PMID: 11932083Apr 5, 2002Paper

The effect of real time 2-D-echocardiography on medical decision-making in the emergency department

The Journal of Emergency Medicine
M Andrew Levitt, Brian A Jan

Abstract

2-D Echocardiography (ECHO) represents an important tool for the evaluation of the Emergency Department (ED) patient with suspected cardiovascular (CV) pathology. The present study assesses the degree of effect of real time ECHO on Emergency Physician diagnosis, treatment, and disposition of CV patients and their level of confidence in these decisions. One hundred ED patients with suspected CV pathology were enrolled into this prospective, interventional study. Senior level physicians were asked their level of confidence regarding patient diagnosis, treatment, and disposition decisions before and after the ECHO was done and interpreted by a certified sonographer in the ED. Physicians were then asked if ECHO changed any of these decisions. Patient age was 56.4 +/- 15.8 (range 27-93) years. Chest pain (n = 45) and shortness of breath (n = 38) were the most common presenting symptoms. Eighty-six of the patients were admitted. There was a change in diagnosis in 37 patients, a change in treatment in 25 patients, and a change in disposition in 11 patients. Physicians indicated there was a change in confidence level post-ECHO in approximately 50% of patients. A significant change was seen in both a more and a less confident direction....Continue Reading

References

Jun 1, 1992·Annals of Emergency Medicine·D PlummerE Ruiz
Dec 1, 1989·Annals of Emergency Medicine·A M Hauser
Feb 1, 1989·Annals of Emergency Medicine·J Feldman
May 1, 1988·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·W JaarsmaJ P Roos
Feb 1, 1988·Annals of Emergency Medicine·R MayronJ Elsperger
Dec 1, 1984·Journal of the American College of Cardiology·R A NishimuraC E Harrison
Aug 1, 1993·International Journal of Cardiology·M O BalogunF G Dunn
Mar 1, 1996·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J A TrippiD Nelson
Sep 1, 1997·Journal of the American College of Cardiology·J A TrippiW H Cordell

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Citations

Oct 12, 2010·Journal of Emergencies, Trauma, and Shock·Stephanie J Doniger
Jun 22, 2014·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Gabriele ViaUNKNOWN International Conference on Focused Cardiac UltraSound (IC-FoCUS)
Feb 23, 2013·Emergency Medicine Journal : EMJ·Aida BustamAlexander Loch
Sep 10, 2010·The American Journal of Emergency Medicine·Giovanni Volpicelli
Aug 10, 2006·International Journal of Colorectal Disease·Bas BosmansGeert W M Tetteroo
Jun 5, 2019·Korean journal of anesthesiology·André DenaultCaroline E Gebhard
Oct 5, 2019·Anesthesia and Analgesia·Karen R BoretskyAchikam Oren-Grinberg
Apr 3, 2020·The Ultrasound Journal·Sarah J BeesleySamuel M Brown
Dec 17, 2015·The Journal of Trauma and Acute Care Surgery·Paula Ferrada
Dec 23, 2017·The American Journal of Emergency Medicine·Brit LongAlex Koyfman
Aug 11, 2004·Emergency Medicine Clinics of North America·Teriggi J Ciccone, Shamai A Grossman
Aug 3, 2020·Reviews on Recent Clinical Trials·Christian ZanzaFrancesco Franceschi
May 3, 2008·Pediatrics·Jason A Levy, Vicki E Noble
Aug 19, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Bilal AlbaroudiTim Harris

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