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Is point-of-care ultrasound a reliable predictor of outcome during atraumatic, non-shockable cardiac arrest? A systematic review and meta-analysis from the SHoC Investigators

Resuscitation Apr 16, 2019

Lalande E, et al. - In adult non-traumatic, non-shockable out-of-hospital or emergency department cardiac arrest, researchers examined the predictive accuracy of point-of-care ultrasound (PoCUS) for return of spontaneous circulation (ROSC), survival to hospital admission (SHA), and survival to hospital discharge (SHD). They analyzed 10 studies including 1,485 participants. Findings suggested improved odds for ROSC, SHA, and SHD in non-traumatic, non-shockable cardiac arrest in correlation with cardiac activity on PoCUS. Compared with previous systematic reviews, lower sensitivity and higher negative likelihood ratio, but greater heterogeneity, were reported. In the management of non-traumatic PEA or asystole, valuable information could be gained by evaluating PoCUS, but it should not be viewed as the sole predictor in determining outcomes.

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