Background:
in the last years, ultrasound technology has entered in clinical practice as a tank and today, it has
also allowed to no-cardiologists to extend and to deep their medical examination without the needing to call the consultant
and having a good profile of diagnostic accuracy.
The ultrasound bedside does not replace the consultant but it allows not to perform inappropriate consultations with more
savings for hospitals.
Objective:
The aim was to review recently published literature to inform the clinician about the most up to date management
of use bedside echography in emergency setting. In this short review we focused on two types of syndromes, no traumatichypotension and dyspnea, common to the three holistic disciplines of medicine, showing the main and basic questions and
answers that ultrasound can give us for rapid identification of the problem
Methods:
We conducted a systematic review using Pubmed/Medline, Ovid/Willey and Cochrane Library, combining key
terms such as “cardiac ultrasound, “cardiac diseases”,“emergency medicine”,“pocus”, “dyspnea”,“ hypotension”. We
selected the most relevant clinical trials and review articles (excluding case reports) published in the last 19 years and in our
opinion 59 publications appeared the best choice according to the PRISMA statement. In additional papers identified from
individual article reference lists were also included.
Conclusion:
Recent studies have shown promise in establishing best practices for evaluation of heart, lung abdomen and
deep vessels At the moment bedside US is widely used in an integrated ultrasound vision just like the holistic view have
internal medicine, intensive care and emergency medicine and many medical schools in Europe and the USA are inserting ultrasonography into the core curriculum but we still have to find a standard method for the training
program for minimum competence acquisition.
