Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest”
In the recently published 2021 European Resuscitation Council Guidelines on Adult Advanced Life Support, focused echocardiography was upgraded to a target recommendation. Several key recommendations were made, including that point-of-care ultrasound (POCUS) should only be used during CPR performed b...
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MDPI AG
2025-04-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/15/4/646 |
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| author | Rudolf Horn Michael Blaivas Daniel Wastl Guido Michels Armin Seibel Susanne Morf Marco Widler Christoph F. Dietrich |
| author_facet | Rudolf Horn Michael Blaivas Daniel Wastl Guido Michels Armin Seibel Susanne Morf Marco Widler Christoph F. Dietrich |
| author_sort | Rudolf Horn |
| collection | DOAJ |
| description | In the recently published 2021 European Resuscitation Council Guidelines on Adult Advanced Life Support, focused echocardiography was upgraded to a target recommendation. Several key recommendations were made, including that point-of-care ultrasound (POCUS) should only be used during CPR performed by experienced users and prolonged interruptions longer than 10 s (as accepted for pulse checking) during chest compressions should be avoided. Ultrasound does not replace clinical evaluation nor awareness of the clinical scenario. However, in addition to other assessments such as laboratory analyses, ultrasound can help to directly identify a cause for the peri-arrest state. The advantage of ultrasound is that examinations can be performed at the bedside while other tests are being carried out and repeated as frequently as required. This article focusses on how to use ultrasound during peri-arrest situations, requirements for ultrasound equipment, reversible causes of cardiac arrest, and the use of the RUSH protocol, focused echocardiography, and “deresuscitation” (post resuscitation/return of spontaneous circulation). |
| format | Article |
| id | doaj-art-bf1e5aaafba649bca6d82b1a2824a9b3 |
| institution | DOAJ |
| issn | 2075-1729 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-bf1e5aaafba649bca6d82b1a2824a9b32025-08-20T03:13:47ZengMDPI AGLife2075-17292025-04-0115464610.3390/life15040646Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest”Rudolf Horn0Michael Blaivas1Daniel Wastl2Guido Michels3Armin Seibel4Susanne Morf5Marco Widler6Christoph F. Dietrich7Center da sandà Val Müstair, 7536 Sta. Maria, SwitzerlandDepartment of Medicine, School of Medicine, University of South Carolina, Columbia, SC 29209, USABad Homburg Center of Intensive Care Medicine, Hochtaunus-Kliniken, 61352 Bad Homburg, GermanyNotfallzentrum, Krankenhaus der Barmherzigen Brüder Trier, 54292 Trier, GermanyInterdisciplinary Intensive Care Medicine, DRK Krankenhaus Kirchen, 57548 Kirchen, GermanyCenter da sandà Val Müstair, 7536 Sta. Maria, SwitzerlandDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, 3013 Bern, SwitzerlandDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Beau Site, Salem und Permanence, 3013 Bern, SwitzerlandIn the recently published 2021 European Resuscitation Council Guidelines on Adult Advanced Life Support, focused echocardiography was upgraded to a target recommendation. Several key recommendations were made, including that point-of-care ultrasound (POCUS) should only be used during CPR performed by experienced users and prolonged interruptions longer than 10 s (as accepted for pulse checking) during chest compressions should be avoided. Ultrasound does not replace clinical evaluation nor awareness of the clinical scenario. However, in addition to other assessments such as laboratory analyses, ultrasound can help to directly identify a cause for the peri-arrest state. The advantage of ultrasound is that examinations can be performed at the bedside while other tests are being carried out and repeated as frequently as required. This article focusses on how to use ultrasound during peri-arrest situations, requirements for ultrasound equipment, reversible causes of cardiac arrest, and the use of the RUSH protocol, focused echocardiography, and “deresuscitation” (post resuscitation/return of spontaneous circulation).https://www.mdpi.com/2075-1729/15/4/646cardiopulmonary resuscitationPOCUShemodynamicsguidelineadvanced cardiovascular life support (ACLS) |
| spellingShingle | Rudolf Horn Michael Blaivas Daniel Wastl Guido Michels Armin Seibel Susanne Morf Marco Widler Christoph F. Dietrich Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” Life cardiopulmonary resuscitation POCUS hemodynamics guideline advanced cardiovascular life support (ACLS) |
| title | Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” |
| title_full | Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” |
| title_fullStr | Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” |
| title_full_unstemmed | Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” |
| title_short | Emergency Ultrasound in the Context of Cardiac Arrest and Circulatory Shock: “How to Avoid Cardiac Arrest” |
| title_sort | emergency ultrasound in the context of cardiac arrest and circulatory shock how to avoid cardiac arrest |
| topic | cardiopulmonary resuscitation POCUS hemodynamics guideline advanced cardiovascular life support (ACLS) |
| url | https://www.mdpi.com/2075-1729/15/4/646 |
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