CLUE: COVID-19 lung ultrasound in emergency department.
Lung ultrasound (LUS) plays a critical role in the SARS-CoV-2 pandemic. Evidence is mounting on its utility to diagnose, assess the severity and as a triage tool in the ED. Sonographic features correlate well to computed tomography (CT) chest findings and a bedside LUS performed by a trained clinician along with clinical examination, could be an alternative to chest X-ray and CT chest in these highly infectious patients. In this article, we have described a step-by-step approach to LUS in COVID patients and the CLUE (COVID-19 LUS in the ED) protocol, which involves an anatomical parameter, the severity of lung changes, objectively scored using the validated LUS scoring system and a physiological parameter, oxygen requirement. We believe this CLUE protocol can help risk-stratify patients presenting to ED with suspected COVID-19 and aid clinicians in making appropriate disposition decisions.
['Manivel|Vijay|V|https://orcid.org/0000-0002-9691-9438', 'Lesnewski|Andrew|A|', 'Shamim|Simin|S|', 'Carbonatto|Genevieve|G|', 'Govindan|Thiru|T|']
D000073640:Betacoronavirus D000086382:COVID-19 D002985:Clinical Protocols D018352:Coronavirus Infections D004636:Emergency Service, Hospital D006801:Humans D008168:Lung D058873:Pandemics D011024:Pneumonia, Viral D000086402:SARS-CoV-2 D012680:Sensitivity and Specificity D014463:Ultrasonography
CLUE COVID-19 lung ultrasound emergency POCUS