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Emerg Med Australas · Apr 2023
SLICE: An algorithm for incorporating ultrasonography in the assessment of shocked or breathless patients.
- Lorena Fy Zhang, Minh-Tu Duong, and Justin Bowra.
- Emergency Department, Royal North Shore Hospital, Sydney, New South Wales, Australia.
- Emerg Med Australas. 2023 Apr 1; 35 (2): 242245242-245.
AbstractSLICE is an algorithm for the integration of point-of-care ultrasound in the assessment and resuscitation of the shocked or breathless patient. It aims to determine the patient's fluid status, and identify reversible causes for the patient's clinical picture. SLICE stands for 'In a patient who is Shocked/Short of breath, scan the Lungs, IVC, Cardiac and Extra regions as indicated'. Its key advantages are that it explicitly guides resuscitative fluid management, can be performed rapidly and by clinicians with a broad range of sonographic experience, and can be used in a broad range of clinical scenarios. Its use has been successfully taught and implemented in routine clinical practice at our local institution.© 2022 Australasian College for Emergency Medicine.
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