As technology advances and our understanding of gynecological emergencies grows, ultrasound continues to play a crucial role in improving patient outcomes and ensuring optimal care in emergency settings.
Overview
Course name: ATC9 Gynecological emergencies
Duration of course: 10 hours (+ supplementary materials)
Length of access for each course: 12 months
Certificates: 10 CME credits and ISUOG Certificate of Completion
Access: Online learning, learn at your own pace.
Education level: Advanced
Program language: English
Suitable for: Practicing gynecologists, trainees, fellows, residents, nurses, radiographers, sonographers, GPs and healthcare professionals performing ultrasound scans.
Why do this course?
Gynecological emergencies are prevalent worldwide and account for a significant portion of emergency department visits by women. The exact prevalence can vary based on region, healthcare infrastructure, and population demographics. These conditions highlight the significant impact of gynecological emergencies on women’s health globally, underscoring the need for effective diagnosis, management, and education to improve outcomes.
Abnormal Vaginal Bleeding: It is one of the most common complaints, with about 20-30% of reproductive-age women experiencing abnormal bleeding at some point. Acute pelvic pain is a common complaint among women worldwide and accounts for a substantial number of visits to emergency departments and healthcare providers. Ovarian Torsion accounts for about 2.7% of emergency surgeries for acute pelvic pain in women. The complications of Pelvic Inflammatory Disease (PID) include; chronic pelvic pain (25% of cases), infertility, and ectopic pregnancy (15-50%).
Course description
In emergency gynecology, common presentations include abnormal vaginal bleeding, pelvic pain, or a combination of both. These conditions can range from ectopic pregnancies to ovarian torsion, endometriosis, and pelvic inflammatory disease. Ultrasound plays a crucial role as an essential diagnostic tool in assessing acute pelvic pain and bleeding. It allows for real-time visualization of pelvic organs, helping to identify the underlying cause quickly and accurately. This course will explore various gynecological emergencies and how ultrasound is utilized in their diagnosis, treatment, and management, providing insights into effective patient care in emergency settings. While detailed in this course, endometriosis and ectopic pregnancies are each explored in courses of their own.
This course covers the following topics: Pelvic pain; pediatric, adolescent and adult women. Abnormal bleeding; in pregnant and non-pregnant patients. Pelvic Inflammatory Disease, including Salpingitis, and other types of tubal inflammation. Adnexal torsion, with case studies. Complications of assisted conception, and ultrasound guided proceedures.
Contributors to this course
Course contributors: Andrew Cowling, Lucas Trigo, Daniela Fischerová, Divya Singh
Course materials: Dr. Ong Chiou Li, Dr. Mathew Leonardi, Professor Beryl Benacerraf, Dr. Tina Tellum, Professor Ligita Jokubkiene, Dr Emma Kirk, Professor Davor Jurkovic, Dr. James Stephenson, Professor Thierry Van den Bosch, Dr. Tejal Amin, Dr. Regina Rosario Panlilio Vitriolo, Professor Antonia Testa, Professor Simcha Yagel, Dr. Conrad Von Semple, Dr. Joseph Yazbek.
Learning objectives
- Recognize the most common presentations of gynaecological emergencies.
- Understand the causes of acute pelvic pain and abnormal uterine bleeding.
- Learn to read the ultrasound features of emergent conditions, such as adnexal torsion.
- Distinguish between ultrasound characteristics of pelvic inflammatory disease and tubo ovarian abscess for accurate diagnosis.
- Identify non-gynecological causes of acute pelvic pain using ultrasound, ensuring comprehensive patient care.
Key questions
- Why is diagnosing the cause of acute pelvic pain in pregnant individuals challenging?
- What sonographic markers should we look for when investigating adnexal torsion?
- What non-gynecological causes could be the source of acute pelvic pain?
- What is the appropriate management for pelvic inflammatory disease?
- What complications can arise from assisted conception, and surgical interventions?
Prices
Prices for ISUOG members
| ISUOG member | £75 |
| ISUOG member - with trainee/sonographer discount  | £40 |
| ISUOG member in middle-income setting | £40 |
| ISUOG member in lower-resource setting | £10 |
Prices for ISUOG non-members*
| Non-member | £85 |
| Non-member - with trainee/sonographer discount  | £50 |
| Non-member in middle-income setting | £50 |
| Non-member in lower-resource setting | £15 |
* Prices for non-members does NOT include ISUOG membership. Join as an ISUOG member first for discounted prices to our online training courses (allow 24 hours for systems to update).
Trainees/residents and sonographers/radiographers
Proof of status: All trainees, residents, sonographers and radiographers will need to submit proof of their trainee, resident, sonographer or radiographer status by way of a letter from their Department or Institution. The letter must be in English and dated within the last 3 months and submitted by email to [email protected] along with the name of the course you wish to purchase.
Sonographer definition: A sonographer is a non-physician medical imaging professional who performs diagnostic medical sonography, or diagnostic ultrasound.
Trainee/resident definition: A trainee is a medical professional who is not yet fully qualified or practicing without supervision within their chosen specialty and in accordance with the relevant national regulatory authorities; a resident is in residency training which leads to specially or subspecialty) certification.
Low resource country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from low resource countries have the lowest purchase costs. ISUOG's low resource country list can be viewed here https://www.research4life.org/access/eligibility/.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Middle income country discount
ISUOG's mission is to disseminate the highest quality education to the broadest audience. To support this aim, we have ensured that attendees from middle income countries have access to reduced purchase costs. ISUOG has identified the following countries whose economies fall within the middle income category as defined by the World Bank: American Samoa, Argentina, Brazil, Bulgaria, China, Costa Rica, Dominican Republic , India, Indonesia, Iran, Kazakhstan, Malaysia, Mexico, Philippines, Russia, Serbia, South Africa, Thailand, Turkey, Turkmenistan.
No other discounts can be used in conjunction with this rate. These rates will appear automatically in the ISUOG Academy based on your membership details, or registered details. Please make sure these details are up to date.
Further information
Accreditation and CME Credits
CME credits
The European Accreditation Council (EACCME) accredits this online course for Continuing Medical Education (CME). European CME credits (ECMEC®) will be awarded on successful completion of this course. Through an agreement between the European Union of Medical Specialists (UEMS) and the American Medical Association (AMA), physicians may convert EACCME credits to an equivalent number of AMA PRA Category 1 CreditsTM. Information on the process to convert EACCME credit to AMA credit can be found at www.ama-assn.org/go/internationalcme.
CME Subcommittee
The CME Subcommittee oversees the CME requirements for our CME accredited courses.
Conflict of Interest
No commercial support has been accepted related to the development or publication of this course. This course underwent peer review in line with the standards of editorial integrity and publication ethics maintained by the International Society of Ultrasound in Obstetrics & Gynecology (ISUOG). Conflicts of interest have been identified and resolved in accordance with EACCME guidelines.
You can find out how we adhere to the essential criteria for EACCME accreditation requirements here.
Technical Requirements
You can study on your phone, tablet or laptop. To participate and access this activity you will need a good internet connection and an up to date browser:
- MS Internet Explorer 11 (Not including compatibility modes)
- MS Edge
- Mozilla Firefox version 60 Extended Support Release (ESR)
- Google Chrome 73
- Safari 10 auf OS X
- Mobile Browser Android >4 and iOS > 9
- Current versions of Adobe Reader plugin
Terms and Conditions
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You can find our Refund Policy here.
Gynecological complications curriculum course list
Other courses in this series:
• ATC9: Endometriosis
• ATC9: Chronic and acute pelvic pain
• ATC9: Abnormal uterine bleeding
• ATC9: Pelvic floor
Gynecology assessments in early pregnancy
• ATC2: Early pregnancy
• ATC2: Ectopic pregnancy
• ATC2: Molar pregnancy and gestational trophoblastic disease