UMEM Educational Pearls

Category: Critical Care

Title: The CORE Scan

Posted: 12/10/2013 by Mike Winters, MD (Updated: 9/23/2019)
Click here to contact Mike Winters, MD

The Concentrated Overview of Resuscitative Efforts (CORE) Scan

  • Ultrasound has become an essential tool in the evaluation and management of the crashing patient.
  • The CORE scan utilizes emergency bedside ultrasonography to systematically evaluate and resuscitate the rapidly deteriorating patient.
  • Essentially steps in the CORE scan include:
    • Endotracheal tube assessment
    • Lung assessment
      • Pneumothorax?
      • Pleural effusion?
      • Hemothorax?
    • Cardiac assessment
      • Pericardial effusion?
      • Massive PE?
      • Estimated ejection fraction?
    • Aorta assessment
      • Abdominal aortic aneurysm?
      • Aortic dissection?
    • IVC assessment
    • Abdominal assessment
      • Intraperitoneal fluid?

References

Wu TS. The CORE Scan. Crit Care Clin 2014; 30:151-75.