SCCM Resource Library-Con: We Don't Need Monitors: Physical Examination and Some Blood Tests Are All You Need

Con: We Don't Need Monitors: Physical Examination and Some Blood Tests Are All You Need

Video Transcription

Video Summary

In this video transcript, the speaker presents arguments for the use of physical examination in assessing patients with circulatory failure. They highlight that physical examination is readily available, accessible, and safe. While reliability of examination findings can vary, there is evidence to suggest that certain findings, such as peripheral temperature, capillary refill time, and mottling, can correlate with important outcomes like organ failure and mortality. However, there is a lack of high-quality studies demonstrating that physical examination improves patient outcomes. The speaker also discusses the Andromeda shock trial, which compared the use of capillary refill time and lactate clearance as resuscitation targets in septic shock patients, but found no significant difference in mortality. They conclude that physical examination, coupled with some blood tests, should be the starting point for assessing patients, but the choice of monitoring tools should be determined based on availability, expertise, and patient characteristics.

Asset Subtitle

Quality and Patient Safety, Procedures, 2023

Asset Caption

Type: one-hour concurrent | Pro/Con: Do We Really Need Monitors for Shock? (SessionID 1119341)

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Procedures

Membership Level Professional

Membership Level Select

Tag Healthcare Delivery

Tag Monitoring

Year 2023

Keywords

physical examination

circulatory failure

accessible

safe

reliability

mortality

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