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Patients with acute brain pathology (i.e., acute ischemic stroke, intracranial hemorrhage, subarachnoid hemorrhage, status epilepticus, and traumatic brain injury) as well as neuromuscular emergencies (i.e., myasthenic crisis and demyelinating polyneuropathy) can have concomitant cardiac pathology such as heart failure and myocardial infarction as part of their initial presentation or as a complication during the hospital course. Additionally, patients can develop decompensation of cardiac function in the presence of disease states such as pulmonary embolism or pericardial effusion. For example, heart failure has been reported in some ischemic stroke cohorts in up to 30–60% of patients. Moreover, more than a third of patients with subarachnoid hemorrhage have been found to have regional wall-motion abnormalities on a formal echocardiogram . Many patients admitted to the intensive care unit undergo a formal transthoracic echocardiogram that is interpreted by a cardiologist; however, this may not be done for days and also does not always capture decompensated heart failure that can occur in a delayed fashion. Cardiac point-of-care ultrasound has been supported by national societies such as the European Society of Intensive Care Medicine (ESICM), the American College of Emergency Physicians (ACEP), and the Society of Critical Care Medicine (SCCM) [2-4]. ESICM recommends that the critical care practitioner be able to assess left ventricular systolic function, regional wall motion abnormality, left ventricular outflow obstruction, right ventricle size, right ventricular failure, hemodynamically significant pericardiac effusion, and markers of tamponade. Many neurocritical care fellows are coming from neurology backgrounds that lack ultrasound training but based on a survey of neurocritical care fellowship directions from Dhar et al., only 1/3 of program directors require critical care ultrasound as part of the training .