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To the Editor Drs Seymour and Rosengart,1 in their review of septic shock, noted the lack of “rigorous RCTs [randomized clinical trials] of focused cardiac ultrasonography affecting patient-centered outcomes in septic shock.” The authors cited a 2010 consensus document by the American Society of Echocardiography and the American College of Emergency Physicians as justification for the recommendation that “focused ultrasonography may assist in early shock diagnosis and alert clinicians to underlying physiologic disturbance.”
Hyzy RC. Bedside Ultrasonography for Diagnosis of Septic Shock. JAMA. 2016;315(1):89. doi:10.1001/jama.2015.15061