FALLS protocol: Difference between revisions
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FALLS-protocol | ==Background== | ||
*The FALLS-protocol is an ultrasound evaluation of patients with acute circulatory failure | |||
**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>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]] | ||
==Appropriate Patient== | |||
A shocked patient who presents initially with an A-profile - termed a FALLS-responder | |||
==Endpoints== | |||
Prior to FALLS Protocol (BLUE-Protocol) | |||
*Obstructive shock - Tamponade or pneumothorax on initial ultrasound | |||
*Cardiogenic shock - B-profile on itial ultrasound | |||
With FALLS Protocol | |||
*Hypovolemic shock - Improvement after IVF | |||
*Septic shock - B-profile and continued failure after IVF | |||
==Limitations== | |||
*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 | |||
==See Also== | |||
*[[Ultrasound (Main)]] | |||
==References== | |||
<references/> | |||
[[Category:Radiology]] | |||
[[Category:Ultrasound]] | |||
[[Category:Critical Care]] | |||
Latest revision as of 20:35, 7 January 2017
Background
- The FALLS-protocol is an ultrasound evaluation of patients with acute circulatory failure
- 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[1]
Appropriate Patient
A shocked patient who presents initially with an A-profile - termed a FALLS-responder
Endpoints
Prior to FALLS Protocol (BLUE-Protocol)
- Obstructive shock - Tamponade or pneumothorax on initial ultrasound
- Cardiogenic shock - B-profile on itial ultrasound
With FALLS Protocol
- Hypovolemic shock - Improvement after IVF
- Septic shock - B-profile and continued failure after IVF
Limitations
- 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
See Also
References
- ↑ Lichtenstein D. FALLS-protocol: lung ultrasound in hemodynamic assessment of shock. Heart, Lung and Vessels 2013; 5(3):142-147.