A slightly adapted summary of the recommendations from: [important]The use of echocardiography in acute cardiovascular care: Recommendations of the European Association of Cardiovascular Imaging and the Acute Cardiovascular Care Association 2015.[/important] The document is a great read for the accomplished echo practitioner, with good use of images and clips. Indicative echo signs in acute conditions …
PROCESS has been backed up by ARISE in goal-directed therapy for sepsis. PROMISE is awaited (finished recruiting in July). A large (1600), international, randomised, un-blinded, intention-to-treat trial with sensible exclusion criteria, conducted 2008-2014 of excellent quality. ARISE showed no benefit in using a protocolised 6 hour package for septic shock which involved continuous ScvO2 and CVP …
It’s clearly extremely unlikely but, particularly if you work near an airport…. The patient has been hot in the last day, maybe with sore throat, vomiting and diarrhoea, and travelled to affected area in last 21 days, or knows someone who has? Risk assess further with this algorithm. But basically – double protection including FFPP3, discuss …
The ILC-FoCUS focused echocardiography recommendations are a product of 4 conferences, 33 experts and a Delphi process, giving a useful set of statements on everything from training to equipment to volume status.
LITFL Wessex ICS BottomLine Emcrit