Allen Jamie, Miller Brian R, Vido Margaret A, Makar Gregory A, Roth Kevin R
Lehigh Valley Health Network, Department of Emergency and Hospital Medicine/USF Morsani College of Medicine, Cedar Crest Boulevard & I-78, Allentown, PA 18103 USA.
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.
Radiol Case Rep. 2020 Dec;15(12):2617-2620. doi: 10.1016/j.radcr.2020.10.001. Epub 2020 Oct 12.
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.
由于急诊医生每天接待的患者数量众多，他们常常依靠启发式方法来辅助临床决策。因此，他们容易出现错误和偏差。我们报告了一例69岁男性病例，该患者因呼吸急促、咳痰和劳力性呼吸困难就诊于急诊科。在急诊科入院前一天，他被诊断为支气管炎；然而，急诊科的床旁超声（POCUS）检查发现了急性肺栓塞。该病例说明了锚定偏差的潜在危险，并展示了使用肺部和心脏床旁超声辅助诊断急性肺栓塞的益处。
