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what should I do if there is no prescriptive guidance if the image is poor quality without any structures visible then the algorithm may not be able to provide any guidance for probe movements in this scenario rely on the other cardiac guidance features remember you always have continual real-time feedback from the quality meter when no structures are visible and the meter is low the system will prompt you to make slow circular sweeps until moving Anatomy appears while searching for the heart pay attention to the Quality meter so that when it starts to go up you can slow your movements down stabilize your wrist and follow any prescriptive guidance that may appear another option is to take the probe off the patientamp;#39;s chest and reset in a different spot you can explore with confidence knowing that sa best clip has remembered your best 2cond clip cardiac guidance is also very sensitive to depth for larger patients depth may need to be increased so the ultrasound can travel deeper