Acil Serviste Nontravmatik Şok: ACES (Abdominal and Cardiac Evaluation with Sonography in Shock) Protokolü

Abstract

Hipotansiyon ve şok acil servis hekimlerinin sık karşılaştığı hayatı tehdit eden durumlardır. Doğru tanı ve hedefe yönelik tedavi sağkalım için şarttır. Acil servislerde travma olgularında yatak başı ultrasonografi ile FAST (Focused assessment with sonography for trauma) bakısı hızlı tanı ve tedavide vazgeçilmez bir uygulamadır. Son yıllarda kullanılan ACES (Abdominal and Cardiac Evaluation with Sonography in Shock) protokolü ise nontravmatik hipotansiyon ve şok tespit edilen hastalarda yaşam kurtarıcı bir protokoldür. Biz bu yazımızda, acil tıp kliniğine başvuran nontravmatik hipotansiyonu ve şoku olan ve intraabdominal hemoraji tanısı konulan dört vakada ACES protokolünün önemini vurgulamayı amaçladık.

Keywords

• Şok, acil USG, batın içi kanama

Non-traumatic Shock in the Emergency Department: The ACES (Abdominal and Cardiac Evaluation with Sonography in Shock) Protocol

Abstract

Hypotension and shock are life-threatening situations that emergency physicians encounter frequently. The correct diagnosis and targeted therapy are essential for survival. Evaluating trauma cases with FAST (Focused Assessment with Sonography for Trauma) in cases of trauma is an indispensable application for rapid diagnosis and treatment in the emergency department. In recent years, the ACES protocol (Abdominal and Cardiac Evaluation with Sonography in Shock) has been a life-saving protocol in patients with nontraumatic hypotension and shock. In this paper, we aimed to emphasize the importance of the ACES protocol in four cases admitted to the emergency department with non-traumatic hypotension and shock, diagnosed as massive intra-abdominal hemorrhage

Keywords

• Shock, emergency US, intra-abdominal hemorrhage

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