PROTOCOLS FOR SHOCK
Shock is a major morbidity in emergency and critical care and is
also one of the important prognostic factors affecting in-hospital mortality [1]. Timely
diagnosis and treatment of shock reduce the length of stay (LOS) and mortality
rate at the emergency department (ED). The early use of the point of care
ultrasound (POCUS) can reduce the diagnostic time as well as increase the
accuracy of diagnosis [2]. The first protocol Undifferentiated hypotension
protocol (UHP) was release on 2001, [3]; and more than 15 subsequent
protocols were developed [4].
Future and discussion
Most currently available protocols are focused on diagnosis.Blanco
et al. suggested that an ultrasound scan should also assess the efficacy of
treatment [5]. For example, the use of velocity time integral (VTI)
of LVOT to measure the responses to fluid and inotropic agent to help further
management.
Point of care ultrasound is a powerful tool in emergency setting.
The emergency ultrasound procedures for shock can reduce the LOS at the
emergency department.
Therefore, POCUS is an essential skill for personnels in the
emergency department and critical care units.
PROTOCOLS for SHOCK
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