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<< Symptomatic Hypotension: ED Stabilization And The Emerging Role Of Sonography

Disposition

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Disposition

Disposition

Because of the high morbidity and mortality associated with hypotension regardless of etiology, there should be a low threshold for admission. Ultrasound may be a useful tool in directing the disposition. The Focused Assessment of Sonography in Trauma (FAST) application allows the direct triage of hypotensive trauma patients with positive FAST findings to therapeutic laparotomy without the use of CT imaging.135

In the new age of ED over-overcrowding (not a typo) the solution to high patient acuity and volume should not prolong critical care in the ED. Step down units and expanding ICU's help redirect resources and EM expertise to the next patient demanding answers for their unexplained hypotension. The Acute Physiology and Chronic Health Evaluation (APACHE) II, the Simplified Acute Physiology Score (SAPS), and the Hypotension Score were all created as prognosticators of patient outcome or severity of disease and have the potential to guide ICU care.136

Publication Information
Authors

Anthony J. Weekes; Ryan J. Zapata; Antonio Napolitano

Publication Date

November 1, 2007

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