Since the landmark 2012 consensus on point-of-care lung ultrasound (PoCLUS), a vast wave of new evidence has transformed clinical practice. To address these advancements, a new consensus has been established to update recommendations, focusing primarily on the clinical applications of PoCLUS as a standalone diagnostic tool.

While emphasizing its independent strengths and limitations, the consensus frames this focused approach as a vital, preliminary step toward seamlessly integrating lung ultrasound with other organ-specific examinations and complementary diagnostic methods.

The update was meticulously developed using a Delphi-based consensus process supervised by a steering and a Delphi committee.

Twenty-one rigorously selected international experts conducted a structured literature review of 1,775 publications spanning from 2012 to 2025—including original studies, meta-analyses, and existing guidelines.

Through iterative online discussions and anonymous voting rounds strictly adhering to ACCORD recommendations, the panel achieved an agreement threshold of at least 80% on 83 final statements.

These newly minted recommendations span multiple domains, including ultrasound signs, technical workflows, monitoring strategies, and clinical applications, ultimately offering clinicians an up-to-date, evidence-based framework for modern practice.

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