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Italian Journal of Emergency Medicine 2022 December;11(3):187-90

DOI: 10.23736/S2532-1285.22.00159-8

Copyright © 2022 THE AUTHORS

This is an open access article distributed under the terms of the CC BY-NC-ND 4.0 license which allows users to copy and distribute the manuscript, as long as this is not done for commercial purposes and further does not permit distribution of the manuscript if it is changed or edited in any way, and as long as the user gives appropriate credits to the original author(s) and the source (with a link to the formal publication through the relevant DOI) and provides a link to the license.

language: English

Point of care ultrasonography-cardiac arrest: a case report

Sokol BERISHA 1, Stefano DE VUONO 1, Laura SETTIMI 1, Alessandra LIGNANI 1, Federica MACELLARI 1, Rachele DEL SORDO 2, Paolo GROFF 1

1 Pronto Soccorso e Osservazione Breve, AO Perugia, Perugia, Italy; 2 Department of Anatomy and Pathological Histology, AO Perugia, Perugia, Italy

During cardiac arrest with a non-shockable rhythm, the identification of potentially reversible causes can positively influence the outcome of cardiopulmonary resuscitation. Ultrasound is a diagnostic tool at the bedside of the patient that has been studied in the context of out and in-hospital arrest, and POCUS-CA in the hands of a trained clinician, allows for a rapid diagnosis of reversible causes of cardiac arrest with non- shockable rhythms, the monitoring of interventions in terms of response to treatment, and provides prognostic information regarding the possibility of return of spontaneous circulation and survival. In this case report we describe the use of ultrasound in the management of cardiac arrest in asystole-pulseless electrical activity due to cardiac tamponade.

KEY WORDS: Point-of-care systems; Heart arrest; Advanced cardiac life support; Cardiac tamponade; Pericardiocentesis

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