Title: The CORE Scan

题目：复苏措施重点评定（CORE）超声检查

Author 作者: Michael Winters

The Concentrated Overview of Resuscitative Efforts (CORE) Scan

复苏措施重点评定（CORE）超声检查

• Ultrasound has become an essential tool in the evaluation and management of the crashing patient.

• 超声已成为评估和抢救危重病人的重要工具。

• The CORE scan utilizes emergency bedside ultrasonography to systematically evaluate and resuscitate the rapidly deteriorating patient.

• CORE超声检查利用急诊床旁超声对迅速恶化的病人进行评估以指导复苏 。

• Essentially steps in the CORE scan include:

• CORE超声检查的关键步骤包括：

◦ Endotracheal tube assessment

◦ 气管插管的评估

◦ Lung assessment 肺部评估

▪ Pneumothorax? 气胸？

▪ Pleural effusion? 胸腔积液？

▪ Hemothorax? 血胸？

◦ Cardiac assessment 心脏评估

▪ Pericardial effusion? 心包积液？

▪ Massive PE? 严重肺栓塞？

▪ Estimated ejection fraction? 预计射血分数？

◦ Aorta assessment 主动脉评估

▪ Abdominal aortic aneurysm? 腹主动脉瘤？

▪ Aortic dissection? 主动脉夹层？

◦ IVC assessment 下腔静脉评估

◦ Abdominal assessment 腹部评估

▪ Intraperitoneal fluid? 腹腔积液？

References 参考文献：

Wu TS. The CORE Scan:Concentrated Overview of Resuscitative Efforts[J]. Crit Care Clin 2014; 30:151-175.
http://www.ncbi.nlm.nih.gov/pubmed/24295844