Austere and Preshospital Ultrasound Course

The APUS course is a highly practical two-day introduction to diagnostic ultrasound course that is specifically designed for remote, austere and resource-limited environments. It is designed by physicians, interventional radiologists and critical care paramedics working in prehospital, A&E and hospital departments. It is tailored to specifically meet the needs of healthcare practitioners to enhance their clinical skills utilising diagnostic ultrasound.

The APUS Course adopts the knowledge and practical skills that are recommended by the Royal College of Emergency Medicine who provide recommendations on the clinical applications of emergency ultrasound.

Course Content

Day One - Fundamentals of Ultrasound

Sample schedule

  • Ultrasound fundamental concepts and knobology
  • US in trauma and the eFAST exam
  • Hands on eFast practice
  • Renal and abdominal aorta practice
  • Cardiac ultrasound
  • Pneumothorax and pleural effusion

Day Two - Advanced Concepts

Sample schedule

  • ICP assessment
  • Vascular access (femoral, EJ and peripheral)
  • US use in tropical medicine
  • Haemodynamic monitoring
  • Orthopaedic ultrasound
  • Ultrasound guided nerve blocks


Dr Keith Winterkorn is one of our instructors and is a diagnostic radiology specialist based in the United States and has been practising for over 35 years. He graduated from the University Of Pennsylvania School Of Medicine in 1981 and specialises in diagnostic radiology. He completed a Fellowship in Interventional Radiology at UC San Diego. He also earned his Diploma in Tropical Medicine and Hygiene from the Liverpool School of Tropical Medicine. He has taken several trips to Kilimanjaro Christian Medical Centre in Tanzania where he provides diagnostic ultrasound as well as teaching.

He is board-certified with the American Board of Radiology.

Dr Winterkorn will be assisted by CoROM faculty with ultrasound qualifications or recent experience working with ultrasounds in remote and austere environments.


Certificates are backed by the College of Remote and Offshore Medicine Foundation.

Online training

The APUS course starts with ten hours of online Moodle-based content. Completing the online content is not mandatory. We provide these lessons and videos as a way for the delegate to get a head start on understanding the fundamental concepts of Ultrasound.

Classroom training

   The two-day Ultrasound course will put your online learning to the test as we spend the majority of the classroom time with the machines.

You will be asked to use your fellow delegates for Ultrasound practice so please wear comfortable clothing.

Clinical training

In order to have a full understanding of the use of ultrasounds in a clinical setting, you will have to spend some time in a diagnostic clinic where you can practice your skills on real patients.

We provide this clinical experience in Kilimanjaro, Tanzania. Click here to learn more.

Course dates:

         18-19 April, Pretty Bay, Malta
         3-4 October, Pretty Bay, Malta