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RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
in Shock and Hypotension ... 1. ... View 2. ... DVT depending on clinical ... #shock
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Direct SARS-COV-2 ... - Primary non-cardiac ... illness: Critical ... illness, Sepsis, Pulmonary ... infarction: - Type 1
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Management Summary • Hypotension ... SOFA and SIRS 1) ... Full Set of Vital Signs ... Setup - Ultrasound ... Tamponade - Pulmonary
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Signs of Tamponade ... PMC5466174/ - VCU Ultrasound ... sided collapse) #Clinical ... Echocardiogram #A4C ... #Cardiac #Tamponade
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
on context Rx 1 ... hypertension Rx ... 2 — Optimize the ... (no B-lines on ultrasound ... #Checklist #CHF
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... 2. ... Fulminant: - Acute HF ... , Cardiogenic shock ... agent, steroids, AC
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Presentation 1. ... ankle swelling. 2. ... congestion. 2. ... Consider cardiac
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... Change in clinical ... postoperative cardiac
Cardiac Tamponade on POCUS
Hypotension in trauma is not always due to hypovolemia. This was a great
on POCUS Hypotension ... management - MH/CCF ... Tamponade #POCUS #clinical ... #ultrasound #trauma ... #cardiology #s4c
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #heartfailure #chf