Evaluation of role of chest sonography in assessment of patients presenting with shock to emergency department

ABSTRACT Assessment of hemodynamic status in a shock state remains a challenging issue in Emergency Medicine and Critical Care. As the use of invasive hemodynamic monitoring declines, bedside-focused ultrasound has become a valuable tool in the evaluation and management of patients in shock. No longer a means to simply evaluate organ anatomy, ultrasound has expanded to become a rapid and non-invasive method for the assessment of patient physiology. Clinicians caring for critical patients should strongly consider integrating ultrasound into their resuscitation pathways the use of ultrasound in the hypotensive patient is not one unique application, but rather a combination of different point of care ultra sound techniques involving the heart, abdomen, chest and vessels. Several protocols have been described. Each involves a slightly different scanning protocol and evaluates for different pathologies. 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