Shock
Conditions
Keywords
Shock, USCOM, Cardiac Ultrasound, Emergency Department
Brief summary
Currently, bedside ultrasound (US) is performed routinely in emergency department (ED) patients with undifferentiated shock to help guide resuscitation. Previously, it has never been possible to measure cardiac output on patients in the ED. Our clinical question looks at whether the USCOM device gives clinically relevant information in addition to ED cardiac US in patients with shock.
Interventions
The USCOM device will be used in addition to cardiac ultrasound in patients with shock.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients in shock, as defined by systolic blood pressure less than 95 mmHg or shock index (heart rate/systolic blood pressure) greater than 0.9
Exclusion criteria
* less than 18 years old * Pregnant * Patients in shock due to trauma
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiac Output | Twice during ED visit, averaging one hour | Cardiac ultrasound findings will be compared to cardiac index and output from the USCOM device |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient outcomes | After emergency department visit | Data will be collected on outcomes of patients including death, length of ICU stay, length of hospital stay, and diagnosis. |
Countries
United States