Background: In the last years, ultrasound technology has entered clinical practice as a
tank and today, it has also allowed no-cardiologists to extend their medical examination without
needing to call the consultant and having a good profile of diagnostic accuracy.
The ultrasound bedside does not replace the consultant, but it allows not to perform inappropriate
consultations with more savings for hospitals.
Objective: The aim was to review the recently published literature to inform the clinician about the
most up to date management of use bedside echography in the emergency setting. In this short review,
we focused on two types of syndromes, no traumatic- hypotension and dyspnea, common to
the three holistic disciplines of medicine, showing the main and basic questions and answers that ultrasound
can give us for rapid identification of the problems.
Methods: We conducted a systematic review using Pubmed/Medline, Ovid/Willey and Cochrane
Library, combining key terms such as “cardiac ultrasound, “cardiac diseases”, “emergency
medicine”, “pocus”, “dyspnea”, “ hypotension”. We selected the most relevant clinical trials and review
articles (excluding case reports) published in the last 19 years and in our opinion, 59 publications
appeared to be the best choice according to the PRISMA statement. In additional papers identified
from individual article reference lists were also included.
Conclusion: Recent studies have shown a promise in establishing best practices for evaluation of
heart, lung abdomen and deep vessels At the moment, bedside US is widely used in an integrated
ultrasound vision just like the holistic view have internal medicine, intensive care and emergency
medicine and many medical schools in Europe and the USA are inserting ultrasonography into the
core curriculum, but we still have to find a standard method for the training program for minimum