Volume 28, Issue 153, November 2024

Ultrasound in the diagnosis and therapeutic management in undifferentiated shock patients in the emergency department

Mazi Mohammed Alanazi^1♦, Johara Mohammed Alkhamash², Ammar Hassan Alalawi³

¹Head of Emergency Medicine Research Unit, Emergency Medicine, Emergency Department, First Health Cluster, Riyadh, Saudi Arabia
²Saudi Board Emergency Resident, Emergency Department, Prince Mohammed Bin Abdulaziz Hospital, Second Health Cluster, Riyadh, Saudi Arabia
³Saudi Board Emergency Medicine Resident, First Health Cluster, Riyadh, Saudi Arabia

^♦Corresponding Author
Head of Emergency Medicine Research Unit, Emergency Medicine, Emergency Department, First Health Cluster, Riyadh, Saudi Arabia

ABSTRACT

Background: It is advised that circulatory failure be diagnosed and treated as soon as possible. We conducted a thorough analysis to assess POCUS's value in diagnosing shock in adult emergency department patients experiencing circulatory failure. Method: PubMed, Cochrane, Embase, and Google Scholar were the electronic databases we examined for publications published between 2018 and 2023. In addition to prospective and retrospective observational studies, we used data from randomized controlled trials reporting the POCUS diagnostic value in patients with shock in the emergency room. Result: In this systematic review, 761 patients from 7 papers were included. Research was carried out in Egypt, the United States, India, France, South Africa, and North America. With the exception of one research that was done in a general ward, all of the studies were carried out in emergency rooms. Multi-organ POCUS and TAPSE measurement are included in the ultrasound methodology. Clinical diagnosis, computed tomography angiography, and echocardiography conducted by cardiologists served as reference standards. Conclusion: POCUS has demonstrated high sensitivity and favorable likelihood ratio in identifying the etiology of shock, especially obstructive shock, in the studies included in this review.

Keywords: Ultrasound, therapeutic management, emergency department, shock, hypotension

Medical Science, 2024, 28, e143ms3470

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DOI: https://doi.org/10.54905/disssi.v28i153.e143ms3470

Published: 30 November 2024