Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol英文文献资料.docVIP

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Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol英文文献资料.doc

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Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol英文文献资料

HindawiPublishingCorporation CriticalCareResearchandPractice Volume2012,ArticleID503254,14pages doi:10.1155/2012/503254 ReviewArticle BedsideUltrasoundinResuscitationandtheRapidUltrasoundin ShockProtocol DinaSeif, PhillipsPerera, ThomasMailhot, DavidRiley, andDikuMandavia 1 2 1 3 1 1 2 3 DepartmentofEmergencyMedicine,LosAngelesCounty+USCMedicalCenter,GeneralHospital,1200StateStreet,Room1011, LosAngeles,CA90033,USA DivisionofEmergencyMedicine,StanfordUniversityMedicalCenter,300PasteurDrive,AlwayBuilding,M121,Stanford, CA94305,USA DivisionofEmergencyMedicine,NewYork-PresbyterianHospital,ColumbiaUniversityMedicalCenter,622West168thStreet, NewYork,NY10032,USA CorrespondenceshouldbeaddressedtoDinaSeif,seifdina@ Received9July2012;Accepted22August2012 AcademicEditor:LucianoCesarPontesAzevedo Copyright?2012DinaSeifetal. This is an open access article distributed under the Creative Commons Attribution License, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. AssessmentofhemodynamicstatusinashockstateremainsachallengingissueinEmergencyMedicineandCriticalCare.Asthe useofinvasivehemodynamicmonitoringdeclines,bedside-focusedultrasoundhasbecomeavaluabletoolintheevaluationand managementofpatientsinshock.Nolongerameanstosimplyevaluateorgananatomy,ultrasoundhasexpandedtobecome arapidandnoninvasivemethodfortheassessmentofpatientphysiology.Clinicianscaringforcriticalpatientsshouldstrongly considerintegratingultrasoundintotheirresuscitationpathways. 1.Introduction will be compared to the RUSH exam to describe the core examelementstheyshare,aswellastodemonstratehowthey di?er. Earlyrecognitionandappropriatetreatmentofshockhave been shown to decrease mortality [1, 2]. Incorporation of bedsideultrasoundinpatientswith undi?erentiatedshock allowsforrapidevaluationofreversiblecausesofshockand improvesaccuratediagnosisinundi?erentiatedhypotension [3]. Re?ecting a