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Currently, bedside ultrasound (US) is performed routinely in emergency department (ED) patients with undifferentiated shock to help guide resuscitation. Previously, it has never been possible to measure cardiac output on patients in the ED. Our clinical question looks at whether the USCOM device gives clinically relevant information in addition to ED cardiac US in patients with shock.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shock | Defined by systolic blood pressure less than 95 mmHg or shock index (heart rate/systolic blood pressure) greater than 0.9 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| USCOM | Device | The USCOM device will be used in addition to cardiac ultrasound in patients with shock. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac Output | Cardiac ultrasound findings will be compared to cardiac index and output from the USCOM device | Twice during ED visit, averaging one hour |
| Measure | Description | Time Frame |
|---|---|---|
| Patient outcomes | Data will be collected on outcomes of patients including death, length of ICU stay, length of hospital stay, and diagnosis. | After emergency department visit |
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Inclusion Criteria:
Exclusion Criteria:
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Patients presenting to the emergency department at an urban county hospital.
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| Name | Affiliation | Role |
|---|---|---|
| Johanna C Moore, MD | Hennepin Healthcare Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hennepin County Medical Center | Minneapolis | Minnesota | 55415 | United States |
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| ID | Term |
|---|---|
| D012769 | Shock |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |
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