Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department

Use of Ultrasound in the Initial Management of Patients in Shock in the Nancy Emergency Department - Retrospective Descriptive Analysis

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

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