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首页> 外文期刊>Canadian Journal of Emergency Medicine >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
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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

机译：国际急诊医学联合会共识声明：超声检查在低血压和心脏骤停中的应用（SHoC）：关于在非区分性低血压和心脏骤停期间使用护理点超声的国际共识

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Introduction The International Federation for Emergency Medicine (IFEM) Ultrasound Special Interest Group (USIG) was tasked with development of a hierarchical consensus approach to the use of point of care ultrasound (PoCUS) in patients with hypotension and cardiac arrest. Methods The IFEM USIG invited 24 recognized international leaders in PoCUS from emergency medicine and critical care to form an expert panel to develop the sonography in hypotension and cardiac arrest (SHoC) protocol. The panel was provided with reported disease incidence, along with a list of recommended PoCUS views from previously published protocols and guidelines. Using a modified Delphi methodology the panel was tasked with integrating the disease incidence, their clinical experience and their knowledge of the medical literature to evaluate what role each view should play in the proposed SHoC protocol. Results Consensus on the SHoC protocols for hypotension and cardiac arrest was reached after three rounds of the modified Delphi process. The final SHoC protocol and operator checklist received over 80% consensus approval. The IFEM-approved final protocol, recommend Core, Supplementary, and Additional PoCUS views. SHoC-hypotension core views consist of cardiac, lung, and inferior vena vaca (IVC) views, with supplementary cardiac views, and additional views when clinically indicated. Subxiphoid or parasternal cardiac views, minimizing pauses in chest compressions, are recommended as core views for SHoC-cardiac arrest; supplementary views are lung and IVC, with additional views when clinically indicated. Both protocols recommend use of the “4 F” approach: fluid, form, function, filling. Conclusion An international consensus on sonography in hypotension and cardiac arrest is presented. Future prospective validation is required.
机译：简介国际急诊医学联合会（IFEM）超声特别兴趣小组（USIG）的任务是开发一种分级共识方法，以在低血压和心脏骤停患者中使用即时护理超声（PoCUS）。方法IFEM USIG邀请了来自急诊医学和重症监护领域的PoCUS的24位国际知名专家组成专家小组，以开发低血压和心脏骤停（SHoC）协议的超声检查。该小组获得了已报告的疾病发生率，以及先前发布的协议和指南中推荐的PoCUS视图列表。使用改良的Delphi方法，专家组的任务是整合疾病发病率，他们的临床经验以及他们对医学文献的了解，以评估每种观点在建议的SHoC协议中应扮演的角色。结果经过三轮改良的Delphi程序后，就SHoC协议的低血压和心脏骤停达成了共识。最终的SHoC协议和操作员清单获得了80％以上的共识批准。 IFEM批准的最终协议，建议使用Core，Supplement和其他PoCUS视图。 SHoC-低血压核心意见包括心脏，肺和下腔静脉（IVC）意见，以及补充的心脏意见，以及在临床需要时的其他意见。建议将剑突下或胸骨旁的心脏视图（最大程度地减少胸部按压的停顿）作为SHoC心脏骤停的核心视图。补充意见是肺和IVC，临床上有其他意见时。两种协议都建议使用“ 4 F”方法：流体，形式，功能，填充。结论提出了关于超声检查在低血压和心脏骤停方面的国际共识。需要将来的前瞻性验证。

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