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• W2622970476 abstract "Respiratory distress is one of the most common complaints in the emergency department (ED) [1]. In extreme scenarios, during which respiratory distress becomes respiratory failure, the survival of the patients will significantly drop [2]. For instance, a recent cohort study showed that the mortality rate among hospitalized patients with respiratory distress was as much as 10% [3].Hence, in the management of a patient with respiratory distress, using a timely approach to differentiate the underlying causes and initiating specific therapies (decompression of the pneumothorax, intubation and ventilation support, bronchodilators or corticosteroid nebulization, anticoagulation and fibrinolytic therapy in pulmonary thromboembolisms, etc.) is of undisputed importance.In 2008, the Bedside Lung Ultrasound in Emergency (BLUE) protocol was developed to guide the diagnosis of respiratory distress [4]. Lichtenstein and his colleagues who proposed the BLUE protocol, showed that the diagnostic accuracy of lung ultrasound (LUS) in the Intensive Care Unit (ICU) was 90.5%. Similarly, Silva et al. demonstrated that LUS was more accurate in cases of acute respiratory failure than routine approaches (patient history and physical examination, radiologic and laboratory evidence) [5].The BLUE protocol enables physicians to differentiate the underlying causes of respiratory failure. More to the point, LUS was proved to be effective in the monitoring of therapeutic responses in acute respiratory distress syndrome (ARDS) [6].The BLUE protocol can be applied using a simple ultrasound machine equipped with a micro-convex array transducer [7]. Nevertheless, performing an accurate LUS requires specific training [8]. Although current evidence encourages the use of LUS in treating respiratory distress in critical care, it is not widely accepted in EDs [9].We hypothesized that utilizing a bedside testing protocol such as the BLUE protocol in the ED may shorten the time interval between patient admission and the delivery of any definitive treatment [10]. We have therefore conducted a randomized clinical trial to assess whether or not the application of the BLUE protocol by a trained emergency physician has an impact on the timely diagnosis and treatment of respiratory distress in the ED." @default.
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• W2622970476 date "2017-12-01" @default.
• W2622970476 modified "2023-09-26" @default.
• W2622970476 title "The impact of the BLUE protocol ultrasonography on the time taken to treat acute respiratory distress in the ED" @default.
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• W2622970476 doi "https://doi.org/10.1016/j.ajem.2017.06.007" @default.
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