.4, pp.50-54, 2011.

S. ?ahin, M. Yaz?c?, G. Ayar, T. Köksal, ?. ?. Çetin et al., Clinical impact and efficacy of bedside echocardiography on patient management in pediatric intensive care units (PICUs): A prospective study, Anatol J Cardiol, vol.18, issue.2, pp.136-177, 2017.

S. Ranjit and N. Kissoon, Bedside echocardiography is useful in assessing children with fluid and inotrope resistant septic shock, Indian J Crit Care Med Peer-Rev Off Publ Indian Soc Crit Care Med, vol.17, pp.224-254, 2013.

G. Inagawa, N. Morimura, T. Miwa, K. Okuda, M. Hirata et al., A comparison of five techniques for detecting cardiac activity in infants, Pediatr Anesth, vol.13, issue.2, pp.141-147, 2003.

F. J. Ochoa, E. Ramalle-gómara, J. M. Carpintero, A. García, and I. Saralegui, Competence of health professionals to check the carotid pulse, Resuscitation, vol.37, issue.3, pp.173-178, 1998.

A. Sarti, F. Savron, L. Ronfani, G. Pelizzo, and B. E. , Comparison of three sites to check the pulse and count heart rate in hypotensive infants, Paediatr Anaesth, vol.16, issue.4, pp.394-402, 2006.

J. W. Tsung and M. Blaivas, Feasibility of correlating the pulse check with focused point-of-care echocardiography during pediatric cardiac arrest: a case series, Resuscitation, vol.77, issue.2, pp.264-273, 2008.

A. C. Levine, S. P. Shah, I. Umulisa, R. Munyaneza, J. M. Dushimiyimana et al., Ultrasound assessment of severe dehydration in children with diarrhea and vomiting, Acad Emerg Med Off J Soc Acad Emerg Med, vol.17, issue.10, pp.1035-1076, 2010.

L. Chen, Y. Kim, and K. A. Santucci, Use of ultrasound measurement of the inferior vena cava diameter as an objective tool in the assessment of children with clinical dehydration, Acad Emerg Med Off J Soc Acad Emerg Med, vol.14, issue.10, pp.841-846, 2007.

H. A. Gaspar, S. S. Morhy, A. C. Lianza, W. B. De-carvalho, J. L. Andrade et al., Focused cardiac ultrasound: a training course for pediatric intensivists and emergency physicians, BMC Med Educ, vol.14, p.25, 2014.

C. F. Spurney, C. A. Sable, J. T. Berger, and G. R. Martin, Use of a hand-carried ultrasound device by critical care physicians for the diagnosis of pericardial effusions, decreased cardiac function, and left ventricular enlargement in pediatric patients, J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr, vol.18, issue.4, pp.313-322, 2005.

S. Brunet and G. Journée-de-recherche-du, POCUS en SMUR pédiatrique, 2018.

K. Browning-carmo, T. Lutz, M. Greenhalgh, A. Berry, M. Kluckow et al., Feasibility and utility of portable ultrasound during retrieval of sick preterm infants, Acta Paediatr, vol.106, issue.8, pp.1296-301, 2017.

P. H. Mayo, Y. Beaulieu, P. Doelken, D. Feller-kopman, C. Harrod et al., American, vol.58

, College of Chest Physicians/La Société de Réanimation de Langue Française Statement on Competence in Critical Care Ultrasonography, Chest, vol.135, issue.4, pp.1050-60, 2009.

P. Vignon, A. Dugard, J. Abraham, D. Belcour, G. Gondran et al., Focused training for goal-oriented hand-held echocardiography performed by noncardiologist residents in the intensive care unit, Intensive Care Med, vol.33, issue.10, pp.1795-1804, 2007.

J. H. Alexander, E. D. Peterson, A. Y. Chen, T. M. Harding, D. B. Adams et al., Feasibility of pointof-care echocardiography by internal medicine house staff, Am Heart J, vol.147, issue.3, pp.476-81, 2004.

L. Mertens, I. Seri, J. Marek, R. Arlettaz, P. Barker et al., Targeted Neonatal Echocardiography in the Neonatal Intensive Care Unit: practice guidelines and recommendations for training. Writing Group of the American Society of Echocardiography (ASE) in collaboration with the European Association of Echocardiography (EAE) and the Association for European Pediatric Cardiologists (AEPC), J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr, vol.24, issue.10, pp.1057-78, 2011.

, Veine cave inférieure : Dilatée / Normale/ Collabée

, Epanchement péricardique : Oui / Non

, Ventricule gauche : Normal / Dilaté / Petit

, Ventricule droit : Normal / Dilaté /Petit

, Fonction ventriculaire droite : Hyperkinétique / Normale/ Intermédiaire / Sévèrement réduite Interprétation : ETT normale / Indication au remplissage / Dysfonction VG / Dysfonction VD / Épanchement péricardique Validation du tuteur : Accord avec le(s) diagnostic(s) échographique(s) : Oui / Non Accord avec l'interprétation, Hyperkinétique / Normale/ Intermédiaire / Sévèrement réduite 9

, Au moment d'être admise à exercer la médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité

, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux

, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte

, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences

, Admise dans l'intimité des personnes, je tairai les secrets qui me seront confiés. Reçue à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs

, Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément

, Je n'entreprendrai rien qui dépasse mes compétences. Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses ; que je sois déshonorée et méprisée si j'y manque