IVC Ultrasound in Septic Shock: Guiding Resuscitation During Critical Care Transport-A Case Study

Point-of-care ultrasound (POCUS) is a valuable diagnostic tool in prehospital and transport medicine, particularly for critically ill patients with hemodynamic instability. This case study illustrates the use of focused cardiac and inferior vena cava ultrasound in the prehospital transport of a patient with septic shock. The imaging obtained in flight guided both fluid management and vasopressor titration, which improved clinical decision making in a resource-limited, dynamic environment. Using the handheld Butterfly iQ+ ultrasound device facilitated high-quality images and documentation enroute, reinforcing the importance of POCUS in modern air medical practice.