6/14/2023 0 Comments Free download blue protocol alpha![]() We hypothesized that utilizing a bedside testing protocol such as the BLUE protocol in the ED may shorten the time interval between patient admission and the delivery of any definitive treatment. Although current evidence encourages the use of LUS in treating respiratory distress in critical care, it is not widely accepted in EDs. Nevertheless, performing an accurate LUS requires specific training. The BLUE protocol can be applied using a simple ultrasound machine equipped with a micro-convex array transducer. More to the point, LUS was proved to be effective in the monitoring of therapeutic responses in acute respiratory distress syndrome (ARDS). ![]() The BLUE protocol enables physicians to differentiate the underlying causes of respiratory failure. demonstrated that LUS was more accurate in cases of acute respiratory failure than routine approaches (patient history and physical examination, radiologic and laboratory evidence). Lichtenstein and his colleagues who proposed the BLUE protocol, showed that the diagnostic accuracy of lung ultrasound (LUS) in the Intensive Care Unit (ICU) was 90.5%. In 2008, the Bedside Lung Ultrasound in Emergency (BLUE) protocol was developed to guide the diagnosis of respiratory distress. Hence, in the management of a patient with respiratory distress, using a timely approach to differentiate the underlying causes and initiating specific therapies (decompression of the pneumothorax, intubation and ventilation support, bronchodilators or corticosteroid nebulization, anticoagulation and fibrinolytic therapy in pulmonary thromboembolisms, etc.) is of undisputed importance. For instance, a recent cohort study showed that the mortality rate among hospitalized patients with respiratory distress was as much as 10%. In extreme scenarios, during which respiratory distress becomes respiratory failure, the survival of the patients will significantly drop. ![]() ![]() Respiratory distress is one of the most common complaints in the emergency department (ED).
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