title: [Evaluation of the diagnostic value of bedside ultrasonography in the emergency care].
abstract: BACKGROUND
  Rapid differential diagnosis of circulatory failure (shock) with unknown etiology is a daily challenge in the field of emergency medicine. The Rapid Ultrasound in Shock (RUSH) protocol is well known since 2010. With the use of targeted steps, the 4 forms of shock (cardiogen, distributive, obstructive, hypovolemic) can be separated in a few minutes.
  
  
  OBJECTIVE
  The aim of the authors was to evaluate the usefulness of the Rapid Ultrasound in Shock protocol for the diagnosis of different forms of shock.
  
  
  METHODS
  The retrospective study included 123 critically ill patients admitted to the Emergency Department of Markusovszky Hospital, Szombathely, Hungary. Detailed records were obtained from all patients.
  
  
  RESULTS
  From the 123 crirically ill patients, 64 patients suffered from circulatory failure, while the remaining patients had acute severe chest or abdominal pain, or respiratory failure.
  
  
  CONCLUSIONS
  Based on the results of the first evaluation of the Rapid Ultrasound in Shock protocol in Hungarian patients, the authors conclude that, the bedside ultrasonography has a great value in emergency medicine, and this the protocol is suitable for its integration into patient care and education of emergency medicine.
authors.affiliation: Sürgősségi Betegellátó Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.
authors.forename: András
authors.initials: A
authors.lastname: Mesterházi
authors.affiliation: Radiológiai Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.
authors.forename: Miklós
authors.initials: M
authors.lastname: Barta
authors.affiliation: Aneszteziológiai és Intenzív Terápiás Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
authors.forename: László
authors.initials: L
authors.lastname: Zubek
mesh_terms: D000328:Adult; D000368:Aged; D001810:Blood Volume; D002318:Cardiovascular Diseases / Q000000981:diagnostic imaging*; D016638:Critical Illness; D003937:Diagnosis, Differential; D004632:Emergency Medical Services / Q000379:methods*; D004635:Emergency Medicine / Q000379:methods / Q000592:standards / Q000639:trends; D005260:Female; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D000067716:Point-of-Care Testing; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D014463:Ultrasonography / Q000379:methods
keywords: RUSH-protokoll; Rapid Ultrasound in Shock protocol; bedside ultrasonography; circulatory failure; emergency medicine; keringési elégtelenség; point of care ultrahang; point of care ultrasound; sürgősségi betegellátás; ágy melletti ultrahang