RT Journal Article
SR Electronic
T1 Fifteen-minute consultation: Point of care ultrasound in the management of paediatric shock
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP edpract-2019-317972
DO 10.1136/archdischild-2019-317972
A1 James A Hardwick
A1 Michael J Griksaitis
YR 2020
UL http://ep.bmj.com/content/early/2020/08/07/archdischild-2019-317972.abstract
AB The use of point of care ultrasound (POCUS) in the assessment of the acutely shocked adult patient has been well established for over a decade. Comparatively, its use in paediatrics has been limited, but this is starting to change with the recent introduction of Children’s Acute Ultrasound training. This article highlights the pathophysiology of shock in children and demonstrates how bedside ultrasound can be used to assist decision making in the clinical assessment of the neonate, infant or older child presenting with undifferentiated shock. We discuss a structured protocol to use when performing the POCUS examination and explain how this could lead to a more rapid correlation of the ultrasound findings with the underlying cause of shock.