MitraClip for papillary muscle rupture in patient with cardiogenic shock.

We report the successful use of the MitraClip device (Abbott Vascular, Santa Clara, CA) in a 68-year-old man with posterolateral ST-elevation myocardial infarction complicated by papillary muscle rupture and cardiogenic shock.

Canadian recommendations for critical care ultrasound training and competency.

Objective: To achieve national consensus on standards of training, quality assurance and maintenance of competence for critical care ultrasound for intensivists and critical care trainees in Canada using recently published international training statements.

Data Sources: Existing internationally endorsed guidelines and expert opinion.

Data Synthesis: In November 2013, a day-long consensus meeting was held with 15 Canadian experts in critical care ultrasound in which essential topics relevant to training ultrasound were discussed.