2016
DOI: 10.1017/cem.2016.394
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International Federation for Emergency Medicine Consensus Statement: Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest

Abstract: This executive summary will provide a brief overview of consensus statements on sonography in hypotension and cardiac arrest (SHoC) recommended by the International Federation for Emergency Medicine (IFEM) for use in emergency medicine (EM). PurposeAs point of care ultrasound (PoCUS) has become an established tool in the initial management of patients with undifferentiated hypotension and during cardiac arrest, the Ultrasound Special Interest Group (USIG) of IFEM was tasked to provide consensus guidance for us… Show more

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Cited by 79 publications
(52 citation statements)
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“…87 The SAFE protocol will need to be evaluated prospectively, as it has been done for similar algorithms (Bedside Lung Ultrasound in Emergency (BLUE) and Fluid Administration Limited by Lung Sonography (FALLS)) presently used in adult critical care. [80][81][82] Moreover, although any probe can be used, the optimal probe needs to be determined with a specific study. Further work to expand the SAFE protocol to include other organs is ongoing.…”
Section: Standardised Protocol For Functional Lus: the Safe Algorithmmentioning
confidence: 99%
“…87 The SAFE protocol will need to be evaluated prospectively, as it has been done for similar algorithms (Bedside Lung Ultrasound in Emergency (BLUE) and Fluid Administration Limited by Lung Sonography (FALLS)) presently used in adult critical care. [80][81][82] Moreover, although any probe can be used, the optimal probe needs to be determined with a specific study. Further work to expand the SAFE protocol to include other organs is ongoing.…”
Section: Standardised Protocol For Functional Lus: the Safe Algorithmmentioning
confidence: 99%
“…Rather than continuing to create more versions of what are essentially very similar lists of scans, combined as differently named protocols, we agree that the approach to PoCUS in shock should be based upon identifying the likely underlying etiology, answering immediate clinical questions, and integrating findings into clinical decisionmaking alongside other sources of information relating to the patient. 6 We also agree that further comparative research is required to compare various approaches to PoCUS in critical illness with each other and with non-PoCUS-based approaches. 7,8 The authors do not provide any information on comparisons with standard non-PoCUS-based care.…”
mentioning
confidence: 52%
“…Protocole SHoC (Sonography in Hypotension and Cardiac Arrest) [14] Récemment, l'International Federation for Emergency Medicine a présenté un algorithme suivant la règle des « 4 F » (fluid-form-function-filling) et s'inspirant des protocoles présentés ci-dessus. L'analyse échographique est stratifiée en trois étapes d'analyse ( • l'équipe doit être formée ; • l'appareil d'échographie doit être préparé avant la prise en charge ;…”
Section: Principaux Protocoles D'échographie Lors Des Acrunclassified