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

Volumn 26, Issue 2, 2009, Pages 87-91

  Atkinson, P R T ^a   McAuley, D J ^a   Kendall, R J ^a   Abeyakoon, O ^a   Reid, C G ^b   Connolly, J ^c   Lewis, D ^d  

^a ADDENBROOKE S HOSPITAL   (United Kingdom)

^b BASINGSTOKE AND NORTH HAMPSHIRE HOSPITAL   (United Kingdom)

^c NEWCASTLE UPON TYNE HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

^d IPSWICH HOSPITAL NHS TRUST   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

FIBRINOLYTIC AGENT; INFUSION FLUID;

ABDOMEN; ABDOMINAL AND CARDIAC EVALUATION WITH SONOGRAPHY IN SHOCK; ABDOMINAL AORTA; ADULT; AGED; AORTA; AORTA DISSECTION; ARTICLE; CLINICAL ARTICLE; CLINICAL EVALUATION; CLINICAL EXAMINATION; CLINICAL PROTOCOL; CONGESTIVE CARDIOMYOPATHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; EARLY DIAGNOSIS; ECHOCARDIOGRAPHY; ECHOGRAPHY; ECTOPIC PREGNANCY; ELECTROCARDIOGRAM; EMERGENCY CARE; EMERGENCY PHYSICIAN; FEMALE; HEALTH CARE DELIVERY; HEART; HEART TAMPONADE; HUMAN; HYPOTENSION; INFERIOR CAVA VEIN; LAPAROTOMY; LOBAR PNEUMONIA; LUNG EMBOLISM; MALE; PLEURA; PRIORITY JOURNAL; SEPSIS; SHOCK;

ABDOMEN; ADULT; AGED, 80 AND OVER; CARDIOVASCULAR DISEASES; CLINICAL PROTOCOLS; EMERGENCIES; EMERGENCY TREATMENT; FEMALE; HUMANS; HYPOTENSION; MALE; MIDDLE AGED; POINT-OF-CARE SYSTEMS; SHOCK; YOUNG ADULT;

EID: 61749100635     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2007.056242     Document Type: Article

References (16)

1. Reardon R, Heegaard B, Plummer D, et al. Ultrasound is a necessary skill for emergency physicians. Acad Emerg Med 2006;13:334-6.
2. Jones AE, Yiannibas V, Johnson C, et al. Emergency department hypotension predicts sudden unexpected in-hospital mortality: a prospective cohort study. Chest 2006;130:941-6.
3. Jones AE, Tayal VS, Sullivan DM, et al. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of non-traumatic hypotension in emergency department patients. Crit Care Med 2004;32:1703-8.
4. Rose J, Bair A, Mandavia D, et al. The UHP ultrasound protocol: a novel ultrasound approach to the empiric evaluation of the undifferentiated hypotensive patient. Am J Emerg Med 2001;19:299- 302.
5. Lyon M, Blaivas M, Brannam L. Sonographic measurement of the inferior vena cava as a marker of blood loss. Am J Emerg Med 2005;23:45-50.
6. Kircher BJ, Himelman RB, Schiller NB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol 1990;66:493-6.
7. Brennan J, Blair J, Goonewardena S, et al. Reappraisal of the use of inferior vena cava for estimating right atrial pressure. J Am Soc Echocardiogr 2007;20:857-61.
8. Nabavizadeh SA, Meshksar A. Ultrasonographic diagnosis of cardiac tamponade in trauma patients using collapsibility index of inferior vena cava. Acad Radiol 2007;14:505-6.
9. Gudmundsson P, Rydberg E, Winter R, et al. Visually estimated left ventricular ejection fraction by echocardiography is closely correlated with formal quantitative methods. Int J Cardiol 2005;101:209-12.
10. Moore CL, Rose GA, Tayal VS, et al. Determination of left ventricular function by emergency physician echocardiography of hypotensive patients. Acad Emerg Med 2002;9:186.
11. Marco R, Randazzo MR, Snoey ER, et al. Accuracy of emergency physician assessment of left ventricular ejection fraction and central venous pressure using echocardiography. Acad Emerg Med 2003;10:973-7.
12. Jones AE, Craddock PA, Tayal VS, et al. Diagnostic accuracy of left ventricular function for identifying sepsis among emergency department patients with nontraumatic symptomatic undifferentiated hypotension. Shock 2005;24:513-7.
13. College of Emergency Medicine Ultrasound Sub-committee. Training in ultrasound in emergency medicine: emergency medicine ultrasound level 1 training. London: College of Emergency Medicine, 2006.
14. Mandavia D, Hoffner R, Mahaney K, et al. Bedside echocardiography by emergency physicians. Ann Emerg Med 2001;38:377-82.
15. Dent B, Kendall RJ, Boyle AA, et al. Emergency ultrasound of the abdominal aorta by UK emergency physicians: a prospective cohort study. Emerg Med J 2007;24:547-9.
16. Carr BG, Dean AJ, Everett WW, et al. Intensivist Bedside Ultrasound (INBU) for volume assessment in the intensive care unit: a pilot study. J Trauma 2007;63:495-502.