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Best Evidence Topic reports
BET 4

https://doi.org/10.1136/emj.2010.104893

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    Use of the trendelenburg position to improve haemodynamics during hypovolaemic shock

    Report by Nicolas Kettaneh, Medical student

    Search checked by Jeffrey S Jones, Research director, emergency medicine

    Institution: Grand Rapids Medical Education and Research/Michigan State University

    Clinical scenario

    A 28-year-old man with a gunshot wound to the leg presents to the emergency department in hypovolaemic shock. Among other things, you place the patient in the Trendelenburg position, with the body tilted so that the feet are higher than the head. You wonder if this position actually improves haemodynamics.

    Three-part question

    In [adults with hypotension] does the [Trendelenburg position] improve [haemodynamics]?

    Search strategy

    Medline and Embase databases searched via OvidSP interface in June 2010. [shock.mp OR hypovol$.mp OR hypotensi$.mp] AND [trendelenburg.mp OR head-down tilt.mp] LIMIT …

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    Footnotes

    • Linked articles 104869, 104877, 104885, 104851.

    • Competing interests None.

    • Provenance and peer review Not commissioned; not externally peer reviewed.

    Linked Articles

    • Best evidence topic reports
      Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary
      Craig Ferguson
      Emergency Medicine Journal 2010; 27 873-873 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104851
    • Best evidence topic reports
      BET 1
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 873-874 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104869
    • Best Evidence Topic reports
      BET 2
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 874-875 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104877
    • Best Evidence Topic reports
      BET 3
      BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine
      Emergency Medicine Journal 2010; 27 876-877 Published Online First: 23 Oct 2010. doi: 10.1136/emj.2010.104885