Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol
TLDR
Clinicians caring for critical patients should strongly consider integrating ultrasound into their resuscitation pathways.Abstract:
Assessment of hemodynamic status in a shock state remains a challenging issue in Emergency Medicine and Critical Care. As the use of invasive hemodynamic monitoring declines, bedside-focused ultrasound has become a valuable tool in the evaluation and management of patients in shock. No longer a means to simply evaluate organ anatomy, ultrasound has expanded to become a rapid and noninvasive method for the assessment of patient physiology. Clinicians caring for critical patients should strongly consider integrating ultrasound into their resuscitation pathways.read more
Citations
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Journal ArticleDOI
Point-of-care multiorgan ultrasonography for the evaluation of undifferentiated hypotension in the emergency department.
Giovanni Volpicelli,Alessandro Lamorte,Mattia Tullio,Luciano Cardinale,M. Giraudo,Valerio Stefanone,Enrico Boero,Peiman Nazerian,R. Pozzi,Mauro F. Frascisco +9 more
TL;DR: Emergency diagnostic judgments guided by point-of-care multiorgan ultrasonography in patients presenting with undifferentiated hypotension significantly agreed with a final clinical diagnosis obtained by retrospective chart review.
Journal ArticleDOI
Point-of-Care Ultrasonography for Primary Care Physicians and General Internists
TL;DR: 2 common patient scenarios (heart failure and sepsis) are described to highlight the impact of POCUS performed by internists on efficiency, diagnostic accuracy, resource utilization, and radiation exposure.
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Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologists Can Learn.
John R. Richards,John P. McGahan +1 more
TL;DR: The authors report on the utility of FAST in special patient populations, such as pediatric and pregnant trauma patients, and the potential for future research, applications, and portions of this examination that may be applicable to radiology-based practice.
Journal ArticleDOI
Therapeutic strategies for high-dose vasopressor-dependent shock.
TL;DR: Arginine vasopressin is frequently used in refractory shock, although definite evidence to support this practice is still missing and other rescue therapies such as terlipressin, methylene blue, and high-volume isovolemic hemofiltration await more evidence before use in routine practice.
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Rapid Ultrasound in Shock (RUSH) Velocity-Time Integral A Proposal to Expand the RUSH Protocol
TL;DR: This work proposes the addition of ultrasound calculation of stroke volume or surrogates to the RUSH protocol and provides support for its utility and relative ease of calculation.
References
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Lawrence G. Rudski,Wyman W. Lai,Jonathan Afilalo,Lanqi Hua,Mark D. Handschumacher,Krishnaswamy Chandrasekaran,Scott D. Solomon,Eric K. Louie,Nelson B. Schiller +8 more
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Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol.
TL;DR: Lung ultrasound can help the clinician make a rapid diagnosis in patients with acute respiratory failure, thus meeting the priority objective of saving time.