Does point-of-care ultrasonography improve diagnostic accuracy in emergency department patients with undifferentiated hypotension? An international randomized controlled trial from the SHOC-ED investigators.
M PeachJ MilneL DiegelmannH LamprechtM StanderD LussierC PhamR HenneberryJ FraserK ChandraM HowlettJ MekwanB RamrattanJ MiddletonN van HovingL TaylorT DahnS HurleyK MacSweenL RichardsonG StoicaSamuel HunterP OlszynskiK ChandraD LewisPaul R AtkinsonPublished in: CJEM (2022)
This is the first randomized controlled trial to compare diagnostic performance of a POCUS protocol to standard care without POCUS in undifferentiated hypotensive ED patients. POCUS performed well diagnostically in undifferentiated hypotensive patients, especially as a rule-in test; however, performance did not differ meaningfully from standard assessment.