Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department - Retrospective Descriptive Analysis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shock
- Sponsor
- Central Hospital, Nancy, France
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- rate of ultrasound use
- Status
- Active, not recruiting
- Last Updated
- last year
Overview
Brief Summary
Context: shock is a serious pathology where diagnostic and therapeutic speed determines the prognosis, ultrasound can be a valuable aid for the emergency physician to differentiate the different types of shock and allow appropriate treatment.
Hypothesis: what are the uses of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Emergency Department of Nancy? Main outcome: Describe the use of ultrasound in the initial diagnostic and therapeutic management of patients in shock at the Nancy Emergency Department Secondary outcome: Study the contribution of the use of different ultrasound techniques in the initial diagnostic and therapeutic management of patients depending on the type of shock state
Investigators
HUOT-MARCHAND Matthieu
Principal Investigator
Central Hospital, Nancy, France
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years old
- •Shock (MAP \< 65 mmHg + lactate ≥ 2 mmol/l)
- •Admission to the Nancy ED between 01/01/2023 and 12/31/2023
- •ICD-10 output coding: R57: shock, not elsewhere classified; R570: cardiogenic shock; R571: hypovolemic shock; R572: septic shock; R578: other shocks; R579: shock, unspecified; T794: traumatic shock; T782: anaphylactic shock, unspecified; or diagnosis of entry into intensive care including the word "shock"
Exclusion Criteria
- •Age \< 18 years old
- •Absence of shock
- •No passage through the Nancy ED
- •Patient whose initial treatment was carried out in another emergency department
- •State of shock occurring after going to the emergency department
Outcomes
Primary Outcomes
rate of ultrasound use
Time Frame: Day 0
use of different types of ultrasound or not for diagnostic and therapeutic purposes depending on the type of shock state
Secondary Outcomes
- rate of patients with care changes(Day 0)