Hill Alexandra, Guillén Marco, Martin David, Dreyfuss Andrea
Highland Hospital - Alameda Health System, Department of Emergency Medicine, Oakland, California.
Hospital Nacional Adolfo Guevara Velasco, Department of Emergency Medicine, Cusco, Peru.
Clin Pract Cases Emerg Med. 2021 Nov;5(4):403-406. doi: 10.5811/cpcem.2021.5.52264.
Point-of-care ultrasound (POCUS) is accepted as an important tool for evaluating patients presenting to the emergency department (ED) with dyspnea1 and undifferentiated shock.2 Identifying the etiology and type of shock is time-critical since treatments vary based on this information. Clinicians typically rely on the history, exam, and diagnostics tests to identify the etiology of shock. In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies. The use of POCUS enables rapid classification and directed treatment of shock. Additionally, POCUS can aid in the diagnosis of rarer tropical diseases that can be important causes of shock in resource-limited settings.
We discuss a case of a pediatric patient who presented to an ED in Cusco, Peru, with acute dyspnea and shock. Point-of-care ultrasound was used to expedite the diagnosis of a ruptured pulmonary hydatid cyst, guide proper management of septic and anaphylactic shock, and expedite definitive surgical intervention.
In resource-limited settings where there is reduced access to timely laboratory and diagnostic studies, the use of POCUS enables rapid classification and directed treatment of shock.
即时超声检查（POCUS）被公认为是评估因呼吸困难1或不明原因休克而前往急诊科（ED）就诊患者的重要工具。2由于治疗方案会根据休克的病因和类型而有所不同，因此确定休克的病因和类型至关重要。临床医生通常依靠病史、体格检查和诊断测试来确定休克的病因。在资源有限的环境中，获取及时的实验室和诊断研究的机会减少。使用POCUS能够快速对休克进行分类并进行针对性治疗。此外，POCUS有助于诊断一些罕见的热带疾病，这些疾病在资源有限的环境中可能是导致休克的重要原因。
我们讨论了一名秘鲁库斯科急诊科的儿科患者，该患者出现急性呼吸困难和休克。即时超声检查被用于加快对破裂肺包虫囊肿的诊断，指导对感染性和过敏性休克的正确管理，并加快确定性手术干预。
在资源有限的环境中，获取及时的实验室和诊断研究的机会减少，使用POCUS能够快速对休克进行分类并进行针对性治疗。
