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2018, vol. 4, iss. 11, pp. 131-136
Application of ultrasound in emergency medicine and resuscitation
Dom zdravlja Subotica
Keywords: ultrasound; emergency medicine; reversible causes of cardiac arrest
Aim: The aim of this paper is to show the concept of the treatment of the patients in cardiac arrest and the achievements and advantages of the use of ultrasound in cardiac arrest, comparing existing protocols for emergency care with the protocols we developed in the Resuscitation Council of Serbia and in cooperation with other national councils, the possibility of delayed application of ultrasound in order to further final diagostics and the establishment of therapeutic procedures as well as the use of ultrasound during transport and prolonged field care under out-of-hospital conditions (transport longer than 45 min) or work in the “remote area” in mountain areas. METHODOLOGY: The methodology of work reviewed literature (books, published articles) in the field of the application of ultrasound in emergency medicine. The bibliography database MEDLINE was used as a browser. THE RESULTS: According to the latest guidelines of the European Resuscitation Council, the use of ultrasound is recommended for the determination of reversible causes in cardiac arrest. Procedures that are carried out to determine reversible causes of cardiac arrest fall under red-eye procedures and these patients require urgent care. Ultrasonography has a place in diagnosing the following reversible causes of cardiac arrest: tension pneumothorax, hypoxemia, hypovolaemia, cardiac tamponade and pulmonary thromboembolism. Procedures that work in the yellow and green zone give the possibility of delayed application of ultrasound aiming for final diagnostics and establishment of therapeutic procedures. The use of ultrasound can be beneficial during transportation and prolonged field care in outhospital conditions (transport longer than 45 min) or work in the remote areas in mountains. One of the procedures in the yellow or green zone is the application of the FAST protocol. CONCLUSION: The use of ultrasound in emergency medicine, according to available literature, points to the benefit of implementing these diagnostic procedures in order to better and better manage critically ill patients. The education of the physiscians dealing with emergency medicine in the field of ultrasonography leads to a decrease in human resources and more efficient treatment of patients and to the possibility of implementing salvage (red procedures) in life-threatening conditions.
*** (2014) AIUM Practice Guideline for the Performance of the Focused Assessment With Sonography for Trauma (FAST) Examination. Journal of Ultrasound in Medicine, 33(11): 2047-2056
Atkinson, P.R. T., McAuley, D.J., Kendall, R.J., Abeyakoon, O., Reid, C.G., Connolly, J., Lewis, D. (2009) Abdominal and Cardiac Evaluation with Sonography in Shock (ACES): an approach by emergency physicians for the use of ultrasound in patients with undifferentiated hypotension. Emergency Medicine Journal, 26(2): 87-91
Bernardi, E., Camporese, G., Buller, H.R. (2008) Serial 2-Point Ultrasonography Plus D-Dimer vs Whole-Leg Color-Coded Doppler Ultrasonography for Diagnosing Suspected Symptomatic Deep Vein Thrombosis. JAMA, 300(14): 1653-1659
Blaivas, M. (2008) Transesophageal echocardiography during cardiopulmonary arrest in the emergency department. Resuscitation, 78(2): 135-140
Blaivas, M., Fox, J.C. (2001) Outcome in Cardiac Arrest Patients Found to Have Cardiac Standstill on the Bedside Emergency Department Echocardiogram. Academic Emergency Medicine, 8(6): 616-621
Blaivas, M., Lyon, M., Duggal, S. (2005) A Prospective Comparison of Supine Chest Radiography and Bedside Ultrasound for the Diagnosis of Traumatic Pneumothorax. Academic Emergency Medicine, 12(9): 844-849
Blyth, L., Atkinson, P., Gadd, K., Lang, E. (2012) Bedside Focused Echocardiography as Predictor of Survival in Cardiac Arrest Patients: A Systematic Review. Academic Emergency Medicine, 19(10): 1119-1126
Boulanger, B.R., Kearney, P.A., Brenneman, F.D., Tsuei, B., Ochoa, J. (2000) Utilization of FAST (Focused Assessment with Sonography for Trauma) in 1999: results of a survey of North American trauma centers. Am Surg, 66(11): 1049-1055
Breitkreutz, R., Price, S., Steiger, H.V., Seeger, F.H. (2010) Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: a prospective trial. Resuscitation. 81: 1527-1560
Breitkreutz, R., Price, S., Steiger, H.V., Seeger, F.H., Ilper, H., Ackermann, H., Rudolph, M., Uddin, S., Weigand, M.A., Müller, E., Walcher, F. (2010) Focused echocardiographic evaluation in life support and peri-resuscitation of emergency patients: A prospective trial. Resuscitation, 81(11): 1527-1533
Chou, E.H., Dickman, E., Tsou, P.Y., Tessaro, M., Tsai, Y., Ma, M.H., Lee, C., Marshall, J. (2015) Ultrasonography for confirmation of endotracheal tube placement: A systematic review and meta-analysis. Resuscitation, 90: 97-103
Chou, H.C., Tseng, W.P., Wang, C.H. (2011) Tracheal rapid ultrasound exam (T.R.U.E.) for confirmation endotracheal tube placement during emergency intubation. Resuscitation, 82: 1279-1284
Das, S.K., Choupoo, N.S., Haldar, R., Lahkar, A. (2014) Transtracheal ultrasound for verification of endotracheal tube placement: a systematic review and meta-analysis. Can J Anaesth, 62(4): 413-423
Dayton, C., Eisen, L.A. (2015) Dyspnea and Acute Respiratory Failure. in: Soni N.J., Amtfield R, Kory P [ed.] Point-of-Care Ultrasound, Philadelphia: Elsevier, 400-401
Flato, U.A.P., Paiva, E.F., Carballo, M.T., Buehler, A.M., Marco, R., Timerman, A. (2015) Echocardiography for prognostication during the resuscitation of intensive care unit patients with non-shockable rhythm cardiac arrest. Resuscitation, 92: 1-6
Gottlieb, M., Bailitz, J. (2015) Can Transtracheal Ultrasonography Be Used to Verify Endotracheal Tube Placement?. Annals of Emergency Medicine, 66(4): 394-395
Hernandez, C., Shuler, K., Hannan, H., Sonyika, C., Likourezos, A., Marshall, J.C. (2008) C.A.U.S.E.: Cardiac arrest ultra-sound exam: A better approach to managing patients in primary non-arrhythmogenic cardiac arrest. Resuscitation, 76(2): 198-206
Kool, D.R., Blickman, J.G. (2007) Advanced Trauma Life Support®. ABCDE from a radiological point of view. Emergency Radiology, 14(3): 135-141
Lanctôt, J.F., Valois, M., Beaulieu, Y. (2011) EGLS: Echo-guided life support. Critical Ultrasound Journal, 3(3): 123-129
Lichtenstein, D.A. (2013) FALLS-protocol: lung ultrasound in hemodynamic assessment of shock. Heart Lung Vessel, 5(3): 142-147
Lichtenstein, D.A., Mezière, G.A. (2008) Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure*: The BLUE Protocol. Chest, 134(1): 117-125
Lichtenstein, D.A., Menu, Y. (1995) A Bedside Ultrasound Sign Ruling Out Pneumothorax in the Critically III. Chest, 108(5): 1345-1348
Lichtenstein, D., Mezière, G., Biderman, P., Gepner, A. (2000) The 'lung point': an ultrasound sign specific to pneumothorax. Intensive Care Medicine, 26(10): 1434-1440
Long, B., Alerhand, S., Maliel, K., Koyfman, A. (2018) Echocardiography in cardiac arrest: An emergency medicine review. American Journal of Emergency Medicine, 36(3): 488-493
Mandavia, D.P., Hoffner, R.J., Mahaney, K., Henderson, S.O. (2001) Bedside echocardiography by emergency physicians. Annals of Emergency Medicine, 38(4): 377-382
McConnell, M.V., Solomon, S.D., Rayan, M.E., Come, P.C., Goldhaber, S.Z., Lee, R.T. (1996) Regional Right Ventricular Dysfunction Detected by Echocardiography in Acute Pulmonary Embolism. American Journal of Cardiology, 78(4): 469-473
Patel, N.Y., Riherd, J.M. (2011) Focused Assessment with Sonography for Trauma: Methods, Accuracy, and Indications. Surgical Clinics of North America, 91(1): 195-207
Perera, P., Mailhot, T., Riley, D., Mandavia, D. (2010) The RUSH exam: Rapid Ultrasound in SHock in theevaluation of the critically ill. Emerg Med Clin North Am, 28(1): 29-56
Raffay, V., Fišer, Z., Tijanić, J., Jakšić-Horvat, K., Budimski, M., Holcer-Vukelić, S. (2016) Preporuke 2015 - Međunarodni naučni konsenzus o kardiopulmonalnoj reanimaciji. Journal Resuscitatio Balcanica, vol. 2, br. 3, str. 5-20
Richards, J.R., McGahan, J.P. (2017) Focused Assessment with Sonography in Trauma (FAST) in 2017: What Radiologists Can Learn. Radiology, 283(1): 30-48
Rimbach, K., Müller, E., Breitkreutz, R. (2009) Focused emergency echocardiography: lifesaving tool for a 14-year-old girl suffering out-of-hospital pulseless electrical activity arrest because of cardiac tamponade. European Journal Of Emergency Medicine, Apr
Rudski, L.G., Lai, W.W., Afilalo, J. (2010) Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American society of echocardiography. Endorsed by the European association of echocardiography, a registered branch of the European society of cardiology,. Journal of the American Society of Echocardiography, 23(7): 685-713
Seif, D., Perera, P., Mailhot, T., Riley, D., Mandavia, D. (2012) Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol. Critical Care Research and Practice, 2012: 1-14
Shokoohi, H., Boniface, K.S., Pourmand, A., Liu, Y.T., Davison, D.L., Hawkins, K.D., Buhumaid, R.E., Salimian, M., Yadav, K. (2015) Bedside Ultrasound Reduces Diagnostic Uncertainty and Guides Resuscitation in Patients With Undifferentiated Hypotension. Critical Care Medicine, 43(12): 2562-2569
Sisson, C. (2015) Peritoneal Free Fluid. in: Soni N.J. Amtfield R. Kory P. [ed.] Point-of-Care Ultrasound, Philadelphia: Elsevier, 174-180
Volpicelli, G. (2011) Usefulness of emergency ultrasound in nontraumatic cardiac arrest. American Journal of Emergency Medicine, 29(2): 216-223
Wallace, D.J., Allison, M., Stone, M.B. (2010) Inferior vena cava percentage collapse during respiration is affected by the sampling location: an ultrasound study in healthy volunteers. Academic Emergency Medicine, 17(1): 96-99
Whitson, M.R., Mayo, P.H. (2016) Ultrasonography in the emergency department. Critical Care, 20(1): 227


article language: Serbian
document type: Original Paper
DOI: 10.5937/JRB1811131B
published in SCIndeks: 12/05/2019
Creative Commons License 4.0

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