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POCUS in Hypotension

The Infamous SHOC-ED Trial

By Michael Prats, MD on 09/17/18 06:00 AM

Well the dust has somewhat settled from the initial explosion that this article made when it first hit street corners everywhere. The authors here took on an important question - does point of care ultrasound make a difference in mortality when applied to patients in shock? [SPOILER ALERT] It led to quite a stir when the trial concluded that (I'm paraphrasing here) - "POCUS doesn't help people". Although that conclusion may or may not be the case, this study was a well performed randomized controlled trial. Therefore, you need to know about it and where to go from here.


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POCUS Rounds in the ICU

Should I see you round?

By Zachary Risler, MD on 09/03/18 06:00 AM

We know that POCUS can be used in making many diagnoses in the critically ill patient. It also can help guide management. So why not perform it every day on every patient? That is the idea behind this article on POCUS rounds in the ICU. These authors compare patients who received a daily POCUS to those who did not - with real patient-centered outcomes! Is it too good to be true? Is a daily POCUS rounds something you should be doing in your ICU?


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The RUSH Exam in Polytrauma

Should Trauma Be RUSHed?

By Michael Prats, MD on 08/20/18 06:00 AM

The RUSH exam is a family favorite. It's a reliably easy to recall hypotensive protocol that uses ultrasound to help determine the etiology of a patient's shock. Well here's a new idea - trauma patient's can be in shock too, right? So maybe we should perform a full RUSH exam instead of just a measly EFAST? Well...hold your horses there kiddo, there may be more to think about with this one.


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