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Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? An International Randomized Controlled Trial From the SHoC-ED Investigators. Ann Emerg Med 2018; 72:478-489. [DOI: 10.1016/j.annemergmed.2018.04.002] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2017] [Revised: 03/21/2018] [Accepted: 04/04/2018] [Indexed: 11/22/2022]
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Liteplo A, Noble V, Atkinson P. My patient has no blood pressure: point-of-care ultrasound in the hypotensive patient – FAST and RELIABLE. ULTRASOUND : JOURNAL OF THE BRITISH MEDICAL ULTRASOUND SOCIETY 2012. [DOI: 10.1258/ult.2011.011044] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
There is perhaps no greater challenge to the emergency and critical care physician than management of the hypotensive patient. A rapid, yet accurate, assessment is essential in this clinical setting. Point-of-care ultrasound (PoCUS) has evolved to become an indispensable test in the critical care and emergency setting. This article addresses the use of ultrasound in the evaluation of the hypotensive patient and reviews some of the scanning protocols and algorithms that have been described. We use the mnemonic FAST and RELIABLE to describe key aspects of PoCUS for undifferentiated hypotension.
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Affiliation(s)
- Andrew Liteplo
- Department of Emergency Medicine, Harvard University, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Vicki Noble
- Department of Emergency Medicine, Harvard University, Massachusetts General Hospital, Boston, MA 02114, USA
| | - Paul Atkinson
- Department of Emergency Medicine, Dalhousie University, Saint John Regional Hospital, 400 University Avenue, Saint John, NB, E2L 3L6, Canada
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