FALLS protocol - Revision history

Neil.m.young: Text replacement - "u/s" to "ultrasound "

2017-01-07T20:35:25Z

Text replacement - "u/s" to "ultrasound "

← Revisión anterior		Revisión del 20:35 7 ene 2017
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	==Endpoints==		==Endpoints==
	Prior to FALLS Protocol (BLUE-Protocol)		Prior to FALLS Protocol (BLUE-Protocol)
	*Obstructive shock - Tamponade or pneumothorax on initial ~~u/s~~		*Obstructive shock - Tamponade or pneumothorax on initial ultrasound
	*Cardiogenic shock - B-profile on itial ~~u/s~~
			*Cardiogenic shock - B-profile on itial ultrasound

	With FALLS Protocol		With FALLS Protocol
	*Hypovolemic shock - Improvement after IVF		*Hypovolemic shock - Improvement after IVF

Neil.m.young: /* References */

2016-06-26T14:30:45Z

References

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	[[Category:Radiology]]		[[Category:Radiology]]
	[[Category:Ultrasound]]		[[Category:Ultrasound]]
			[[Category:Critical Care]]

Neil.m.young: /* Endpoints */

2016-06-26T14:29:03Z

Endpoints

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	==Endpoints==		==Endpoints==
			Prior to FALLS Protocol (BLUE-Protocol)
	*Obstructive shock - Tamponade or pneumothorax on initial u/s		*Obstructive shock - Tamponade or pneumothorax on initial u/s
	*Cardiogenic shock - B-profile on itial u/s		*Cardiogenic shock - B-profile on itial u/s
			With FALLS Protocol
	*Hypovolemic shock - Improvement after IVF		*Hypovolemic shock - Improvement after IVF
	*Septic shock - B-profile and continued failure after IVF		*Septic shock - B-profile and continued failure after IVF

Neil.m.young at 14:27, 26 June 2016

2016-06-26T14:27:15Z

← Revisión anterior		Revisión del 14:27 26 jun 2016
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	==Background==		==Background==
	*The FALLS-protocol is an ultrasound evaluation ~~based protocol for the assessment~~ of patients with acute circulatory failure.		*The FALLS-protocol is an ultrasound evaluation of patients with acute circulatory failure
	**~~It relies on the~~ evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion ~~try~~ to ~~define which type of~~ circulatory shock is present (according to Weil's shock classification).		**Includes evaluation of the pleura, lungs, and pericardium using ultrasound in a step-wise fashion to categorize circulatory shock is present according to Weil's shock classification

	==FALLS-Protocol<ref>~~http~~:~~//www~~.~~heartlungandvessels.org/index~~.~~php?pag=rivista_articles&id_numero=1&id_articolo=223~~</ref>==		==FALLS-Protocol<ref>Lichtenstein D. FALLS-protocol: lung ultrasound in hemodynamic assessment of shock. Heart, Lung and Vessels 2013; 5(3):142-147.</ref>==

	[[File:falls protocol.jpg]]		[[File:falls protocol.jpg]]

			==Appropriate Patient==
			A shocked patient who presents initially with an A-profile - termed a FALLS-responder

	==Endpoints==		==Endpoints==
	~~Administration of iv fluid until clinical improvement~~ or ~~development of a~~ B-profile.		*Obstructive shock - Tamponade or pneumothorax on initial u/s
			*Cardiogenic shock - B-profile on itial u/s
	~~==On which patients to use==~~		*Hypovolemic shock - Improvement after IVF
	~~A shocked patient with an A~~-profile ~~- called a FALLS-responder.~~		*Septic shock - B-profile and continued failure after IVF

	==Limitations==		==Limitations==
	~~No value in patients~~ presenting with B-profile ~~- no endpoint can be defined.~~		*Patients presenting with B-profile have a larger differential such as cardiogenic shock, pulmonary fibrosis, diastolic failure, etc
	Cardiogenic shock with no lung edema - e.g. right ventricular infarction - are associated with an A-profile.		*Cardiogenic shock with no lung edema - e.g. right ventricular infarction - are associated with an A-profile

	==See Also==		==See Also==
	*[[Ultrasound (Main)]]		*[[Ultrasound (Main)]]

	==~~Sources~~==		==References==
	*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref>
	<references/>		<references/>

	[[Category:Radiology]]		[[Category:Radiology]]
	[[Category:Ultrasound]]		[[Category:Ultrasound]]

Ostermayer: Text replacement - "Category:Rads" to "Category:Radiology"

2016-03-22T16:15:16Z

Text replacement - "Category:Rads" to "Category:Radiology"

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	<references/>		<references/>

	[[Category:~~Rads~~]]		[[Category:Radiology]]
	[[Category:Ultrasound]]		[[Category:Ultrasound]]

Neil.m.young at 15:40, 1 November 2015

2015-11-01T15:40:36Z

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	[[Category:Rads]]		[[Category:Rads]]
			[[Category:Ultrasound]]

Rossdonaldson1 at 01:58, 19 September 2014

2014-09-19T01:58:42Z

← Revisión anterior		Revisión del 01:58 19 sep 2014
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	No value in patients presenting with B-profile - no endpoint can be defined.		No value in patients presenting with B-profile - no endpoint can be defined.
	Cardiogenic shock with no lung edema - e.g. right ventricular infarction - are associated with an A-profile.		Cardiogenic shock with no lung edema - e.g. right ventricular infarction - are associated with an A-profile.

			==See Also==
			*[[Ultrasound (Main)]]

	==Sources==		==Sources==

Rossdonaldson1: /* Sources */

2014-09-19T01:45:29Z

Sources

← Revisión anterior		Revisión del 01:45 19 sep 2014
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	*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref>		*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref>
	<references/>		<references/>

			[[Category:Rads]]

Rossdonaldson1: /* Sources */

2014-03-21T06:24:42Z

Sources

← Revisión anterior		Revisión del 06:24 21 mar 2014
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	==Sources==		==Sources==
			*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref>
	<references/>		<references/>

Rossdonaldson1: /* Background */

2014-03-21T06:24:31Z

Background

← Revisión anterior		Revisión del 06:24 21 mar 2014
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	==Background==		==Background==
	*Based on a review article<ref>http://www.heartlungandvessels.org/index.php?pag=rivista_articles&id_numero=1&id_articolo=223</ref> by David Lichtenstein<ref>http://www.ncbi.nlm.nih.gov/pubmed/?term=Lichtenstein+D%5BAuthor%5D</ref>
	*The FALLS-protocol is an ultrasound evaluation based protocol for the assessment of patients with acute circulatory failure.		*The FALLS-protocol is an ultrasound evaluation based protocol for the assessment of patients with acute circulatory failure.
	**It relies on the evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion try to define which type of circulatory shock is present (according to Weil's shock classification).		**It relies on the evaluation of the pleura, lungs and pericardium using ultrasound to in a step wise fashion try to define which type of circulatory shock is present (according to Weil's shock classification).