BLUE protocol

The BLUE protocol (Bedside Lung Ultrasound in Emergency) is a rapid ultrasound algorithm used in critical care to diagnose the cause of acute respiratory failure. This point-of-care ultrasound (POCUS) method systematically evaluates lung and pleural signs, such as lung sliding, A-lines, B-lines, and pleural effusion, to quickly identify conditions like pneumothorax, pulmonary edema, pneumonia, and pleural effusions. Its efficiency makes it invaluable for swift decision-making in emergency and critical care settings.

This ultrasound protocol enhances diagnostic accuracy by offering real-time visualization of lung pathology, reducing reliance on less timely or portable imaging modalities. Crucially, the BLUE protocol aids in guiding immediate interventions, improving patient outcomes in critical care. It’s a cornerstone in modern medical ultrasound for rapid assessment of respiratory distress.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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As a [Specialty] clinician, POCUS has completely changed how I practice. GUSI’s training gave me the confidence to make faster, more accurate decisions for my patients.

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