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CJEM. 2019 Jan 30:1-12. doi: 10.1017/cem.2018.498. [Epub ahead of print]

The diagnostic accuracy of a point-of-care ultrasound protocol for shock etiology: A systematic review and meta-analysis.

Author information

1
*Division of Emergency Medicine,Washington University School of Medicine,St. Louis, MO.
2
†Department of Emergency Medicine,Good Samaritan Hospital Medical Center,West Islip, NY.
3
§Department of Emergency Medicine,Geisinger Health System,Danville, PA.
4
¶Health Sciences Library,University of Missouri-Columbia School of Medicine,Columbia, MO.
5
**Aventura Hospital and Medical Center,Aventura, FL.
6
††Department of Emergency Medicine,University of Missouri - Columbia School of Medicine,Columbia, MO.

Abstract

CLINICIAN'S CAPSULEWhat is known about the topic?The rapid ultrasound for shock and hypotension (RUSH) exam has been suggested to help diagnose the etiology of undifferentiated shock.What did this study ask?What does the literature say regarding the diagnostic accuracy of the RUSH exam for shock etiology by subtype?What did this study find?The RUSH exam is better able to "rule in" than "rule out" most shock subtypes.Why does this study matter to clinicians?Diagnostic accuracy for shock evaluation can be improved with use of an ultrasound protocol, but additional clinical information should still be used.

KEYWORDS:

POCUS; RUSH; hypotension; shock; ultrasound

PMID:
30696496
DOI:
10.1017/cem.2018.498

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