As defined by the American Society of Echocardiography, a full TEE examination consists of 28 standard views, many of which have accompanying Doppler measurements.20 The number of views required for a critical care TEE examination has not been standardized. Obtaining all views that are used by cardiologists is neither practical nor necessary. We propose an examination sequence used at Hospital Ambroise-Pare in Boulogne, France, headed by Antoine Vieillard-Baron, MD, PhD, that is designed to rapidly assess the patient with hemodynamic failure and that conforms to the requirements set out in the advanced CCE training statement.8 It is important for the training design, competency-based testing, and standardization of patient care that intensivists adopt a uniform set of required views. This is particularly important during the training period for advanced critical care TEE. The French critical care TEE examination is a minimal standard for the intensivist. If indicated, other views may be included in the examination. There is no consensus as to the order of the views for the examination. The important issue is that the intensivist masters image acquisition of all the mandatory views and performs each examination in the same sequence unless the clinical situation requires an amended image set. We favor a standardized approach to the scanning sequence to avoid missing important views. The order of views listed here is the sequence that we use in our practice. Other groups use a different order to good effect. We emphasize that this image set is designed for the assessment of hemodynamic failure in the intubated patient in the ICU or ED and should be regarded as a reasonable minimal standard for training purposes. Additional views may be used, depending on the clinical situation and the skill level of the intensivist performing the examination. Although there is no standard approach to the image set, some experts feel that a limited, goal-directed examination has significant value, particularly in an unstable patient. Once fully trained, the intensivist chooses which images are required based on the requirements of the clinical situation. This may be the standard image set or a more limited study.