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.