3 ways to find the bicaval transthoracic view.:

The principle to understand is that the SVC has a anterior position in the
chest and the IVC has a more posterior in the abdomen.

First .: You start above the right clavicle to visualize the SVC then you
angulate slowly posteriorly to see the IVC in the bicaval view.

Second.: You start from the subcostal view to visualize the IVC then you
angulate slowly anteriorly to see the SVC in the bicaval view.

Third.: You start from an horizontal view of the Right ventricle 2
chambers then you make an anterior move to find the SVC and angled
slowly posteriorly to see the bicaval view .

4CH view by apical using an up and down sweep


Coronary Sinus:


Classical 4CH:


5CH:


P.V andASC. Aorta:


Aortic Arch:



4CH view by subcostal using an up and down sweep

LV and RV Hand Drawing Method

This is a rapid drawing (7 sec LV, 5 sec RV) of the bull eye for the WMS.
The technician or doctor do the manual drawing before the exam and fill up during the exam.
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LV Rapid Manual Drawing 
(7 Sec)
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RV-LV Rapid Manual Drawing
(12 sec)
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Inferior Infarction

Simplified LVEF by WMS

Example

ASE Guidelines (2015)

ASE Guidelines (2016) -- Diastolic Dysfunction