CLUE: COVID-19 lung ultrasound in emergency department

被引：65

作者：

Manivel, Vijay ^{[1
]}

Lesnewski, Andrew ^{[1
]}

Shamim, Simin ^{[1
]}

Carbonatto, Genevieve ^{[2
]}

Govindan, Thiru ^{[2
]}

机构：

[1] Nepean Hosp, Emergency Med, Sydney, NSW, Australia

[2] Royal Adelaide Hosp, Emergency Med, Adelaide, SA, Australia

来源：

EMERGENCY MEDICINE AUSTRALASIA | 2020年 / 32卷 / 04期

关键词：

CLUE; COVID-19; emergency; lung ultrasound; POCUS;

D O I：

10.1111/1742-6723.13546

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Lung ultrasound (LUS) plays a critical role in the SARS-CoV-2 pandemic. Evidence is mounting on its utility to diagnose, assess the severity and as a triage tool in the ED. Sonographic features correlate well to computed tomography (CT) chest findings and a bedside LUS performed by a trained clinician along with clinical examination, could be an alternative to chest X-ray and CT chest in these highly infectious patients. In this article, we have described a step-by-step approach to LUS in COVID patients and the CLUE (COVID-19 LUS in the ED) protocol, which involves an anatomical parameter, the severity of lung changes, objectively scored using the validated LUS scoring system and a physiological parameter, oxygen requirement. We believe this CLUE protocol can help risk-stratify patients presenting to ED with suspected COVID-19 and aid clinicians in making appropriate disposition decisions.

引用

页码：694 / 696

页数：3

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