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Chủ Nhật, 22 tháng 4, 2018

PROTOCOLS for SHOCK

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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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