Point-of-care ultrasound, anchoring bias, and acute pulmonary embolism: A cautionary tale and report.

Autor:	Allen J; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103 USA., Miller BR; Lehigh Valley Health Network, Department of Pulmonary and Critical Care Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown PA 18103 USA., Vido MA; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103 USA., Makar GA; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103 USA., Roth KR; Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103 USA.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2020 Dec; Vol. 15 (12), pp. 2617-2620. Date of Electronic Publication: 2020 Oct 12.
DOI:	10.1016/j.radcr.2020.10.001
Abstrakt:	Emergency physicians often rely on heuristics to facilitate clinical decisions due to the large volume of patients they see daily. Consequently, they are vulnerable to error and bias. We report the case of a 69-year-old male that presented to the emergency department (ED) with shortness of breath, productive cough, and dyspnea on exertion. One day prior to ED admission, he was diagnosed with bronchitis; however, point-of-care ultrasound (POCUS) in the ED identified acute pulmonary embolism. This case illustrates the potential dangers of anchoring bias and shows the benefits of using point-of-care ultrasound of the lungs and heart to assist in the diagnosis of acute pulmonary embolism. (© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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