Az ágy melletti ultrahangvizsgálat diagnosztikus lehetőségeinek vizsgálata a sürgősségi betegellátásban

Autor: András Mesterházi, László Zubek, Miklós Barta
Rok vydání: 2016
Předmět:
Zdroj: Orvosi Hetilap. 157:569-574
ISSN: 1788-6120
0030-6002
DOI: 10.1556/650.2016.30403
Popis: Introduction: Rapid differential diagnosis of circulatory failure (shock) with unknown etiology is a daily challenge in the field of emergency medicine. The Rapid Ultrasound in Shock (RUSH) protocol is well known since 2010. With the use of targeted steps, the 4 forms of shock (cardiogen, distributive, obstructive, hypovolemic) can be separated in a few minutes. Aim: The aim of the authors was to evaluate the usefulness of the Rapid Ultrasound in Shock protocol for the diagnosis of different forms of shock. Method: The retrospective study included 123 critically ill patients admitted to the Emergency Department of Markusovszky Hospital, Szombathely, Hungary. Detailed records were obtained from all patients. Results: From the 123 crirically ill patients, 64 patients suffered from circulatory failure, while the remaining patients had acute severe chest or abdominal pain, or respiratory failure. Conclusions: Based on the results of the first evaluation of the Rapid Ultrasound in Shock protocol in Hungarian patients, the authors conclude that, the bedside ultrasonography has a great value in emergency medicine, and this the protocol is suitable for its integration into patient care and education of emergency medicine. Orv. Hetil., 2016, 157(15), 569–574.
Databáze: OpenAIRE