Caution — validity conditions
This metric is only valid if all of the following are met:
Sinus rhythm
Mechanically ventilated with no spontaneous breaths
Tidal volumes of at least 8 mL/kg PBW
Normal intra-abdominal pressure
An intact thorax
3Left Atrial Pressure
Normal: <45 mm (F), <50 mm (M)
Normal <22 cm²
Caution
B-Lines on lung ultrasound + bowing of the interatrial septum into the right atrium equals a high risk of raised left atrial pressure.
E/A:
cm/s
Caution
This E/e′ is based on a single e′ measurement. Intermediate- and high-risk bands assume an averaged septal and lateral e′ where appropriate — cross-check against local validity criteria and published reference ranges before clinical use.
Caution — validity
TR Vmax should only be used for LA pressure estimation when:
Right ventricular systolic function is preserved
There is no evidence of increased pulmonary vascular resistance
Enter relevant fields above when available
4Right Heart
Normal <18 cm²
Normal <45 mm
Normal <40 mm
Normal <85 mm
Normal <45 mm · measure in PLAX or PSAX
Normal ≤5 mm
RV/LV:
RV basal diameter ÷ LVIDd (section 2), both in mm
Function assessment
(EDA − ESA) ÷ EDA × 100 — Normal >30%
Normal >17 mm
Normal >9 cm/s
Normal 12–16 cm
Pulmonary Hypertension Assessment
Enter TR Vmax
Enter TR Vmax, then CVP (Section 1) or IVC diameter (cm) + collapsibility (Veins)
PASP ≈ 4×TR Vmax² + RAP (mmHg). RAP = CVP when entered; if CVP blank, mean RAP is inferred from IVC diameter (cm) + collapse (published table).
mm/mmHg
TAPSE ÷ estimated PASP (same calculation as PASP above: TR Vmax + CVP or IVC-derived RAP)
None selected
Abnormal if <105 ms
Abnormal if >2.2 m/s
Abnormal if >25 mm
None selected
5Valves
Mitral
None selected
Aortic
DI:
AVA:cm²
LVOT CSA × (LVOT VTI ÷ AV VTI) — uses LVOT diameter from section 2
Tricuspid
Pulmonary
6Pericardium
None selected
7Aorta
Root (PSLAX)
Ascending (Mod PSLAX)
Arch (Supra-sternal)
Descending (A2C)
Abdominal
Detailed Abdominal Assessment
Proximal
Mid
Distal
Right common iliac
Left common iliac
8Veins
Enter IVC diameter and vein assessments above
RRI = (PSV − EDV) / PSV · Normal ≤0.70
9Lung
Left
Right
Bilateral
None selected
None selected
10Summary & conclusions
FUSIC HD Questions
Ensure you have removed all patient identifiable information.
Ensure you have removed all patient identifiable information.
Clear Form?
All entered data will be permanently erased. This cannot be undone. No data is saved anywhere.
Go to section
Export report
Before exporting
Report may contain patient-identifiable data
Empty fields
PDF
Print / save as PDF
Compact A4 layout via the print dialog.
Reporting form (paper style)
Close mimic of the formal ICS paper reporting form. Save as PDF via the print dialog.
BSE/EDEC style report
Free-text editor, then a BSE/EDEC-styled PDF.
Text
Copy to clipboard
Full-text report copied in one click.
Full page view
Opens the text report to select and copy manually.
Data
Excel workbook (.xlsx)
Structured spreadsheet for filing or further editing.
TOTEM quick-entry values
Copies values for pasting into the TOTEM Excel-based FUSIC HD reporting tool.
Attach images to PDF
Add PNG, JPEG, or GIF images. Each image is placed at the end of the PDF in the order shown below. Drag the rows (or use the ▲▼ buttons) to reorder. Images are held in memory for this session only.
Auto packs images by shape; a fixed number overrides this.
No images attached yet.
Check images for identifiable information
Before attaching, review every image for patient-identifiable information — patient name or ID burned into screenshots, wristbands, bedside monitor details, room or bed labels, DICOM overlays, or anything else in the background.
Attached images are embedded into the resulting PDF. If you are producing the report on your personal device, that PDF (and any copy you share) will contain the raw image data. You remain responsible for following your organisation's information governance.
Plain text report
Omit empty sections
Summary near top
Non-FUSIC HD disclaimer
Report disclaimer
Quantitative assessment only
Copy and paste these values directly into the TOTEM FUSIC HD Reporting Tool Quick Entry sheet. Blank lines are intentional as they match empty fields you haven't filled in and keep everything aligned.
Click Select All then Copy to Clipboard (or select manually).
Paste into cells C3 through C55 on the Quick Entry sheet.
Always double-check the pasted values. Any future updates to the Excel sheet may shift the cell layout and break the alignment.
Edit report disclaimer
This text will appear at the bottom of exported reports when the Report Disclaimer setting is enabled.
Pseudo-anonymise study?
This will permanently replace patient name and patient ID with the same pseudo-code (e.g. FUSICHD-Alpha-71204 in both fields), plus age (decade band such as 30–39 or 80+), scan date (month and year only), and time (AM or PM only). This cannot be undone — the app does not keep your original values.
Before you continue, check that Clinical Indication, Overall Impression, and Recommended Actions do not contain identifiable patient information. Other fields (for example operator name) may still be identifying — you are responsible for what you export or share.
This does not pseudo-anonymise uploaded images — review each attached image separately before exporting.
Auto-fill normal study fields?
This will set many dropdowns and chip groups to “normal” or equivalent values (for example FUSIC HD questions to No where appropriate, Sinus Rhythm, Self-Vent: Room Air, Normal on both lungs, thin valve appearance with normal openings, no RWMA or effusion, no aortic dissection flap, normal colour flow, and Normal study significance).
Review every auto-filled field carefully. The tool cannot know your patient or image quality. You remain responsible for ensuring the report is accurate and complete before any clinical use or export.
Using the Report Generator
Version0.18
This FUSIC HD Report Generator was created by Dr Christopher Partridge, a FUSIC HD accredited anaesthetics trainee, as a free tool to support point-of-care echocardiography reporting in acute and critical care settings.
This tool is not affiliated with the Intensive Care Society.
How it works
This application is a single, self-contained HTML file. It runs entirely within your browser — no internet connection is required beyond the initial page load, no data is sent to any server, and nothing is stored anywhere. When you export (for example to Excel), the file is generated locally on your device. Plain-text export only copies to your clipboard. Once the browser tab is closed, all entered information is permanently gone.
This tool does not collect, transmit, store, or process patient data in any form.
Intended use & limitations
This tool is designed to assist clinicians in structuring echocardiography findings into a readable report format. It is intended as a documentation aid only and does not provide clinical decision support, diagnostic conclusions, or medical advice.
All clinical interpretations, measurements, and conclusions entered into this tool remain the sole responsibility of the reporting clinician. Auto-generated values — including LV size categorisation, stroke volume, cardiac output, and diastolic indices — are derived from standard published formulae and reference ranges, but should always be reviewed in the context of the individual patient, image quality, and clinical scenario. They are intended as a prompt, not a substitute for clinical judgement.
This tool has not been validated as a medical device and is not registered as such. It should not be used as the sole basis for clinical decision-making.
Medicolegal notice
Use of this application does not constitute or replace a formal echocardiography report verified by an accredited practitioner. Clinicians using this tool remain personally and professionally responsible for the accuracy and appropriateness of all data entered, all interpretations made, and all clinical actions taken on the basis of those findings. Supervision requirements applicable to your scope of practice, employer, and training programme remain in effect regardless of the supervision status selected within this tool.
This software is provided as-is, without warranty of any kind. The author accepts no liability for clinical outcomes arising from its use.
Usage & permissions
This tool is proprietary and all rights are reserved. It may not be copied, modified, redistributed, or used as the basis for derivative works without explicit written permission. If you have suggestions for improvement, feedback is always welcome.
17-segment wall motion model
NormalHypokineticAkineticDyskinetic
Tap segment to cycle state
Reference ranges
Source: Guidelines for performing a comprehensive haemodynamic assessment with ultrasound. FUSIC® HD. (2026)
BSE/EDEC style report
We recommend completion on a desktop computer. The free-text fields below will appear in the exported PDF alongside a compact measurements table.