Point-of-Care Ultrasound for Targeted Assessment of Shock: Remember HIPP in Children

Pediatr Emerg Care. 2019 Aug;35(8):575-578. doi: 10.1097/PEC.0000000000001891.


The differential diagnosis for patients presenting in shock can be broad, making rapid diagnosis and management challenging. We present a case of a medically complex patient with presumed septic shock, diagnosed with a large pericardial effusion with evidence of tamponade using the rapid ultrasound in shock and hypotension protocol. The point-of-care ultrasound examination allowed for more timely and definitive management.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Echocardiography / methods
  • Emergency Service, Hospital
  • Humans
  • Male
  • Pediatric Emergency Medicine
  • Pericardial Effusion / complications
  • Pericardial Effusion / diagnostic imaging*
  • Pericardial Effusion / therapy
  • Pericardiocentesis / methods
  • Point-of-Care Systems / standards*
  • Shock / diagnosis
  • Shock / etiology*
  • Treatment Outcome
  • Ultrasonography / methods*