There is great interest and benefit in optimizing efficiency and productivity in a pediatric echo lab. 1 Mathewson J. Dyar D. Jones F. Sklansky M. Perry J. Michelfelder E. et al. Conversion to digital technology improves efficiency in the pediatric echocardiography laboratory. J Am Soc Echocardiogr. 2002; 15: 1515-1522 Abstract Full Text Full Text PDF PubMed Scopus (8) Google Scholar ,2 Lai W. Srivastava S. Cohen M. Frommelt P. Allada V. Pediatric echocardiography laboratory organization and clinical productivity. J Am Soc Echocardiogr. 2013; 26: 1180-1186 Abstract Full Text Full Text PDF PubMed Scopus (9) Google Scholar We studied the feasibility and impact of a rapid but complete anatomic survey (base echocardiogram protocol; Supplemental Table 1) designed to decrease the time of image acquisition and report generation without sacrificing diagnostic ability in a low-risk pediatric population. We defined a low-risk indication as murmur, abnormal electrocardiogram, syncope, chest pain, family history of congenital heart disease (not myopathy), and palpitations. This protocol assesses all anatomy but does not include detailed quantification and is significantly shorter than our routine clinical echo protocol. It images the heart in all standard planes and utilizes sweeps and side-by-side two-dimensional and color Doppler imaging. The assumption in the use of this protocol is that if findings are normal then the patient will be discharged from pediatric cardiology clinic.