Key result
Point-of-care ultrasound successfully identified bilateral brachial artery occlusion in a patient presenting with unrecordable blood pressure, altering the diagnosis from septic shock.
Case Report (n=1)
No
Vascular POCUS is a crucial bedside tool for evaluating patients with unrecordable blood pressure to rapidly identify arterial occlusion and prevent inappropriate shock treatments.
May prompt vascular evaluation in refractory shock; case report leaves open broader point-of-care ultrasound validation.
Point-of-care ultrasound (POCUS) has been an integral part of patient evaluation in the Emergency Department. It has been used increasingly for the evaluation of critically ill and trauma patients. We report a case of 60-year-old male patient who presented to the Emergency department with flank pain and urinary symptoms suggesting pyelonephritis with unrecordable blood pressure indicating potential septic shock, but the absence of bilateral radial pulses triggered the use of POCUS which reveal bilateral radial artery occlusion.
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Getachew et al. (2023) conducted a case report in Unrecordable blood pressure / Bilateral brachial artery occlusion (n=1). Point-of-care ultrasound (POCUS) was evaluated on Diagnosis of the cause of unrecordable blood pressure. Point-of-care ultrasound successfully identified bilateral brachial artery occlusion in a patient presenting with unrecordable blood pressure, altering the diagnosis from septic shock.
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