Estimate if the use of a portable cardiac echograph for intra-hospital Emergencie improves the performances diagnose in the bed of patient in department of conventional medicine.

The concordance between the initial medical diagnosis (previous the utilsation of portable echograph) and the final diagnosis (after portable echograph utisation) will be evaluated. These evaluation will be performed after retrospective review of the medical files

Inclusion Criteria:

• respiratory or cardiac distress

Exclusion Criteria:

• pulmonary or cardiac patient transplant morphologic abnormalities Patient in rescucitation care unit

Patient suffering of respiratory or cardiac distress