{
  "title": "Anantf POCUS clinical media",
  "reviewed_on": "2026-10-18",
  "scope": "Curated teaching examples; these short clips are not complete examinations or current management guidance.",
  "licence_notice": "Each Creative Commons video and derived JPEG retains the explicit per-file licence listed below. Website-wide copyright statements do not override these licences. Adapted CC BY-SA clips and posters are distributed under their stated ShareAlike licence. Files marked \"Used with permission\" come from the Society of Critical Care Medicine (SCCM) Critical Care Ultrasound: Adult course; the site owner confirmed the department's rights to reuse them on 18 Oct 2026. They are not openly licensed: do not copy them for reuse elsewhere.",
  "assets": [
    {
      "id": "a4c-normal",
      "title": "Normal apical four-chamber view",
      "theme": "Heart",
      "filename": "a4c-normal.mp4",
      "poster": "a4c-normal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "I.A.C. van der Bilt, MD, Department of Echocardiography AMC; CardioNetworks/ECHOpedia (Vdbilt)",
      "year": 2007,
      "source_url": "https://commons.wikimedia.org/wiki/File:A4C_normal_(CardioNetworks_ECHOpedia).webm",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:A4C_normal_(CardioNetworks_ECHOpedia).webm&oldid=773339821",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/1/1b/A4C_normal_%28CardioNetworks_ECHOpedia%29.webm",
      "original_work_url": "https://www.echopedia.org/",
      "licence": "CC BY-SA 3.0",
      "licence_url": "https://creativecommons.org/licenses/by-sa/3.0/",
      "licence_evidence": "File-specific CC BY-SA 3.0 release with Wikimedia VRT permission ticket 2011102310008874.",
      "derivative_licence": "CC BY-SA 3.0",
      "changes": [
        "Examination-date area at the upper left masked; original creator credits and scan anatomy retained.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Identify the four chambers, septum and atrioventricular valves across the cardiac cycle.",
      "limitations": "A single normal example does not exclude cardiac disease or establish an ejection fraction. This short loop is intended for orientation and qualitative motion assessment.",
      "recommended_lecture": "../cardiac/#8",
      "width": 624,
      "height": 480,
      "duration_seconds": 0.980392,
      "size_bytes": 148240,
      "sha256": "eac959f863f961dc87e28cd6c3da15638f0fd53ab357cee0a880583d03c49598",
      "poster_sha256": "9ab0298506e7a3e12ba7bf369fec3492c959bf63d49e2c349728128c7f49de4e",
      "original_sha256": "0c21971562048eff46a65403284e247e2feed41dad60ae65f3de9c2735b65276",
      "processing_filter": "drawbox=x=0:y=0:w=220:h=26:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "psax-normal",
      "title": "Normal papillary-level short axis",
      "theme": "Heart",
      "filename": "psax-normal.mp4",
      "poster": "psax-normal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "I.A.C. van der Bilt, MD, Department of Echocardiography AMC; CardioNetworks/ECHOpedia (Vdbilt)",
      "year": 2007,
      "source_url": "https://commons.wikimedia.org/wiki/File:SAXPAP_normal_(CardioNetworks_ECHOpedia).webm",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:SAXPAP_normal_(CardioNetworks_ECHOpedia).webm&oldid=636434026",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/2/22/SAXPAP_normal_%28CardioNetworks_ECHOpedia%29.webm",
      "original_work_url": "https://www.echopedia.org/",
      "licence": "CC BY-SA 3.0",
      "licence_url": "https://creativecommons.org/licenses/by-sa/3.0/",
      "licence_evidence": "File-specific CC BY-SA 3.0 release with Wikimedia VRT permission ticket 2011102310008874.",
      "derivative_licence": "CC BY-SA 3.0",
      "changes": [
        "Examination-date area at the upper left masked; original creator credits and scan anatomy retained.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Follow circumferential wall thickening and inward motion at the papillary-muscle level.",
      "limitations": "Interpret alongside other levels and views. This loop is not a quantitative EF measurement, and foreshortening or obliquity can alter the apparent geometry.",
      "recommended_lecture": "../cardiac/#7",
      "width": 624,
      "height": 480,
      "duration_seconds": 1.823529,
      "size_bytes": 260459,
      "sha256": "20bac45690b692d21b15bbcad16592e341a527f9ae1c8b239c483254fbcf524d",
      "poster_sha256": "3d6afc9a2781e3781b6446e421bfd37831c8cd5c3c5cac8d2097da3929c67407",
      "original_sha256": "fd7d6bcb07396e147db12d40951978ffaedf181977f18fb1085e8220ed9f2745",
      "processing_filter": "drawbox=x=0:y=0:w=220:h=26:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "pericardial-effusion",
      "title": "Pericardial effusion",
      "theme": "Heart",
      "filename": "pericardial-effusion.mp4",
      "poster": "pericardial-effusion.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Ben Smith, Ultrasound of the Week",
      "year": 2017,
      "source_url": "https://commons.wikimedia.org/wiki/File:UOTW_78_-_Ultrasound_of_the_Week_2.webm",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:UOTW_78_-_Ultrasound_of_the_Week_2.webm&oldid=898030580",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/1/19/UOTW_78_-_Ultrasound_of_the_Week_2.webm",
      "original_work_url": "https://www.ultrasoundoftheweek.com/uotw-78/",
      "licence": "CC BY-SA 4.0",
      "licence_url": "https://creativecommons.org/licenses/by-sa/4.0/",
      "licence_evidence": "The individual Commons file records the original creator, source and CC BY-SA 4.0 licence; its permission link points to the archived site licence.",
      "derivative_licence": "CC BY-SA 4.0",
      "changes": [
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Recognise pericardial fluid and inspect right-sided chamber motion in an apical cine from a published tamponade teaching case.",
      "limitations": "Confirm collapse timing with ECG or M-mode and integrate haemodynamics. Effusion alone does not diagnose tamponade, and the clip is not an instruction to drain.",
      "recommended_lecture": "../cardiac/#17",
      "width": 792,
      "height": 470,
      "duration_seconds": 7.52,
      "size_bytes": 1683012,
      "sha256": "a5a518de66acf7c839b5195c9d0e60cde0b8404363a97d2f2d512707ad1ad3d0",
      "poster_sha256": "d86c4a2f62041cbd148a737d0b6f97c0464afdd0cb8971e1d988ed8dae31bfc5",
      "original_sha256": "8a3bcd9977fb4fa19d02d7473d76630c45b85d53bfa126c939bf9354ec8977a3",
      "processing_filter": null,
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "lung-sliding",
      "title": "Lung sliding",
      "theme": "Lung",
      "filename": "lung-sliding.mp4",
      "poster": "lung-sliding.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S3.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S3.ogv&oldid=862201981",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/6/63/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S3.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "The identifying/examination header across the top 28 pixels masked outside the scan anatomy.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Watch respiratory movement at the pleural line, between the rib shadows.",
      "limitations": "Sliding excludes pneumothorax only at the location inspected. A single clip does not establish a normal whole-lung examination.",
      "recommended_lecture": "../lung/#6",
      "width": 640,
      "height": 480,
      "duration_seconds": 6.0,
      "size_bytes": 462089,
      "sha256": "0f8d41e799690f61e62f1447ca634b6d3a39ef094b3f94ac517f9304985e5ac1",
      "poster_sha256": "29c92a270ed65e14ae8582dc6747b9423821e8b554d7bd0d348e452b90ed0305",
      "original_sha256": "658b2dffb05f8d3371b6e72cdcd66718a13a7368b5d6a1f4e104da514a2644d6",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=28:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "absent-sliding",
      "title": "Absent lung sliding",
      "theme": "Lung",
      "filename": "absent-sliding.mp4",
      "poster": "absent-sliding.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S4.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S4.ogv&oldid=862201982",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/f/f8/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S4.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "The identifying/examination header across the top 28 pixels masked outside the scan anatomy.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Compare the pleural line with the sliding example. Movement beneath it is markedly reduced or absent.",
      "limitations": "Absent sliding is nonspecific. Consider apnoea, pleural adhesions, mainstem intubation, severe lung disease and pneumothorax; integrate other signs and clinical context.",
      "recommended_lecture": "../lung/#8",
      "width": 640,
      "height": 480,
      "duration_seconds": 6.0,
      "size_bytes": 488254,
      "sha256": "e61235dcaa47be2e56d9bb500aa87ac70c493a6b0ca148a7e27a527298a228cb",
      "poster_sha256": "bc7ffee07b32d048e19c73fc7e1dfae60be2c60d0a4572d0100eb80eb22b3aa1",
      "original_sha256": "f64ed53a080b543f3bfec484c17b227afab1ed4611db4b80b38840ff51ff0a63",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=28:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "b-line-artefacts",
      "title": "Vertical pleural artefacts",
      "theme": "Lung",
      "filename": "b-line-artefacts.mp4",
      "poster": "b-line-artefacts.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S6.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S6.ogv&oldid=862201984",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/8/87/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S6.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "The identifying/examination header across the top 28 pixels masked outside the scan anatomy.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Identify vertical bright artefacts arising at the pleural line and extending through the displayed image.",
      "limitations": "The original source calls these comet-tail artefacts. Use contemporary B-line definitions and scan settings; the appearance alone does not establish pulmonary oedema or its cause.",
      "recommended_lecture": "../lung/#10",
      "width": 640,
      "height": 480,
      "duration_seconds": 15.0,
      "size_bytes": 1149915,
      "sha256": "a85fd6eabfa9d01c33325963717cf116ee90232de20dcbfa70cfd92db06a9a86",
      "poster_sha256": "b724c8f21345e4da9423a82bf94d1d918636c50fa990f1994029a7f89a732f90",
      "original_sha256": "75c5aaa2551fdaaea707310a7a205a8d8274b17d9a5d7850ee5217e903af61f5",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=28:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "lung-point",
      "title": "Pneumothorax lung point",
      "theme": "Lung",
      "filename": "lung-point.mp4",
      "poster": "lung-point.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S7.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S7.ogv&oldid=862201985",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/c/c2/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S7.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "The identifying/examination header across the top 28 pixels masked outside the scan anatomy.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Follow the respiratory transition between sliding lung and a region without sliding in the published pneumothorax example.",
      "limitations": "Confirm the expected A-line pattern on the non-sliding side and distinguish lung-edge mimics. Absence of a lung point does not exclude pneumothorax; do not infer tension physiology from the clip.",
      "recommended_lecture": "../lung/#9",
      "width": 640,
      "height": 480,
      "duration_seconds": 6.0,
      "size_bytes": 233905,
      "sha256": "8170145dc532fed860825d66af0ef44fd4990cc96e7d678bf0d5c60365d3eba3",
      "poster_sha256": "bef6c6277c505a75362dcb1154886341c858599c1ad96f0e1e606266aba118a7",
      "original_sha256": "1c293788664a00add01a46703b4df8c26b13deea152d35ce72ee3b70f94d9d2a",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=28:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "lung-point-mimic",
      "title": "Physiological lung-edge mimic",
      "theme": "Lung",
      "filename": "lung-point-mimic.mp4",
      "poster": "lung-point-mimic.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Zhongheng Zhang and Lin Chen",
      "year": 2015,
      "source_url": "https://link.springer.com/article/10.1186/s13054-015-0863-3",
      "source_permalink": "https://link.springer.com/article/10.1186/s13054-015-0863-3",
      "original_download_url": "https://media.springernature.com/original/springer-static/esm/art%3A10.1186%2Fs13054-015-0863-3/MediaObjects/13054_2015_863_MOESM1_ESM.mp4",
      "original_work_url": "https://doi.org/10.1186/s13054-015-0863-3",
      "licence": "CC BY 4.0",
      "licence_url": "https://creativecommons.org/licenses/by/4.0/",
      "licence_evidence": "Publisher article and additional file 1 are covered by CC BY 4.0; no separate restrictive credit is stated. The article explicitly reports consent for publication.",
      "derivative_licence": "CC BY 4.0",
      "changes": [
        "Identifying/time header masked; black pillarboxes removed and display proportionally resized from the original 1920 × 1080 container to 720 × 540.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Sliding lung moves over mediastinal soft tissue with cardiac motion. The non-lung side lacks the expected A-line/no-sliding pattern.",
      "limitations": "CT excluded pneumothorax in this published case. Compare the entire image pattern with the true lung-point example; a moving boundary alone is insufficient.",
      "recommended_lecture": "../lung/#9",
      "width": 720,
      "height": 540,
      "duration_seconds": 9.92,
      "size_bytes": 499413,
      "sha256": "9b96ff67657ce33018ff5029e583bbfb72000245066a1973e278d4559d724271",
      "poster_sha256": "8f606887f35e066704cfcc82ec23c6c419e7d7b99903b6c7b4018c993a9040c9",
      "original_sha256": "1df3b9478c3bfd5d8705bbd2035f054746074fba94758509eda12a5ff2031195",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=60:color=black:t=fill,crop=1440:1080:240:0,scale=720:540,setsar=1",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "pleural-fluid",
      "title": "Pleural fluid",
      "theme": "Lung",
      "filename": "pleural-fluid.mp4",
      "poster": "pleural-fluid.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S2.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S2.ogv&oldid=862201980",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/3/39/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S2.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "The identifying/examination header across the top 28 pixels masked outside the scan anatomy.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Identify an anechoic pleural collection, diaphragm and adjacent compressed lung.",
      "limitations": "Ultrasound appearance alone does not establish fluid composition. This clip is not a patient-specific map of a safe drainage route.",
      "recommended_lecture": "../lung/#13",
      "width": 640,
      "height": 480,
      "duration_seconds": 10.0,
      "size_bytes": 1043487,
      "sha256": "ff65bc82440349059c1ec4200882a02c5c1e14d38035bd2a8c1d38f6d75e8eb8",
      "poster_sha256": "fb63c1ae54eea22a843c0b9386205ec09586e093af103f1c1b84b91de3b0b74f",
      "original_sha256": "9c0eff55d99fd3754359ea0c2552a9ab73f81169476611e08e743e0e1bee2979",
      "processing_filter": "drawbox=x=0:y=0:w=iw:h=28:color=black:t=fill",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "ivc-collapse",
      "title": "Respiratory IVC variation",
      "theme": "Flow and shock",
      "filename": "ivc-collapse.mp4",
      "poster": "ivc-collapse.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S8.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S8.ogv&oldid=862201987",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/6/6d/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S8.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "Non-square pixels normalised to 640 × 480 while preserving the original 4:3 display geometry; the source import already omitted its identifying header.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Observe changes in IVC calibre and position during respiration.",
      "limitations": "IVC variation is influenced by breathing effort, ventilation, abdominal pressure and right-heart function. This clip cannot prove hypovolaemia or predict fluid responsiveness.",
      "recommended_lecture": "../haemodynamics/#10",
      "width": 640,
      "height": 480,
      "duration_seconds": 5.972639,
      "size_bytes": 967537,
      "sha256": "106f8e5e8442a69bb52ea938c7d69b6cf78eba15fa4a012f538a8b6e8902597b",
      "poster_sha256": "394256b01caafee25bf72b87f132457a5683ed62b2017008cf800cbc9015ee77",
      "original_sha256": "26d6850215ba6d61a920d57eacd74eb8af781794d2e7f7edbd4d8dc14d29f7ed",
      "processing_filter": "scale=640:480,setsar=1",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "fast-free-fluid",
      "title": "Free fluid at the hepatorenal recess",
      "theme": "Flow and shock",
      "filename": "fast-free-fluid.mp4",
      "poster": "fast-free-fluid.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Gillman LM, Ball CG, Panebianco N, Al-Kadi A, Kirkpatrick AW",
      "year": 2009,
      "source_url": "https://commons.wikimedia.org/wiki/File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S1.ogv",
      "source_permalink": "https://commons.wikimedia.org/w/index.php?title=File:Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S1.ogv&oldid=862201977",
      "original_download_url": "https://upload.wikimedia.org/wikipedia/commons/7/70/Clinician-performed-resuscitative-ultrasonography-for-the-initial-evaluation-and-resuscitation-of-1757-7241-17-34-S1.ogv",
      "original_work_url": "https://doi.org/10.1186/1757-7241-17-34",
      "licence": "CC BY 2.0",
      "licence_url": "https://creativecommons.org/licenses/by/2.0/",
      "licence_evidence": "Publisher rights statement and individual Commons file both identify CC BY 2.0; Commons imported the supplement from PubMed Central.",
      "derivative_licence": "CC BY 2.0",
      "changes": [
        "Non-square pixels normalised to 640 × 480 while preserving the original 4:3 display geometry; the source import already omitted its identifying header.",
        "Transcoded to H.264 MP4 without changing sequence or playback speed.",
        "Audio and source container metadata removed.",
        "JPEG poster extracted at 0.15 seconds; it is a still from the processed clinical clip."
      ],
      "clinical_caption": "Find the dark fluid stripe between the liver and kidney in this published trauma example.",
      "limitations": "Ultrasound identifies fluid, not its composition. A negative FAST does not exclude bleeding, retroperitoneal injury or other causes of shock.",
      "recommended_lecture": "../shock/#8",
      "width": 640,
      "height": 480,
      "duration_seconds": 5.972639,
      "size_bytes": 406404,
      "sha256": "fef457d81675535780109c05f08d324579403db775512f7489b2c1d047f0e65f",
      "poster_sha256": "a14f2ce97f264a285c533ea70fe6d017382daa97e493a1830ebe8f4fc4dcbdce",
      "original_sha256": "0f923551b28a5fc167f9aa9de9eb7e07cfda0ca4899aa394ad8d141a71eec7ab",
      "processing_filter": "scale=640:480,setsar=1",
      "review_date": "2026-10-17",
      "privacy_review": "Published source reviewed using sampled frames across the clip; identifying headers masked where present; source metadata and all audio removed. No facial images. Do not redistribute the unprocessed source download from this repository."
    },
    {
      "id": "sccm-rv-s06-plax-normal",
      "title": "Normal parasternal long axis (RV outflow)",
      "theme": "Heart",
      "filename": "sccm-rv/s06-plax-normal.mp4",
      "poster": "sccm-rv/s06-plax-normal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 6.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=400:350:0:10) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The RV outflow lies at the top of the sector, in front of the aortic root.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 400,
      "height": 350,
      "duration_seconds": 2.1,
      "size_bytes": 150899,
      "sha256": "03327db61f2b5401028fd297e32bfaafa1cde1a70a48a83cf5e7b3c1fd0f4528",
      "poster_sha256": "a65bca158a9d2c54e1724d00b308417163f1f400d437456280161a8c62d6963f",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s08-psax-aortic-level-normal-rv",
      "title": "Normal RV, short axis at the aortic valve",
      "theme": "Heart",
      "filename": "sccm-rv/s08-psax-aortic-level-normal-rv.mp4",
      "poster": "sccm-rv/s08-psax-aortic-level-normal-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=320:244:100:40) to remove scanner header text and any identifiers. Partial header text removed by the crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "RV inflow and outflow wrap closely around the aortic valve.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 320,
      "height": 244,
      "duration_seconds": 2.466667,
      "size_bytes": 84326,
      "sha256": "1e801a76d288cf5a6647d1ae3cf5180c60b41149e318b53a66094d9ff9488fec",
      "poster_sha256": "d23f79fa69ba170330d0f840b3ed3c15f92fc4dcce040275c5562ee537dbda97",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s08-psax-aortic-level-dilated-rv",
      "title": "Dilated RV, short axis at the aortic valve",
      "theme": "Heart",
      "filename": "sccm-rv/s08-psax-aortic-level-dilated-rv.mp4",
      "poster": "sccm-rv/s08-psax-aortic-level-dilated-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=372:278:80:28) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Enlarged RV inflow and outflow around the aortic valve.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 372,
      "height": 278,
      "duration_seconds": 1.066667,
      "size_bytes": 50741,
      "sha256": "ca683b06def6923d7f7df467c83f2dca0f6cf677830a33f64a54e2bf65b44a1f",
      "poster_sha256": "ebdbcdd4d2c2494032481341d8e8ef4991134c51923218b957bab0d48f63b7e7",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s09-a4c-normal",
      "title": "Normal apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s09-a4c-normal.mp4",
      "poster": "sccm-rv/s09-a4c-normal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 9.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=420:352:30:8) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The RV is smaller than the LV and the LV forms the apex.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 420,
      "height": 352,
      "duration_seconds": 2.966667,
      "size_bytes": 186598,
      "sha256": "0701f8949d417facee4aaa7ad3da99f16edd1ac297bacd5fd8ce625920b24a5a",
      "poster_sha256": "daff31a3531cfcc9126e8869d3ee13d027276dd9aa1d34bfe1ae7af66aa19efc",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s11-a4c-standard",
      "title": "Standard apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s11-a4c-standard.mp4",
      "poster": "sccm-rv/s11-a4c-standard.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 11.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=370:284:80:30) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "A view centred on the LV, for comparison with the RV-focused view.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 370,
      "height": 284,
      "duration_seconds": 1.0,
      "size_bytes": 61150,
      "sha256": "7cb9a75f40778e771378d952ff4565772f9d4f417fd4df9b52ddbf8418306a46",
      "poster_sha256": "fb920718caf5daa037c0124bf8dff2510c3eedaa96df8483c186007fc31da717",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s11-a4c-rv-focused",
      "title": "RV-focused apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s11-a4c-rv-focused.mp4",
      "poster": "sccm-rv/s11-a4c-rv-focused.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 11.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=330:274:110:30) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The probe is rocked and rotated to show the whole RV free wall and tricuspid annulus.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 330,
      "height": 274,
      "duration_seconds": 1.366667,
      "size_bytes": 71045,
      "sha256": "e504b40398e00b03309dd61338ed5de306aa9c53a76ad858f140133b5bde7dea",
      "poster_sha256": "934fc6cfde2fb24f462932ac6092797fed49b1b27262e762cde26f2dd5ca6093",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s12-subcostal-4c-normal",
      "title": "Normal subcostal four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s12-subcostal-4c-normal.mp4",
      "poster": "sccm-rv/s12-subcostal-4c-normal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 12.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=414:352:28:4) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The best view for RV free-wall thickness.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 414,
      "height": 352,
      "duration_seconds": 2.966667,
      "size_bytes": 178863,
      "sha256": "0f48e14592735695e6272bb33a9ed503c4842e87053916b90644bd0be4e9feaa",
      "poster_sha256": "d9c691eb9941051d4fdb05142fd07afac882599e40c8aa814ed5e3f7af97c593",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s16-a4c-normal-rv",
      "title": "Normal RV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s16-a4c-normal-rv.mp4",
      "poster": "sccm-rv/s16-a4c-normal-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 16.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=290:262:85:55) to remove scanner header text and any identifiers. Source showed the scan date and time at the upper left and a masked header; both were cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The RV is smaller than the LV. Do not use this clip to comment on the LV.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 290,
      "height": 262,
      "duration_seconds": 5.233333,
      "size_bytes": 166773,
      "sha256": "8bc853dbb11122fabdb2493aa55af6d2474d306f0943d49b29e18010a5c203c2",
      "poster_sha256": "aeb41c0a6d3bc84e40a8e256994a95ae92baf8a53cb3194fd258114f4e590690",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s16-a4c-rv-dilated-dysfunction-acute-pe",
      "title": "Dilated, poorly contracting RV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s16-a4c-rv-dilated-dysfunction-acute-pe.mp4",
      "poster": "sccm-rv/s16-a4c-rv-dilated-dysfunction-acute-pe.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 16.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=350:280:56:56) to remove scanner header text and any identifiers. Ultrasound-system header bar cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "RV dilatation and dysfunction; the course notes give the diagnosis as acute PE.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 350,
      "height": 280,
      "duration_seconds": 1.633333,
      "size_bytes": 53271,
      "sha256": "45cec9fc91dfbe8a53a351a78401e865e22ab3f5233811c448ad6d90b64eee96",
      "poster_sha256": "3bdcc5f2607bb958b13bcf58a8daf5cd08889d8ed443864046e1f9dafa2cf954",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s17-plax-normal-rv",
      "title": "Normal RV, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-rv/s17-plax-normal-rv.mp4",
      "poster": "sccm-rv/s17-plax-normal-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 17.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=362:284:85:38) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Narrow RV outflow in front of the aortic root.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 362,
      "height": 284,
      "duration_seconds": 1.8,
      "size_bytes": 108069,
      "sha256": "c6e0a5b4ed9d1393f0951142ca8518ec3b3c9e3a5d9c8e0bb7f4fe469088251f",
      "poster_sha256": "d2e92424e145a619beceffe06bf15546cb3521c5d1b66fcb9ac11535bb668003",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s17-plax-rv-dilated-dysfunction",
      "title": "Dilated, poorly contracting RV, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-rv/s17-plax-rv-dilated-dysfunction.mp4",
      "poster": "sccm-rv/s17-plax-rv-dilated-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 17.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=380:276:76:56) to remove scanner header text and any identifiers. Source header showed a patient name, record number, scan date and time and an echo-laboratory identifier; all cropped off and the output re-checked frame by frame at start, poster and end.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Enlarged RV outflow.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 380,
      "height": 276,
      "duration_seconds": 2.7,
      "size_bytes": 165159,
      "sha256": "e7289897269f26239ed8530cee25bc52864d4303506d5ebb5c9419babdf318a2",
      "poster_sha256": "2f0bc3d3f9173ad84cd2188936f6c18d8f4417c15d8862906e0a18ad2204948d",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s18-psax-normal-rv",
      "title": "Normal RV, parasternal short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s18-psax-normal-rv.mp4",
      "poster": "sccm-rv/s18-psax-normal-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 18.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=372:262:70:60) to remove scanner header text and any identifiers. Source header showed a scan time and unit name; cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Thin RV crescent around a round LV.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 372,
      "height": 262,
      "duration_seconds": 2.1,
      "size_bytes": 155102,
      "sha256": "71afef0e925a7e706cea9e12af428b62b0f3c88e4199eee54f895320f1e8d243",
      "poster_sha256": "004fc750049e9a1eb12c5d68ac03ca1a210bb348ebc4b07d397b7ff4f1152b15",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s18-psax-rv-dilated-dysfunction",
      "title": "Dilated, poorly contracting RV, parasternal short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s18-psax-rv-dilated-dysfunction.mp4",
      "poster": "sccm-rv/s18-psax-rv-dilated-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 18.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=364:276:60:56) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Large RV crescent compared with the LV.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 364,
      "height": 276,
      "duration_seconds": 3.766667,
      "size_bytes": 161342,
      "sha256": "ef60f2c29c0a0c8cdf524b4a7e6e2820bfaf56d195207ddd7f0dc5266d3f5287",
      "poster_sha256": "1cb5e72689c675be18a8675ae3be70c417ec860bd628048a07f591368c4f7c3c",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s23-a4c-rv-infarction",
      "title": "Poor RV function, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s23-a4c-rv-infarction.mp4",
      "poster": "sccm-rv/s23-a4c-rv-infarction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=300:300:90:0) to remove scanner header text and any identifiers. Ultrasound-system clock and frame counter cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Free-wall and annular motion compared with the LV; the course file names this RV infarction.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-measurements",
      "width": 300,
      "height": 300,
      "duration_seconds": 0.761194,
      "size_bytes": 27092,
      "sha256": "9c3fbb8abd4b76f52b4b881328a52305a1d9b0abda86fb816d567fdbf56b583c",
      "poster_sha256": "d19cb9a8dd5816ea0cf8eb5c8f3c02da7ec3467b49da63721ad80a30ef749aaf",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s27-psax-septal-flattening-systole-and-diastole",
      "title": "Septal flattening in systole and diastole, short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s27-psax-septal-flattening-systole-and-diastole.mp4",
      "poster": "sccm-rv/s27-psax-septal-flattening-systole-and-diastole.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=368:300:36:0) to remove scanner header text and any identifiers. Ultrasound-system clock and frame counter cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The LV stays D-shaped at end-systole and end-diastole (course label).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-septum",
      "width": 368,
      "height": 300,
      "duration_seconds": 1.8,
      "size_bytes": 75383,
      "sha256": "7213c3868405db1e7acad503b0d69c48048ab8e5885aabcaf183413f72a0ca7a",
      "poster_sha256": "b9c224b4784070bd9e4ffbf2fc574abab093cd131d06f20ce715afd41cd6ec2f",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s27-psax-septal-flattening-diastole",
      "title": "Septal flattening in diastole, short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s27-psax-septal-flattening-diastole.mp4",
      "poster": "sccm-rv/s27-psax-septal-flattening-diastole.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=350:284:60:56) to remove scanner header text and any identifiers. Ultrasound-system header bar cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Diastolic flattening, the volume-overload pattern (course label).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-septum",
      "width": 350,
      "height": 284,
      "duration_seconds": 1.433333,
      "size_bytes": 62849,
      "sha256": "7dd5efca6febf5a68b09475b7452cc9684535d732196f8fdbfcfa2bfddbf3efd",
      "poster_sha256": "b1465a6b8342be127fffab2da071ab8b059077091d64eaa42bbf4c5f7e3fd14e",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s28-q1-rv-infarction",
      "title": "Course question 1: RV infarction",
      "theme": "Heart",
      "filename": "sccm-rv/s28-q1-rv-infarction.mp4",
      "poster": "sccm-rv/s28-q1-rv-infarction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 28.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=368:300:36:0) to remove scanner header text and any identifiers. Ultrasound-system clock and frame counter cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Regional RV wall-motion abnormality consistent with RV infarction (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 368,
      "height": 300,
      "duration_seconds": 0.433333,
      "size_bytes": 23868,
      "sha256": "c08243c7baba8252d5257da7adeb80d7e9a6dec65fc4d211b2cfa4b9d6c2491f",
      "poster_sha256": "f06e269ef3e68762072e17970453ca5d08fb4f694a45c7dfcaa7bcd4e70d6c3b",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s29-q2-psax-dilated-rv-pressure-volume-overload",
      "title": "Course question 2: dilated RV with severe dysfunction",
      "theme": "Heart",
      "filename": "sccm-rv/s29-q2-psax-dilated-rv-pressure-volume-overload.mp4",
      "poster": "sccm-rv/s29-q2-psax-dilated-rv-pressure-volume-overload.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 29.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (drawbox=x=0:y=0:w=110:h=20:color=black:t=fill,crop=400:300:40:0) to remove scanner header text and any identifiers. Source showed a scan date and time at the upper left; masked with a black box and then cropped.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Dilated RV with moderate to severe dysfunction in known pulmonary hypertension (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 400,
      "height": 300,
      "duration_seconds": 0.75,
      "size_bytes": 41393,
      "sha256": "da3aa7f50e9cd80782d94df381a22de496e8e6369a6a241c3c6fb0ddb2eaf8b2",
      "poster_sha256": "11a265b8668cbba8bd1447dc81caeea46f12fa78a4e42b4f207d4c1cf461bf91",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s31-q3-a4c-severe-rv-dysfunction",
      "title": "Course questions 3 and 4: apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s31-q3-a4c-severe-rv-dysfunction.mp4",
      "poster": "sccm-rv/s31-q3-a4c-severe-rv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 31.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=316:292:105:36) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely enlarged RV with moderately to severely reduced function (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 316,
      "height": 292,
      "duration_seconds": 1.133333,
      "size_bytes": 62201,
      "sha256": "5dbc440f59cf54b7a56b580c85cd83a2d304b72ed29cae78713eccf7bf078acf",
      "poster_sha256": "7380babd74df302e2dafb492b0b254ee25819e28ea26b6b2cc5f921f8a36bd45",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s31-q3-psax-severe-rv-dysfunction",
      "title": "Course questions 3 and 4: short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s31-q3-psax-severe-rv-dysfunction.mp4",
      "poster": "sccm-rv/s31-q3-psax-severe-rv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 31.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=376:296:70:36) to remove scanner header text and any identifiers.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely enlarged RV with moderately to severely reduced function (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 376,
      "height": 296,
      "duration_seconds": 1.133333,
      "size_bytes": 73691,
      "sha256": "a27f14b9303dd46a092e78240e0b2f3865d0b7782cce1322604c1dc5ce95d4b6",
      "poster_sha256": "aac09c3b6f2ea3dd01608546b584d45523cb3e4aa660f3fe6a28c50b58e6eaed",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s33-q5-psax-dilated-rv-septal-flattening",
      "title": "Course question 5: short axis",
      "theme": "Heart",
      "filename": "sccm-rv/s33-q5-psax-dilated-rv-septal-flattening.mp4",
      "poster": "sccm-rv/s33-q5-psax-dilated-rv-septal-flattening.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 33.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=320:272:110:56) to remove scanner header text and any identifiers. Partly masked header with residual times cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely dilated RV with severe dysfunction (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 320,
      "height": 272,
      "duration_seconds": 1.533333,
      "size_bytes": 42664,
      "sha256": "bf1b5bb599faa9dc50f3897d6e681c19c85028a52fd350f5988194498e29211e",
      "poster_sha256": "8c7b71569d873b3f2e53df57f6e41a46f005dedeb76362371edbcd4ab5415275",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s33-q5-plax-dilated-rv",
      "title": "Course question 5: parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-rv/s33-q5-plax-dilated-rv.mp4",
      "poster": "sccm-rv/s33-q5-plax-dilated-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 33.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=380:284:76:56) to remove scanner header text and any identifiers. Partly masked header with residual times cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely dilated RV (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 380,
      "height": 284,
      "duration_seconds": 1.433333,
      "size_bytes": 56295,
      "sha256": "c6c7dbc67fbd689beb8c750632539ea91ed78f84d21dc62f41cec0b256f721c4",
      "poster_sha256": "cd443cf6411349ac78d8394bbc7f9a483113d03dcdc33d0641aa40c6e968b7fa",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s33-q5-a4c-dilated-rv-apical-thrombus",
      "title": "Course question 5: apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-rv/s33-q5-a4c-dilated-rv-apical-thrombus.mp4",
      "poster": "sccm-rv/s33-q5-a4c-dilated-rv-apical-thrombus.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 33.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Cropped to the ultrasound sector (crop=310:280:120:56) to remove scanner header text and any identifiers. Partly masked header with residual times cropped off.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely dilated RV with thrombus at the RV apex along the free wall (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#rv-cases",
      "width": 310,
      "height": 280,
      "duration_seconds": 1.5,
      "size_bytes": 42737,
      "sha256": "d63cf1881e58a8c5db5aecda91baca930875829c82915eb49b84974ed805f072",
      "poster_sha256": "34d88d263586dd65b20e48b5c12ef3133307a1217ebc1c42d910943ee3d63e08",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the first and last frames of the processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-rv-s07-psax-levels-tilt-schematic",
      "title": "Parasternal short-axis levels: tilt from base to apex",
      "theme": "Heart",
      "filename": "sccm-rv/s07-psax-levels-tilt-schematic.webp",
      "poster": "sccm-rv/s07-psax-levels-tilt-schematic.webp",
      "media_type": "course schematic image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 7.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Schematic; no patient data.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "Course schematic of the short-axis levels from pulmonary artery to apex.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 497,
      "height": 297,
      "size_bytes": 14436,
      "sha256": "4b7ff4bd5b7d36ab4622e18b78bcea73e3cb8309e98ca5d0d0c8792a0965a5ba",
      "poster_sha256": "4b7ff4bd5b7d36ab4622e18b78bcea73e3cb8309e98ca5d0d0c8792a0965a5ba",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-rv-s07-psax-aortic-level-schematic-and-still",
      "title": "Short axis at the aortic valve: schematic and still",
      "theme": "Heart",
      "filename": "sccm-rv/s07-psax-aortic-level-schematic-and-still.webp",
      "poster": "sccm-rv/s07-psax-aortic-level-schematic-and-still.webp",
      "media_type": "course schematic image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 7.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Schematic and scanner still; no identifiers present.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "RA, tricuspid valve, RV outflow tract and pulmonary valve around the aortic valve.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 1200,
      "height": 388,
      "size_bytes": 13602,
      "sha256": "dac67c00f2bbdb9bf596182dfd19e230313bd598c08399469106cf80ab0eac42",
      "poster_sha256": "dac67c00f2bbdb9bf596182dfd19e230313bd598c08399469106cf80ab0eac42",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-rv-s10-rv-focused-a4c-schematic",
      "title": "RV-focused apical four-chamber planes",
      "theme": "Heart",
      "filename": "sccm-rv/s10-rv-focused-a4c-schematic.webp",
      "poster": "sccm-rv/s10-rv-focused-a4c-schematic.webp",
      "media_type": "course schematic image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 10.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Schematic; no patient data.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "Plane 1 shows the RV at its widest; planes 2 and 3 undersize it.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-windows",
      "width": 691,
      "height": 510,
      "size_bytes": 15882,
      "sha256": "a3f46da415adaa9275bd1919c8b11775fc56a489cdde120dedb0ab12871a947a",
      "poster_sha256": "a3f46da415adaa9275bd1919c8b11775fc56a489cdde120dedb0ab12871a947a",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-rv-s20-subcostal-rv-hypertrophy-severe",
      "title": "Severe RV hypertrophy, subcostal still",
      "theme": "Heart",
      "filename": "sccm-rv/s20-subcostal-rv-hypertrophy-severe.webp",
      "poster": "sccm-rv/s20-subcostal-rv-hypertrophy-severe.webp",
      "media_type": "course still image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 20.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Machine or laboratory name at the upper left masked with a black box.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "Markedly thickened RV free wall; the course labels this >10 mm.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-morphology",
      "width": 800,
      "height": 600,
      "size_bytes": 23376,
      "sha256": "127da0ba6c7ac275e3aecf7e0cf994fc12c60bd9d865b258c2f177bca9551357",
      "poster_sha256": "127da0ba6c7ac275e3aecf7e0cf994fc12c60bd9d865b258c2f177bca9551357",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-rv-s26-tapse-mmode-normal",
      "title": "Normal TAPSE, M-mode",
      "theme": "Heart",
      "filename": "sccm-rv/s26-tapse-mmode-normal.webp",
      "poster": "sccm-rv/s26-tapse-mmode-normal.webp",
      "media_type": "course still image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 26.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scan date and time at the upper left masked with a black box.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "Course example measured at 28 mm.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-measurements",
      "width": 636,
      "height": 434,
      "size_bytes": 43532,
      "sha256": "a77a86a3c674ac0589b44f9f3b6143423f72fa5040573a1188e5039c87a9d42c",
      "poster_sha256": "a77a86a3c674ac0589b44f9f3b6143423f72fa5040573a1188e5039c87a9d42c",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-rv-s26-tapse-mmode-reduced",
      "title": "Reduced TAPSE, M-mode",
      "theme": "Heart",
      "filename": "sccm-rv/s26-tapse-mmode-reduced.webp",
      "poster": "sccm-rv/s26-tapse-mmode-reduced.webp",
      "media_type": "course still image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation: Right Ventricular Dysfunction\", slide 26.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scan date and time at the upper left masked with a black box.",
        "Converted to WebP; all metadata removed."
      ],
      "clinical_caption": "Course example measured at 12 mm.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#rv-measurements",
      "width": 636,
      "height": 434,
      "size_bytes": 54326,
      "sha256": "5d691c23d4a73af098f8715b5b4563a2c9f27ee62a4c6841297cacf09ac2c5d0",
      "poster_sha256": "5d691c23d4a73af098f8715b5b4563a2c9f27ee62a4c6841297cacf09ac2c5d0",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s08-plax-normal-lv-fs",
      "title": "Normal LV, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-lv/s08-plax-normal-lv-fs.mp4",
      "poster": "sccm-lv/s08-plax-normal-lv-fs.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Normal LV; the plane for fractional shortening by M-mode.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 420,
      "height": 296,
      "duration_seconds": 0.9,
      "size_bytes": 43653,
      "sha256": "6079015977203828a19c50908e32412e05b1b98f96a493ad49cc5d6107744206",
      "poster_sha256": "e48bbb97665b45652eab6c091499f7f31a0ec0593a864825a862b2ac007758c0",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s09-psax-mid-normal-lv",
      "title": "Normal LV, short axis at the papillary level",
      "theme": "Heart",
      "filename": "sccm-lv/s09-psax-mid-normal-lv.mp4",
      "poster": "sccm-lv/s09-psax-mid-normal-lv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 9.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Round LV with symmetric thickening; FS and FAC plane.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 420,
      "height": 296,
      "duration_seconds": 0.833333,
      "size_bytes": 33998,
      "sha256": "516a43894b01af9483af327b3f16312474e819ae1c60c259c60b5bb1f7a747d9",
      "poster_sha256": "4491e64a52fc96749ff91fdd7475e0f120034f83153f741d431e91881d19e802",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s12-a4c-normal-lv-mapse",
      "title": "Normal apical four-chamber, mitral annular motion",
      "theme": "Heart",
      "filename": "sccm-lv/s12-a4c-normal-lv-mapse.mp4",
      "poster": "sccm-lv/s12-a4c-normal-lv-mapse.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 12.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The lateral mitral annulus moves towards the apex in systole (MAPSE).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 420,
      "height": 296,
      "duration_seconds": 1.830508,
      "size_bytes": 119123,
      "sha256": "09816ee3b7b621be7a686db7d3b575f182709ae280d3b42521d35887b050e6ec",
      "poster_sha256": "f47bb222329ba45c6160c2798ead237ab873e0a760f1eedcc674bf013386368c",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s13-a4c-normal-annular-motion",
      "title": "Normal apical four-chamber, both annuli",
      "theme": "Heart",
      "filename": "sccm-lv/s13-a4c-normal-annular-motion.mp4",
      "poster": "sccm-lv/s13-a4c-normal-annular-motion.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 13.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Mitral and tricuspid annuli move apically; the tricuspid annulus travels farther.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 420,
      "height": 296,
      "duration_seconds": 2.105263,
      "size_bytes": 120112,
      "sha256": "1c868c69594af3e034cf3fe8437a0214c0ee384ff70823c86a726b9605591fe3",
      "poster_sha256": "4720a5e431c3632e8dfa9714933a660396124397884e7baf3e24c1c76386a01d",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s14-a4c-mapse-annular-excursion",
      "title": "Apical four-chamber, annular excursion",
      "theme": "Heart",
      "filename": "sccm-lv/s14-a4c-mapse-annular-excursion.mp4",
      "poster": "sccm-lv/s14-a4c-mapse-annular-excursion.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 14.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=30:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "MAPSE demonstration clip; normal or abnormal not labelled by the course.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 420,
      "height": 296,
      "duration_seconds": 2.533333,
      "size_bytes": 121422,
      "sha256": "828d110eeb7f165a54a02c47e3fab979eac7dbeb7628b92853a3c4b6394f2ba6",
      "poster_sha256": "ec0bea0fee2acc1a515313f236cdfa944cea0cc8e108b837156e8c7abbd4c138",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s30-a4c-poor-endocardial-definition",
      "title": "Poor endocardial definition, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s30-a4c-poor-endocardial-definition.mp4",
      "poster": "sccm-lv/s30-a4c-poor-endocardial-definition.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 30.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=128:h=70:color=black:t=fill,crop=400:290:40:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Endocardial borders drop out, so a Simpson trace is unreliable.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 400,
      "height": 290,
      "duration_seconds": 2.220641,
      "size_bytes": 120770,
      "sha256": "9f6ec0c608c32cfb6c4d6b5e4b9ecabc44418783001f622058d3e066df280e03",
      "poster_sha256": "4e51d0f4bb9e4ed7e6f361bac04022188ae62c21f738cb95ca158703b6a2eb07",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s30-a2c-poor-endocardial-definition",
      "title": "Poor endocardial definition, apical two-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s30-a2c-poor-endocardial-definition.mp4",
      "poster": "sccm-lv/s30-a2c-poor-endocardial-definition.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 30.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=128:h=70:color=black:t=fill,crop=400:290:40:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Endocardial borders drop out, so a Simpson trace is unreliable.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 400,
      "height": 290,
      "duration_seconds": 2.391459,
      "size_bytes": 128397,
      "sha256": "68cc00f8972d9305816352d4297a9428d8168f8e739109d83027caa153e08e4f",
      "poster_sha256": "2ea4c38fa179e19e9e8323b037ef093c02fb68e5cdb034dd2f6b85f88574f6e0",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s34-quad-normal-lv-parasternal-apical",
      "title": "Normal LV, parasternal and apical views (quad)",
      "theme": "Heart",
      "filename": "sccm-lv/s34-quad-normal-lv-parasternal-apical.mp4",
      "poster": "sccm-lv/s34-quad-normal-lv-parasternal-apical.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 34.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=92:h=20:color=black:t=fill,drawbox=x=238:y=0:w=78:h=20:color=black:t=fill,drawbox=x=0:y=164:w=90:h=22:color=black:t=fill,drawbox=x=238:y=164:w=82:h=22:color=black:t=fill).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course example 1: normal LV function in four views.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 480,
      "height": 328,
      "duration_seconds": 2.933333,
      "size_bytes": 135481,
      "sha256": "5bf766a138f7a590ec70de1ca8d03ed18d22782bf21c216b48357cfb06c04884",
      "poster_sha256": "103a7a3b1a2eee9e7477d87f67d3ff255d8c33d7cb61ba7ed081dc9a4b11cbea",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s35-plax-severe-lv-dysfunction",
      "title": "Severely reduced LV, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-lv/s35-plax-severe-lv-dysfunction.mp4",
      "poster": "sccm-lv/s35-plax-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 35.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course example 2: severely decreased LV function.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 420,
      "height": 296,
      "duration_seconds": 2.233333,
      "size_bytes": 46804,
      "sha256": "b933e016acdb014f41c386944364fa1cfd30e00641b7c39537cfc16bdfc43727",
      "poster_sha256": "962709789f784b3c9e696fa10b3aa4676620c2e8cd47efd136a96aeb34208080",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s35-psax-severe-lv-dysfunction",
      "title": "Severely reduced LV, parasternal short axis",
      "theme": "Heart",
      "filename": "sccm-lv/s35-psax-severe-lv-dysfunction.mp4",
      "poster": "sccm-lv/s35-psax-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 35.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: crop=480:308:0:32).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course example 2: severely decreased LV function.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 480,
      "height": 308,
      "duration_seconds": 5.0,
      "size_bytes": 192869,
      "sha256": "9f9de6f6dd8aa0e504a9953d0ab1bff9d8079fd59f61e08c7b8b62f91488bb15",
      "poster_sha256": "d750ab0c876a3e27e97044a4aeb631a9eedcefc8e1ed739de0c1cbd883f14608",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s35-apical-severe-lv-dysfunction",
      "title": "Severely reduced LV, apical view",
      "theme": "Heart",
      "filename": "sccm-lv/s35-apical-severe-lv-dysfunction.mp4",
      "poster": "sccm-lv/s35-apical-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 35.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course example 2: severely decreased LV function (course label: two-chamber).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 420,
      "height": 296,
      "duration_seconds": 2.2,
      "size_bytes": 102760,
      "sha256": "2781ef93db27e0bef2590599abde14cda4c358b7d413105d7b9a790b4ef7e541",
      "poster_sha256": "449fd2c78f9da4c9a859b18a30d99d0998067d5ad620639323f42190d17c8b00",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s35-subcostal-severe-lv-dysfunction",
      "title": "Severely reduced LV, subcostal four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s35-subcostal-severe-lv-dysfunction.mp4",
      "poster": "sccm-lv/s35-subcostal-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 35.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: drawbox=x=0:y=0:w=130:h=24:color=black:t=fill,crop=420:296:30:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course example 2: severely decreased LV function.",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 420,
      "height": 296,
      "duration_seconds": 2.5,
      "size_bytes": 83415,
      "sha256": "916880b75d1c2961634c52b03fbd8ceb2df9d8422e5c173a222a44c2e015d8ac",
      "poster_sha256": "9c974c6d8f8bbb5fbf6e413d47c42fdd8b1d67239b323205d9f172cdab07d7b1",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s36-a4c-lv-hyperdynamic",
      "title": "Hyperdynamic LV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s36-a4c-lv-hyperdynamic.mp4",
      "poster": "sccm-lv/s36-a4c-lv-hyperdynamic.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: crop=410:360:20:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Hyperdynamic LV; burned-in teaching label \"FE 70%\" (course slide states 78%).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-function",
      "width": 410,
      "height": 360,
      "duration_seconds": 2.535867,
      "size_bytes": 98377,
      "sha256": "041086817d13bed35a07b786fb7421948777506e637557a72878bc797604a43a",
      "poster_sha256": "808202eabb58c522616d1fbbb18a339084b6d0ee763b28f3dca545e4ffd02828",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s36-a4c-lv-normal-ef",
      "title": "Normal LV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s36-a4c-lv-normal-ef.mp4",
      "poster": "sccm-lv/s36-a4c-lv-normal-ef.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: crop=410:360:20:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Normal LV function; burned-in teaching label \"FE 60%\".",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-function",
      "width": 410,
      "height": 360,
      "duration_seconds": 1.935267,
      "size_bytes": 64535,
      "sha256": "16ca9789bbb1cd33aafcb57a3b5cc8b3add0228eae6bb908ad05f3197f01107e",
      "poster_sha256": "c4f06ca57b9feede0be83315b768d04966af5c522d3436db217390db30b367ec",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s36-a4c-lv-moderately-decreased",
      "title": "Moderately reduced LV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s36-a4c-lv-moderately-decreased.mp4",
      "poster": "sccm-lv/s36-a4c-lv-moderately-decreased.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: crop=380:360:50:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Moderately decreased LV function; burned-in teaching label \"FE 35%\".",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-function",
      "width": 380,
      "height": 360,
      "duration_seconds": 1.44,
      "size_bytes": 50038,
      "sha256": "e6126f8dae59e97d753bf139203c9c3cb238b211cdcb96008cb05ae97fc98d9c",
      "poster_sha256": "0b0dcb20a4c8214f42a2e786231e6a3c25047db26e0772d463c7ca6bce3d6054",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s36-a4c-lv-severely-decreased",
      "title": "Severely reduced LV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s36-a4c-lv-severely-decreased.mp4",
      "poster": "sccm-lv/s36-a4c-lv-severely-decreased.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time and header text masked or cropped to the sector (ffmpeg filter: crop=380:360:50:0).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Severely decreased LV function; burned-in teaching label \"FE 10%\".",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-function",
      "width": 380,
      "height": 360,
      "duration_seconds": 2.08,
      "size_bytes": 68479,
      "sha256": "09f222cada90424c0eb96850deed9176cec1920b422a09280d953d8d13b6ed34",
      "poster_sha256": "42637b2515d94b093cb0a1d5ac37fe444eef6110d301056d37e3b4cf17ff1660",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s50-q1-plax-severely-decreased-lv",
      "title": "LV question, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-lv/s50-q1-plax-severely-decreased-lv.mp4",
      "poster": "sccm-lv/s50-q1-plax-severely-decreased-lv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 50.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Not cropped; no burned-in identifiers found.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course question 1: severely decreased LV function (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 480,
      "height": 360,
      "duration_seconds": 4.0,
      "size_bytes": 103258,
      "sha256": "a9f600927caaa797057b9831045c4322d644ad133f7450651fc1a951ff9e0116",
      "poster_sha256": "251e91ed97840c3a42f96c6afc63961053433e5d7d9d10e4e91173fa856c821e",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s50-q1-a4c-severely-decreased-lv",
      "title": "LV question, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s50-q1-a4c-severely-decreased-lv.mp4",
      "poster": "sccm-lv/s50-q1-a4c-severely-decreased-lv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 50.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Not cropped; no burned-in identifiers found.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course question 1: severely decreased LV function (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 480,
      "height": 360,
      "duration_seconds": 4.0,
      "size_bytes": 151474,
      "sha256": "385e5f844db4d5ff7109f99c274bbb75e23c5e4fce87b46486248c185ac18644",
      "poster_sha256": "d865f481ab4029f9be76a9c41609e2345601ce456504f17e0a8aa22208cf946b",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s50-q1-psax-severely-decreased-lv",
      "title": "LV question, parasternal short axis",
      "theme": "Heart",
      "filename": "sccm-lv/s50-q1-psax-severely-decreased-lv.mp4",
      "poster": "sccm-lv/s50-q1-psax-severely-decreased-lv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 50.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Not cropped; no burned-in identifiers found.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted at 45% of the clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course question 1: severely decreased LV function (course answer).",
      "limitations": "Short teaching loop from a course question or example; not a complete examination and not current management advice.",
      "recommended_lecture": "../cardiac/#lv-cases",
      "width": 480,
      "height": 360,
      "duration_seconds": 4.0,
      "size_bytes": 114081,
      "sha256": "4fa053add35c5857207d3e3d283163bd295a86de2908b2aa7ec132cebaf137ef",
      "poster_sha256": "d5340a710c1ef3b1b0ab7512f60b0f5514932f1f933b8e02ac239da912a0c704",
      "review_date": "2026-10-18",
      "privacy_review": "Every poster and the max-projection of all processed frames were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale, heart-rate text and burned-in teaching labels)."
    },
    {
      "id": "sccm-lv-s08-plax-mmode-lv-dimensions",
      "title": "Fractional shortening by M-mode: perpendicular calipers",
      "theme": "Heart",
      "filename": "sccm-lv/s08-plax-mmode-lv-dimensions.jpg",
      "poster": "sccm-lv/s08-plax-mmode-lv-dimensions.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner time text masked (black box).",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "PLAX M-mode with end-diastolic and end-systolic LV diameters.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 636,
      "height": 434,
      "size_bytes": 47380,
      "sha256": "fa55c8f95ccf42c8eb58dabd0b485f0d788c265aa74e9a393bbdcebb5e5f3171",
      "poster_sha256": "fa55c8f95ccf42c8eb58dabd0b485f0d788c265aa74e9a393bbdcebb5e5f3171",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s08-plax-mmode-fs-teichholz-calcs",
      "title": "M-mode FS with machine Teichholz calculations",
      "theme": "Heart",
      "filename": "sccm-lv/s08-plax-mmode-fs-teichholz-calcs.jpg",
      "poster": "sccm-lv/s08-plax-mmode-fs-teichholz-calcs.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "LVIDd 3.94 cm, LVIDs 2.46 cm, FS 37.6%, EF (Teich) 68.3%.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 636,
      "height": 434,
      "size_bytes": 77702,
      "sha256": "a107169c6ac3999a470fdbea99912d78ba91c7a65b72b7165769740cd45ce8f9",
      "poster_sha256": "a107169c6ac3999a470fdbea99912d78ba91c7a65b72b7165769740cd45ce8f9",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s09-psax-mmode-fs",
      "title": "Fractional shortening in short axis",
      "theme": "Heart",
      "filename": "sccm-lv/s09-psax-mmode-fs.jpg",
      "poster": "sccm-lv/s09-psax-mmode-fs.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 9.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Header bar with date/time cropped off (top 125 px).",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "M-mode cursor through the centre of a round LV.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 800,
      "height": 483,
      "size_bytes": 75587,
      "sha256": "c38920aaaf333e8d477be0829de844bee5ca7ef4c4c5d14592e06f2f709d8cef",
      "poster_sha256": "c38920aaaf333e8d477be0829de844bee5ca7ef4c4c5d14592e06f2f709d8cef",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s15-a4c-mmode-mapse-measurement",
      "title": "MAPSE by M-mode",
      "theme": "Heart",
      "filename": "sccm-lv/s15-a4c-mmode-mapse-measurement.jpg",
      "poster": "sccm-lv/s15-a4c-mmode-mapse-measurement.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 15.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "M-mode through the lateral mitral annulus; shown for caliper technique.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 636,
      "height": 422,
      "size_bytes": 64417,
      "sha256": "88c4b21afbc409b5a556f8a2dc11060e7c586ff77a13bc3fc6ffcbf1d416d268",
      "poster_sha256": "88c4b21afbc409b5a556f8a2dc11060e7c586ff77a13bc3fc6ffcbf1d416d268",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s16-plax-mmode-epss-measurement",
      "title": "EPSS by M-mode",
      "theme": "Heart",
      "filename": "sccm-lv/s16-plax-mmode-epss-measurement.jpg",
      "poster": "sccm-lv/s16-plax-mmode-epss-measurement.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 16.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Top 26 px masked full width (name-like text, site and date); bottom menu bar cropped. Converted from TIFF.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Septum to E-point caliper reading 0.59 cm; shown for technique.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-linear",
      "width": 640,
      "height": 448,
      "size_bytes": 40652,
      "sha256": "74d10d9fc6477f31ec27ccfcb1b60996fc359bcf1cda07eacfcc215c99f3cacb",
      "poster_sha256": "74d10d9fc6477f31ec27ccfcb1b60996fc359bcf1cda07eacfcc215c99f3cacb",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s20-psax-fac-end-diastole-area",
      "title": "FAC: end-diastolic area",
      "theme": "Heart",
      "filename": "sccm-lv/s20-psax-fac-end-diastole-area.jpg",
      "poster": "sccm-lv/s20-psax-fac-end-diastole-area.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 20.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "PSAX endocardial trace, 22.4 cm².",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 20697,
      "sha256": "5f08377bc8d859b1852ec0882c15239c7ae7f113bab09f47f11f0f7557dee908",
      "poster_sha256": "5f08377bc8d859b1852ec0882c15239c7ae7f113bab09f47f11f0f7557dee908",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s20-psax-fac-end-systole-area",
      "title": "FAC: end-systolic area",
      "theme": "Heart",
      "filename": "sccm-lv/s20-psax-fac-end-systole-area.jpg",
      "poster": "sccm-lv/s20-psax-fac-end-systole-area.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 20.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "PSAX endocardial trace, 16.2 cm² (FAC 28%).",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 20187,
      "sha256": "8d875c487a7cd6593aceb3c6ab1d26deea4422f72c84281e862d5afb3e6f4fd9",
      "poster_sha256": "8d875c487a7cd6593aceb3c6ab1d26deea4422f72c84281e862d5afb3e6f4fd9",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s23-simpson-method-of-discs-diagram",
      "title": "Simpson's method of discs diagram",
      "theme": "Heart",
      "filename": "sccm-lv/s23-simpson-method-of-discs-diagram.webp",
      "poster": "sccm-lv/s23-simpson-method-of-discs-diagram.webp",
      "media_type": "course schematic image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Schematic; no patient data. Transparent background flattened on white.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Course schematic of the LV divided into discs.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 239,
      "height": 294,
      "size_bytes": 8194,
      "sha256": "250d154a63b095ab7c781aa78accdb8fc9af49b63dd9ba518acfd6f9fd547bc8",
      "poster_sha256": "250d154a63b095ab7c781aa78accdb8fc9af49b63dd9ba518acfd6f9fd547bc8",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s23-a4c-simpson-disc-tracing",
      "title": "Simpson's disc tracing, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-lv/s23-a4c-simpson-disc-tracing.jpg",
      "poster": "sccm-lv/s23-a4c-simpson-disc-tracing.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "A4C endocardial trace with discs. A duplicate source image carrying a patient name and ID was excluded.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 474,
      "height": 447,
      "size_bytes": 45806,
      "sha256": "5383b0bece1e7504002662d959a4ad6f768e9e9b3f36ff5b24f7c6c785c26f1f",
      "poster_sha256": "5383b0bece1e7504002662d959a4ad6f768e9e9b3f36ff5b24f7c6c785c26f1f",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s26-a4c-simpson-end-diastole",
      "title": "Simpson's A4C, end-diastole",
      "theme": "Heart",
      "filename": "sccm-lv/s26-a4c-simpson-end-diastole.jpg",
      "poster": "sccm-lv/s26-a4c-simpson-end-diastole.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 26.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "LVEDV MOD A4C 111 mL.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 20376,
      "sha256": "cabb0e4ab01e7a7448f2933710921d863dcdcbcd4ea7ddb2376a016b3dd493b3",
      "poster_sha256": "cabb0e4ab01e7a7448f2933710921d863dcdcbcd4ea7ddb2376a016b3dd493b3",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s26-a4c-simpson-end-systole",
      "title": "Simpson's A4C, end-systole",
      "theme": "Heart",
      "filename": "sccm-lv/s26-a4c-simpson-end-systole.jpg",
      "poster": "sccm-lv/s26-a4c-simpson-end-systole.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 26.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "LVESV MOD A4C 58 mL.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 20992,
      "sha256": "572cf83e5c4086199d483cd11a6881aeb7445385290a78d5bf9d87fa47f5aaca",
      "poster_sha256": "572cf83e5c4086199d483cd11a6881aeb7445385290a78d5bf9d87fa47f5aaca",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s27-a2c-simpson-end-diastole",
      "title": "Simpson's A2C, end-diastole",
      "theme": "Heart",
      "filename": "sccm-lv/s27-a2c-simpson-end-diastole.jpg",
      "poster": "sccm-lv/s27-a2c-simpson-end-diastole.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "LVEDV MOD A2C 118 mL.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 18586,
      "sha256": "da7a36a1949d6d243d3a4a1f5ad2a2716151444e4beed4305fbb5b2d8791e6a2",
      "poster_sha256": "da7a36a1949d6d243d3a4a1f5ad2a2716151444e4beed4305fbb5b2d8791e6a2",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-lv-s27-a2c-simpson-end-systole",
      "title": "Simpson's A2C, end-systole",
      "theme": "Heart",
      "filename": "sccm-lv/s27-a2c-simpson-end-systole.jpg",
      "poster": "sccm-lv/s27-a2c-simpson-end-systole.jpg",
      "media_type": "real clinical ultrasound still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Left Ventricular Function and Cardiac Output\", slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers present.",
        "Re-encoded as JPEG; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "LVESV MOD A2C 40 mL.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../cardiac/#lv-area-volume",
      "width": 636,
      "height": 434,
      "size_bytes": 18321,
      "sha256": "85eded32d0235d7c4de66aaf3d21b4b23f70922076b1925360b530a1820e0278",
      "poster_sha256": "85eded32d0235d7c4de66aaf3d21b4b23f70922076b1925360b530a1820e0278",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s10-psax-mid-papillary-lveda",
      "title": "LVEDA tracing level, parasternal short axis",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s10-psax-mid-papillary-lveda.mp4",
      "poster": "sccm-fluid/s10-psax-mid-papillary-lveda.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 10.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner date/time (top left) and elapsed-time counter (bottom right) masked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course clip for the LVEDA slide (course label: mid-papillary short axis).",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#static-measures",
      "width": 480,
      "height": 328,
      "duration_seconds": 1.8,
      "size_bytes": 84884,
      "sha256": "4ab7875814445d883b73088b1f8ba5b9afdfaa004428330f4dedda843f8320f6",
      "poster_sha256": "a8b654a0cf89eead52000d520693865ec85b9f6f7581f5af7391cc9e93e05cde",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s12-s60-psax-hypovolaemia-small-lv",
      "title": "Small LV labelled hypovolaemia, parasternal short axis",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s12-s60-psax-hypovolaemia-small-lv.mp4",
      "poster": "sccm-fluid/s12-s60-psax-hypovolaemia-small-lv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 12.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Whole scanner header masked: redacted name/ID boxes, scan date/time and a preset name that may identify the institution. A duplicate of this clip on slide 60 was not output separately.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course label \"hypovolemia\"; reused for course question 1 (LVEDA 5 cm², answer: likely fluid responsive).",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#course-questions",
      "width": 480,
      "height": 352,
      "duration_seconds": 1.8,
      "size_bytes": 115593,
      "sha256": "c9ee84d9fdb5dd92aff6e065051d11357329c565f8ca25267c292e6cdd2b868a",
      "poster_sha256": "78c62b06c98a32569f97871e0d065ee7502c696367ede7a3b5f3930cdaeb022b",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s13-subcostal-ivc-end-expiration",
      "title": "IVC at end-expiration, subcostal long axis",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s13-subcostal-ivc-end-expiration.mp4",
      "poster": "sccm-fluid/s13-subcostal-ivc-end-expiration.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 13.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scan date/time (top right) masked across the full width and re-checked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "IVC end-expiratory diameter as a static measure.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#static-measures",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 86855,
      "sha256": "8997daf4bf63d81b3613b7bf52ae79900a6022972d18873352dd9f413f570c0c",
      "poster_sha256": "d6096014c4aff874ba0c386633ac4ff72144d2cba20448fb53630a16be3daabf",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s21-ivc-right-atrium-collapsibility",
      "title": "IVC collapsibility at the right atrial junction",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s21-ivc-right-atrium-collapsibility.mp4",
      "poster": "sccm-fluid/s21-ivc-right-atrium-collapsibility.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 21.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Clock time (top left) and timer (bottom right) masked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "IVC narrowing with spontaneous inspiration; no measured value given by the course.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#ivc-lab",
      "width": 480,
      "height": 328,
      "duration_seconds": 1.809045,
      "size_bytes": 54156,
      "sha256": "aa2940c23261bb313520e8ed7d5cf2c8d7fd70fbf3b42b5d201f8bb3b72d1cec",
      "poster_sha256": "793b0867d5e0581e5d12e9c8bf5c4c4c813cb8d11a3a08abd225c85456d1cb4b",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s23-subcostal-ivc-shock-patient-1",
      "title": "Three patients in shock: IVC, patient 1",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s23-subcostal-ivc-shock-patient-1.mp4",
      "poster": "sccm-fluid/s23-subcostal-ivc-shock-patient-1.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers found (vendor/probe mark and depth scale only).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Unlabelled course clip; no diagnosis given and none assigned.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#ivc-pitfalls",
      "width": 480,
      "height": 360,
      "duration_seconds": 10.163675,
      "size_bytes": 228890,
      "sha256": "6f3cb06a6328ee286e7805cfda7703863b85fea9f034569e3ab648940f2cb597",
      "poster_sha256": "1803c1d257b17cbc480a3cab6dee1c9eedfaaf69b6c7bb53ce41ad3b6c755da4",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s23-subcostal-ivc-shock-patient-2",
      "title": "Three patients in shock: IVC, patient 2",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s23-subcostal-ivc-shock-patient-2.mp4",
      "poster": "sccm-fluid/s23-subcostal-ivc-shock-patient-2.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers found (vendor/probe mark and depth scale only).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Unlabelled course clip; no diagnosis given and none assigned.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#ivc-pitfalls",
      "width": 480,
      "height": 360,
      "duration_seconds": 6.966667,
      "size_bytes": 198648,
      "sha256": "9e7fea2997b9c4bb5b73d7159c60e601e48fc4c1594b2098cccee083b891f1fd",
      "poster_sha256": "3b67ea65a8e5c06b93ff27c11ab7ff7e4e85d22dec2fd6d9372744f1549c5224",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s23-subcostal-ivc-shock-patient-3",
      "title": "Three patients in shock: IVC, patient 3",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s23-subcostal-ivc-shock-patient-3.mp4",
      "poster": "sccm-fluid/s23-subcostal-ivc-shock-patient-3.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 23.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "A text fragment at top left masked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Unlabelled course clip; no diagnosis given and none assigned.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#ivc-pitfalls",
      "width": 480,
      "height": 344,
      "duration_seconds": 4.0,
      "size_bytes": 83366,
      "sha256": "b938c8e86c2bb0b34f89a1ed7820dead59c1fc002a42ff8a46743394f8ef0b43",
      "poster_sha256": "a7fc90f20d9abe18e2cbc2b23f22c3985a2ecba8520d67b98813a8852f37c7b1",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s27-a5c-lvot",
      "title": "Apical five-chamber view of the LVOT",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s27-a5c-lvot.mp4",
      "poster": "sccm-fluid/s27-a5c-lvot.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "A date-like line on the left masked; machine settings text kept.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "The LVOT view used for SV = CSA × VTI.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#acquire-flow",
      "width": 480,
      "height": 430,
      "duration_seconds": 1.033333,
      "size_bytes": 46745,
      "sha256": "45036f08cbdc6ad2da3e731fc53b7a140cd9871b5614ace0edd056a967fd1f9b",
      "poster_sha256": "513eb12eaf5ddab8d35c540dd10c27e3416d56df7e749d306b3d316baf5a238d",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s28-a5c-lvot-doppler-window",
      "title": "Apical window behind the LVOT PW gate",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s28-a5c-lvot-doppler-window.mp4",
      "poster": "sccm-fluid/s28-a5c-lvot-doppler-window.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 28.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Clock time (top left) and timer/heart-rate read-out (bottom right) masked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "2D window behind the LVOT VTI and respiratory peak-velocity spectra.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#acquire-flow",
      "width": 480,
      "height": 328,
      "duration_seconds": 2.309148,
      "size_bytes": 119596,
      "sha256": "fc6b70d0e4ac07a91176631189e6a82de6259186fb85be535e8706978abfdee7",
      "poster_sha256": "6710aaf4e0533e7e65b084a2c6f62c8f3d4556a533e04665ce871caaf45b43d7",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s52-psax-small-cavity-thick-walls",
      "title": "Small LV cavity with thick walls, parasternal short axis",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s52-psax-small-cavity-thick-walls.mp4",
      "poster": "sccm-fluid/s52-psax-small-cavity-thick-walls.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 52.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Clock time (top left) and timer (bottom right) masked.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the processed clip with no EXIF or comment metadata."
      ],
      "clinical_caption": "Course limitation: a stiff, non-compliant LV is relatively underfilled even with normal central venous volume.",
      "limitations": "Short teaching loop from a course slide or question; not a complete examination and not current management advice.",
      "recommended_lecture": "../haemodynamics/#static-measures",
      "width": 480,
      "height": 328,
      "duration_seconds": 0.733333,
      "size_bytes": 46988,
      "sha256": "39e2b7e2b3c1eb5441aaa36750c5d29ceaec5bfefed25c3070880b2783dda4ca",
      "poster_sha256": "4dfcef5619a7cffd9a020dd05f33ef812c935613a044301d6ac432faab0d53a0",
      "review_date": "2026-10-18",
      "privacy_review": "Posters and the first and last frames of every processed clip were re-read: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-fluid-s06-frank-starling-respiratory-variation",
      "title": "Frank–Starling curve and respiratory variation",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s06-frank-starling-respiratory-variation.webp",
      "poster": "sccm-fluid/s06-frank-starling-respiratory-variation.webp",
      "media_type": "course schematic image",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 6.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Diagram; no patient data.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Course diagram: high arterial respiratory variation on the steep part of the curve, low variation near the plateau.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#three-questions",
      "width": 1200,
      "height": 900,
      "size_bytes": 40324,
      "sha256": "288ea047f09e8b4f36b7ca5e55c91b1eada567181ef8fd949f8e79ed18fb5ea7",
      "poster_sha256": "288ea047f09e8b4f36b7ca5e55c91b1eada567181ef8fd949f8e79ed18fb5ea7",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s28-lvot-vti-pw-doppler-measurement",
      "title": "LVOT VTI by pulsed-wave Doppler with calculations",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s28-lvot-vti-pw-doppler-measurement.webp",
      "poster": "sccm-fluid/s28-lvot-vti-pw-doppler-measurement.webp",
      "media_type": "real clinical Doppler still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 28.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No names or dates on the image.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "VTI 8.5 cm, SV 26 mL, CO 1.87 L/min at HR 71/min (course notes: a low VTI).",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#acquire-flow",
      "width": 636,
      "height": 434,
      "size_bytes": 32136,
      "sha256": "e25d295859f606e697c19f06637bb4ccf4a4692180b3b52141023f703d023150",
      "poster_sha256": "e25d295859f606e697c19f06637bb4ccf4a4692180b3b52141023f703d023150",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s30-s61-aortic-peak-velocity-variation",
      "title": "Aortic peak velocity variation: course question 2",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s30-s61-aortic-peak-velocity-variation.webp",
      "poster": "sccm-fluid/s30-s61-aortic-peak-velocity-variation.webp",
      "media_type": "real clinical Doppler still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 30.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers found.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Peaks 0.63 and 0.46 m/s; ΔVpeak 31.2% (course answer: likely fluid responsive).",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#course-questions",
      "width": 636,
      "height": 434,
      "size_bytes": 38394,
      "sha256": "d0064a91d7e5a0eb0eb1c20a307f9e40eea7f1db6cc138a74887739560ec8f6c",
      "poster_sha256": "d0064a91d7e5a0eb0eb1c20a307f9e40eea7f1db6cc138a74887739560ec8f6c",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s31-aortic-peak-velocity-variation-responder",
      "title": "Aortic peak velocity variation: responder",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s31-aortic-peak-velocity-variation-responder.webp",
      "poster": "sccm-fluid/s31-aortic-peak-velocity-variation-responder.webp",
      "media_type": "real clinical Doppler still with measurements",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 31.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Clock time masked.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Peaks 1.12 and 0.88 m/s; ΔVpeak 24% (course: fluid responsive, threshold >12%).",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#aortic-velocity",
      "width": 636,
      "height": 434,
      "size_bytes": 33084,
      "sha256": "5f03254c180a6b03173b1043802b16a9c1cbf5c4ea6fa5876e2af1d50a051b85",
      "poster_sha256": "5f03254c180a6b03173b1043802b16a9c1cbf5c4ea6fa5876e2af1d50a051b85",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s36-plr-bed-angle-45-degrees",
      "title": "Bed angle indicator at 45°",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s36-plr-bed-angle-45-degrees.webp",
      "poster": "sccm-fluid/s36-plr-bed-angle-45-degrees.webp",
      "media_type": "course photograph",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Photograph of bed controls; no people or identifiers.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Bed rail indicator for the semi-recumbent PLR baseline.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#plr-technique",
      "width": 999,
      "height": 746,
      "size_bytes": 65958,
      "sha256": "fb99b8e4c868f64fdc48c1a615b6b16e3177faa4535103a7307c81160801d4da",
      "poster_sha256": "fb99b8e4c868f64fdc48c1a615b6b16e3177faa4535103a7307c81160801d4da",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-fluid-s36-plr-bed-angle-flat",
      "title": "Bed angle indicator flat",
      "theme": "Flow and shock",
      "filename": "sccm-fluid/s36-plr-bed-angle-flat.webp",
      "poster": "sccm-fluid/s36-plr-bed-angle-flat.webp",
      "media_type": "course photograph",
      "author": "Society of Critical Care Medicine (SCCM)",
      "year": 2020,
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Echocardiographic Evaluation of Hypovolemia and Volume Responsiveness\", slide 36.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Photograph of bed controls; no people or identifiers.",
        "Converted to WebP; all EXIF, ICC and XMP metadata removed."
      ],
      "clinical_caption": "Bed rail indicator with the trunk flat for the PLR position.",
      "limitations": "Single course image; not a complete examination.",
      "recommended_lecture": "../haemodynamics/#plr-technique",
      "width": 1028,
      "height": 768,
      "size_bytes": 65188,
      "sha256": "db001a26f680326c10f26450037c8af739d3f8a91986110eaf3a10522faa3317",
      "poster_sha256": "db001a26f680326c10f26450037c8af739d3f8a91986110eaf3a10522faa3317",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing: no names, record numbers, dates, times or locations remain."
    },
    {
      "id": "sccm-cases-s02-subcostal-ivc-out-of-plane",
      "title": "IVC moving out of the image plane, subcostal long axis",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s02-subcostal-ivc-out-of-plane.mp4",
      "poster": "sccm-cases/s02-subcostal-ivc-out-of-plane.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 2.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Empty top band cropped (crop=480:272:0:88).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "The IVC translates in and out of the image plane, so the apparent collapse is an artefact (course answer: technique incorrect).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-1",
      "width": 480,
      "height": 272,
      "duration_seconds": 1.64,
      "size_bytes": 50921,
      "sha256": "32821332127f1f8433795c88156f0cbb63e096d6fe2a9239cf863dc2a8e0f4a8",
      "poster_sha256": "02cca64e7b65567e5fb37c7f7ae40ab548eeaaeb7e0b9814a291810a4c54c46a",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s04-subcostal-ivc-hepatic-vein-confluence",
      "title": "IVC with hepatic vein confluence, subcostal colour Doppler",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s04-subcostal-ivc-hepatic-vein-confluence.mp4",
      "poster": "sccm-cases/s04-subcostal-ivc-hepatic-vein-confluence.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 4.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner header with partly redacted text and a visible time cropped (top 38 px).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Correct IVC plane: hepatic vein draining into the IVC at its junction with the right atrium.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-1",
      "width": 480,
      "height": 314,
      "duration_seconds": 2.56,
      "size_bytes": 116926,
      "sha256": "cb7ad82c9a48fcbcc40621f2de0ebb9ba5d97680ddde18028bef2e6c4f93c602",
      "poster_sha256": "29e00cedbfe963c1156b6ab1c8780b951f02db25693f1db1dd49da6844a24d1c",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s05-subcostal-4c",
      "title": "Subcostal four-chamber view",
      "theme": "Heart",
      "filename": "sccm-cases/s05-subcostal-4c.mp4",
      "poster": "sccm-cases/s05-subcostal-4c.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 5.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Empty top band cropped (crop=480:272:0:88).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Subcostal four-chamber view paired with the IVC clip; the course states no finding.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-1",
      "width": 480,
      "height": 272,
      "duration_seconds": 1.64,
      "size_bytes": 59929,
      "sha256": "05c7813851020c80d9bac0a8c8c8576cbdb0b5cdcbcc6e17663a4b17040e970c",
      "poster_sha256": "114d3bbe37885a6760dc9fe7d53443bfcb7f1c138b69c9a0aa28eb7984d03b93",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s07-plax-severe-lv-dysfunction",
      "title": "Severe LV dysfunction, parasternal long axis",
      "theme": "Heart",
      "filename": "sccm-cases/s07-plax-severe-lv-dysfunction.mp4",
      "poster": "sccm-cases/s07-plax-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 7.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Scanner header with a visible time and an institution preset string cropped (top 38 px).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Severe global LV dysfunction (course answer: EF below 30%) in a patient failing to wean from NIV.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-2",
      "width": 480,
      "height": 322,
      "duration_seconds": 1.03,
      "size_bytes": 21893,
      "sha256": "e7d49f12f5cc00b07e9dc8e6634cf8d99437cc8e61f2997c36a5b573144aba30",
      "poster_sha256": "a7f3306d868bee4d99ca43eb5b763d77761967c6d92d8a542d01b907cd492fe7",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s08-a3c-severe-lv-dysfunction",
      "title": "Severe LV dysfunction, apical long axis",
      "theme": "Heart",
      "filename": "sccm-cases/s08-a3c-severe-lv-dysfunction.mp4",
      "poster": "sccm-cases/s08-a3c-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Partly redacted scanner header cropped (top 38 px).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Same patient: severe global LV dysfunction.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-2",
      "width": 480,
      "height": 322,
      "duration_seconds": 2.17,
      "size_bytes": 65849,
      "sha256": "d0d0f05bcf6b5d9c7fa8a13f5588d1aeaead415eacf4fc232962ed95347e777e",
      "poster_sha256": "3dc0b210b3a10db16b786f0be6926290d3c14491886d79c0912360a129d220a3",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s08-a2c-severe-lv-dysfunction",
      "title": "Severe LV dysfunction, apical two-chamber",
      "theme": "Heart",
      "filename": "sccm-cases/s08-a2c-severe-lv-dysfunction.mp4",
      "poster": "sccm-cases/s08-a2c-severe-lv-dysfunction.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 8.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Partly redacted scanner header with date/time remnants cropped (top 38 px).",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Same patient: severe global LV dysfunction.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-2",
      "width": 480,
      "height": 322,
      "duration_seconds": 1.62,
      "size_bytes": 44100,
      "sha256": "e10697b7bc72760bfa352c565d0d7076210101b16a0ba5fcfa34487c8f6ed4b6",
      "poster_sha256": "852fea5955a2cd5cbd3387f1f4304f72fcab2ede4574059eb76be9f84139d795",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s12-a4c-left-atrial-mass-pericardial-effusion",
      "title": "Left atrial mass and pericardial effusion, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-cases/s12-a4c-left-atrial-mass-pericardial-effusion.mp4",
      "poster": "sccm-cases/s12-a4c-left-atrial-mass-pericardial-effusion.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 12.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Source showed a patient name, record number, temporary and study IDs, hospital/vendor text and scan date/time: top 34 px cropped, bottom cropped to 330 px and a black box placed over the top-right study block.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Left atrial mass with pericardial effusion; thoracotomy showed lung cancer extending into the left atrium through the pulmonary veins.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-3",
      "width": 480,
      "height": 296,
      "duration_seconds": 2.0,
      "size_bytes": 88731,
      "sha256": "fa563a3680494662b0d5ed3ddb74d20a7dd891e040b1fd50d6ad1bc29eadf941",
      "poster_sha256": "e364a4f663b1b390a49c3d553995212b69524cc53386ce6d6ae6d0eacf771779",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s15-a4c-hypokinetic-lv-relatively-hyperdynamic-rv",
      "title": "Hypokinetic LV with a relatively hyperdynamic RV, apical four-chamber",
      "theme": "Heart",
      "filename": "sccm-cases/s15-a4c-hypokinetic-lv-relatively-hyperdynamic-rv.mp4",
      "poster": "sccm-cases/s15-a4c-hypokinetic-lv-relatively-hyperdynamic-rv.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 15.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers (partial preset label only); no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "The RV appears hyperdynamic only relative to a hypokinetic LV in sepsis; not hypovolaemia and not McConnell sign.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-4",
      "width": 480,
      "height": 340,
      "duration_seconds": 1.97,
      "size_bytes": 113365,
      "sha256": "36e06a6c6b17372e99648a42d79ee1386ee510dd2852a3915b3c8d05c9cf030e",
      "poster_sha256": "614433aec2338039a9dd2d4862842099d85f233da3dbb9770e97ea6b0083d1c6",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s19-a4c-contrast-baseline",
      "title": "Contrast apical four-chamber, baseline",
      "theme": "Heart",
      "filename": "sccm-cases/s19-a4c-contrast-baseline.mp4",
      "poster": "sccm-cases/s19-a4c-contrast-baseline.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 19.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No burned-in identifiers; no crop. The source filename held a date, which is not carried over.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Baseline contrast (Optison) apical four-chamber before VF arrest after aortic root replacement.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-5",
      "width": 480,
      "height": 340,
      "duration_seconds": 2.36,
      "size_bytes": 144737,
      "sha256": "feeebc0736a5a55a6ac7e374a25c6e7f7ced4311e2b8b9ce80f6347e31e0c684",
      "poster_sha256": "592b82f9d960c1be834416a89967f801fcee751891b7c1ab0363fd99304338a5",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s19-a4c-contrast-after-vf-arrest-rwma",
      "title": "Contrast apical four-chamber after VF arrest",
      "theme": "Heart",
      "filename": "sccm-cases/s19-a4c-contrast-after-vf-arrest-rwma.mp4",
      "poster": "sccm-cases/s19-a4c-contrast-after-vf-arrest-rwma.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 19.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No burned-in identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "After VF arrest: severe hypokinesis to akinesis of the anterior wall, apex and septum with preserved lateral and inferior walls (course answer: cardiac catheterisation).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-5",
      "width": 480,
      "height": 340,
      "duration_seconds": 2.24,
      "size_bytes": 121107,
      "sha256": "9f6faaf5e914371cf3eb06997a326367cb05376d85bbd970c4044acf3886124a",
      "poster_sha256": "88f75fbb223bab99e2f1caa38585b26b5cd903226f003183af2615f67457e0de",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s19-psax-base-contrast-baseline",
      "title": "Contrast parasternal short axis, baseline",
      "theme": "Heart",
      "filename": "sccm-cases/s19-psax-base-contrast-baseline.mp4",
      "poster": "sccm-cases/s19-psax-base-contrast-baseline.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 19.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No burned-in identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Baseline contrast short axis before VF arrest.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-5",
      "width": 480,
      "height": 340,
      "duration_seconds": 1.72,
      "size_bytes": 114731,
      "sha256": "b5a7bb847376c54fe1b54ccacd104f0bb908e54ef6ceeb15ea07c2052151ffc4",
      "poster_sha256": "0e3e4f50af7000742b3929170575eff73748ad6d3b57726f0689c727d32e591f",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s19-psax-contrast-after-vf-arrest-rwma",
      "title": "Contrast parasternal short axis after VF arrest",
      "theme": "Heart",
      "filename": "sccm-cases/s19-psax-contrast-after-vf-arrest-rwma.mp4",
      "poster": "sccm-cases/s19-psax-contrast-after-vf-arrest-rwma.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 19.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No burned-in identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Short axis after VF arrest: regional wall motion abnormality.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-5",
      "width": 480,
      "height": 340,
      "duration_seconds": 2.48,
      "size_bytes": 113197,
      "sha256": "197da3a5efc4e6850fec15bb23022a19e853e5161a38b6bc864f72c3145d3674",
      "poster_sha256": "594e50ff26793fdafa6ef62a54de11ae46afe35d9a20476c62c55ce79395da6a",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s24-psax-normal-heart",
      "title": "Normal heart, parasternal short axis",
      "theme": "Heart",
      "filename": "sccm-cases/s24-psax-normal-heart.mp4",
      "poster": "sccm-cases/s24-psax-normal-heart.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 24.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Septic 18-year-old: heart completely normal (course reading).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-6",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 128211,
      "sha256": "327aa47b467ff8fa0216719353d8a737549616d30506e4fc13521804a9a5d8ba",
      "poster_sha256": "162ce4766c1160970e4fbca0c1b248ce1455b1883de2d2b5963bd5dfd81cfc46",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s24-lung-right-upper-chest-b-lines",
      "title": "B-lines, right upper chest",
      "theme": "Lung",
      "filename": "sccm-cases/s24-lung-right-upper-chest-b-lines.mp4",
      "poster": "sccm-cases/s24-lung-right-upper-chest-b-lines.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 24.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "B-lines show fluid in the interlobular septa; not specific for pneumonia (course reading).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-6",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 50129,
      "sha256": "609af91f8840529051017d86c22a38ca904868c0fdc26d7a3f34ea94eb0832e2",
      "poster_sha256": "aed33e8925e6b436b5542b41160c5efd2b36ac17a68899d36eb51d6b4bbb91bb",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s24-right-neck-veins-septic-thrombophlebitis",
      "title": "Right neck veins, septic thrombophlebitis",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s24-right-neck-veins-septic-thrombophlebitis.mp4",
      "poster": "sccm-cases/s24-right-neck-veins-septic-thrombophlebitis.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 24.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Right neck vessels in a septic 18-year-old: venous thrombus (Lemierre syndrome).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-6",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 58947,
      "sha256": "b391569b6d97f5a8384c366117f6d11b3e74a9d7184137f64dfb32a664263ea8",
      "poster_sha256": "b2eed471aa1d009c5990f3d100c6e693bdae4aedeaaf338d3e119ca5696b68f7",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s24-fast-ruq-no-free-fluid",
      "title": "FAST right upper quadrant without free fluid",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s24-fast-ruq-no-free-fluid.mp4",
      "poster": "sccm-cases/s24-fast-ruq-no-free-fluid.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 24.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "No fluid in Morison’s pouch and no hydronephrosis (course reading).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-6",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 57226,
      "sha256": "cfcc5080f3ed69f576d9daefd5664c9535deadca165ec2709e559eea52c72ab3",
      "poster_sha256": "562ce1b394510a7703d650f8afb4c43a803641a117acf1e5cd07d22a5c6abbc8",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s25-right-neck-colour-doppler-lemierre",
      "title": "Right neck colour Doppler, Lemierre syndrome",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s25-right-neck-colour-doppler-lemierre.mp4",
      "poster": "sccm-cases/s25-right-neck-colour-doppler-lemierre.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 25.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Fusobacterium necrophorum bacteraemia with Lemierre syndrome (septic thrombophlebitis); the course labels the view only as right neck.",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-6",
      "width": 480,
      "height": 360,
      "duration_seconds": 2.0,
      "size_bytes": 99538,
      "sha256": "255ccbe92b241c6e57990f6f4d38e62c1cf0ab3bb0d6ef5b5a786c51bcca8ce4",
      "poster_sha256": "4d07247f80621f5787169ee3345fc6d21bd748e1123d71b00eefb2fe7c1e275e",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s27-subcostal-rv-haematoma-after-wire-removal",
      "title": "Localised haematoma compressing the RV after pacing-wire removal, subcostal",
      "theme": "Heart",
      "filename": "sccm-cases/s27-subcostal-rv-haematoma-after-wire-removal.mp4",
      "poster": "sccm-cases/s27-subcostal-rv-haematoma-after-wire-removal.jpg",
      "media_type": "real clinical ultrasound cine and extracted still",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 27.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "No identifiers; no crop. View and finding taken from the course file label (\"RV hematoma post wire removal subcostal\") and slide 28.",
        "Transcoded to H.264 MP4 (CRF 26, yuv420p, faststart) at native width without changing frame rate, duration or sequence.",
        "Audio, chapters and container metadata removed.",
        "JPEG poster extracted from the middle of the processed clip; EXIF and comment segments removed."
      ],
      "clinical_caption": "Tamponade from a localised collection after epicardial pacing-wire removal (course answer: resternotomy).",
      "limitations": "Short teaching loop from a course case; not a complete examination and not current management advice.",
      "recommended_lecture": "../cases/#case-7",
      "width": 480,
      "height": 336,
      "duration_seconds": 2.2,
      "size_bytes": 130033,
      "sha256": "57c678e066e32fb6a32aa1ed9b7615f1202a3b966ffb8269beb556806b0b44c4",
      "poster_sha256": "fc37085f12ada1c29d749a686fd7270742f77a4eb10ad7e78ab20ee40f6fbaf2",
      "review_date": "2026-10-18",
      "privacy_review": "Poster and the first, middle and last frames of the processed clip were re-read on 18 Oct 2026: no names, record numbers, dates, times or locations remain (only machine settings, depth scale and heart-rate text)."
    },
    {
      "id": "sccm-cases-s18-cxr-after-fluid-resuscitation",
      "title": "Chest radiograph after fluid resuscitation",
      "theme": "Flow and shock",
      "filename": "sccm-cases/s18-cxr-after-fluid-resuscitation.jpg",
      "poster": "sccm-cases/s18-cxr-after-fluid-resuscitation.jpg",
      "media_type": "real clinical radiograph (still)",
      "author": "Society of Critical Care Medicine (SCCM)",
      "source_url": "https://www.sccm.org/",
      "source_note": "SCCM Critical Care Ultrasound: Adult course, Day 1, \"Afternoon Clinical Cases\" (evening cases; the supplied deck is undated), slide 18.",
      "licence": "Used with permission",
      "licence_url": "https://www.sccm.org/",
      "licence_evidence": "Owner confirmed reuse rights 18 Oct 2026",
      "changes": [
        "Patient ID, accession number, study ID, dates/times and the series block blacked out.",
        "Re-saved as JPEG with all EXIF and comment metadata removed."
      ],
      "clinical_caption": "Radiograph after aggressive fluid resuscitation in Case 4; shown on the course slide without a report.",
      "limitations": "Single course image without a formal report; not a complete examination.",
      "recommended_lecture": "../cases/#case-4",
      "width": 716,
      "height": 680,
      "size_bytes": 37754,
      "sha256": "11f94e7389f000d6a65d8fd5df8bb25c67abb52522b784105b2106cdd0818c03",
      "poster_sha256": "11f94e7389f000d6a65d8fd5df8bb25c67abb52522b784105b2106cdd0818c03",
      "review_date": "2026-10-18",
      "privacy_review": "Image re-read after processing on 18 Oct 2026: identifying text blocks are fully masked; no names, record numbers, dates, times or locations remain."
    }
  ]
}
