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RUSH Protocol: Rapid Ultrasound for Shock and Hypotension

Infographic by Dr. Jonny Wilkinson @Wilkinsonjonny 

#RUSH #Protocol #Rapid
RUSH Protocol: Rapid ... Wilkinsonjonny #RUSH ... Diagnosis #Trauma #POCUS
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
SHock Evaluation RUSH ... jackcfchong #RUSH ... diagnosis #Ultrasound #pocus
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... POCUS RUSH exam ... Syndrome #Clinical #POCUS
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - ... POCUS Protocol ... circumstances #RUSH ... #Exam #POCUS #Protocol
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... Typical ECG in BRASH ... hyperkalemia) BRASH ... DrEricStrong #BRASH
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... Look beyond the RUSH ... Hydronephrosis #POCUS
Causes of Rhabdomyolysis - Differential Diagnosis
 • Drugs & Toxins (Statins, alcohol, cocaine)
 • Direct Muscle
Damage (Trauma/crush
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... EM_RESUS #Clinical #POCUS
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
BRADI Mnemonic • BRASH ... Infections BRASH
Focus Assessed Transthoracic Echo (FATE) - Basic FATE views

Pos 1: Subcostal 4-chamber

Pos 2: Apical 4-chamber

Pos 3:
Focus Assessed Transthoracic ... Echocardiogram #POCUS