The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact
Authors:
Asaad S Shujaa,
Rasha Buhumaid,
Nora Fahad Alabdulkareem,
Norah 2 Bin Sulaiman,
Lina Talal Alotabi,
Muzn Saud Alharbi
Point-of-Care Ultrasound (POCUS) has emerged as a transformative diagnostic tool in cardiac arrest management, particularly for non-trauma cases, offering clinicians real-time, dynamic imaging to guide resuscitation efforts. As with any relatively new area of study, previous research on POCUS is limited and there is a lot of heterogeneity in studies’ methods, outcomes, and practiced contexts. This systematic review and meta-analysis aims to evaluate the effectiveness of point-of-care ultrasound (POCUS) in both identifying the cause of non-traumatic cardiac arrest and improving patient outcomes during treatment. A comprehensive search of multiple databases from January 2010 to December 2023 identified studies meeting rigorous inclusion criteria, focusing on adult patients and assessing outcomes such as Return of Spontaneous Circulation (ROSC), survival rates, and diagnostic accuracy. To support the high quality of the analysis, QUADAS-2 tool and the Cochrane risk of bias tool were employed. Pooled analysis was undertaken using RevMan with relative risks and 95% CIs for mortality, and I² test was used for measuring heterogeneity while clinical setting formed basis of the subgroup analysis. The research presented suggests that point-of-care ultrasound (POCUS) can help identify treatable causes of cardiac arrest, such as tamponade, pulmonary embolism, and hypovolemic shock, which can positively impact the chances of successful resuscitation and guide treatment during CPR. Nevertheless, unlike routine diagnostics, POCUS has high diagnostic precision and therapeutic application but still has several drawbacks: operator-dependency and unpredictable protocols. This review further emphasizes the relevance of POCUS in enhancing outcome of cardiac arrest about which prescribes a need for more national protocols with a view of enhancing its implementation.
Keywords: "Point-of-Care Ultrasound" OR "POCUS", combined with "Cardiac Arrest" AND "Non-Trauma"
Authors
Correspondence to:
Nora Fahad Alabdulkareem ##, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia noraalabdulkareem@gmail.com
Publication history:
Received 07 Jul 2025
Accepted 09 Sep 2025
Published online 19 Nov 2025
Shujaa AS, Buhumaid R, Alabdulkareem NF, Sulaiman NB, Alotabi LT, Alharbi MS. The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. SJEMed. Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa AS, Buhumaid R, Alabdulkareem NF, Sulaiman NB, Alotabi LT, Alharbi MS. The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. https://sjemed.com/?mno=269414 [Access: November 20, 2025]. doi:
10.24911/SJEMed.72-1751851270
Shujaa AS, Buhumaid R, Alabdulkareem NF, Sulaiman NB, Alotabi LT, Alharbi MS. The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. SJEMed. Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa AS, Buhumaid R, Alabdulkareem NF, Sulaiman NB, Alotabi LT, Alharbi MS. The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. SJEMed, [cited November 20, 2025]; Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa, A. S., Buhumaid, . R., Alabdulkareem, . N. F., Sulaiman, . N. B., Alotabi, . L. T. & Alharbi, . M. S. (0) The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. SJEMed, Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa, Asaad S, Rasha Buhumaid, Nora Fahad Alabdulkareem, Norah Bin Sulaiman, Lina Talal Alotabi, and Muzn Saud Alharbi. 0. The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. Saudi Journal of Emergency Medicine, Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa, Asaad S, Rasha Buhumaid, Nora Fahad Alabdulkareem, Norah Bin Sulaiman, Lina Talal Alotabi, and Muzn Saud Alharbi. "The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact." Saudi Journal of Emergency Medicine Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270
Shujaa, Asaad S, Rasha Buhumaid, Nora Fahad Alabdulkareem, Norah Bin Sulaiman, Lina Talal Alotabi, and Muzn Saud Alharbi. "The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact." Saudi Journal of Emergency Medicine Online First: 19 Nov, 2025. Web. 20 Nov 2025 doi:
10.24911/SJEMed.72-1751851270
Shujaa, A. S., Buhumaid, . R., Alabdulkareem, . N. F., Sulaiman, . N. B., Alotabi, . L. T. & Alharbi, . M. S. (0) The Use of Point-of-Care Ultrasound (POCUS) in Non-Trauma Cardiac Arrest: A Systematic Review and Meta-Analysis of Diagnostic Accuracy and Therapeutic Impact. Saudi Journal of Emergency Medicine, Online First: 19 Nov, 2025. doi:
10.24911/SJEMed.72-1751851270