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RUSH Protocol: Rapid Ultrasound for Shock and Hypotension

Infographic by Dr. Jonny Wilkinson @Wilkinsonjonny 

#RUSH #Protocol #Rapid
RUSH Protocol: Rapid ... Ultrasound for Shock ... Rapid #Ultrasound #Shock ... Hypotension #Diagnosis #Trauma ... #POCUS #Exam
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... aneurysms, DVT HI-MAP ... jackcfchong #RUSH #Exam ... #Ultrasound #pocus ... #shock
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) • Use POCUS ... /pelvis, eFAST exam ... massive transfusion protocol ... Survey #CABCDE #management
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - Management ... Algorithm Identify ... Monitors, Pads AP ... Stable? ... Signs of shock or
Treatment of Stable Wide-Complex Tachycardia
Regular
 • If ventricular tachycardia or uncertain rhythm:
    -
Treatment of Stable ... if necessary to max ... narrow-complex irregular protocol ... Tachycardia #Treatment #management ... #cardiology #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
good history & exam ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology ... #treatment #table
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
metabolic equivalent able ... event, follow ACC algorithm ... Stable patients ... stress testing may ... medical and surgical management
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... situations which may ... #diagnosis #management ... clinica l#foamed #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
heart (Sepsis, Shock ... are typically able ... situations which may ... #diagnosis #algorithm ... echocardiogram #management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... 3 shocks for ventricular ... #Hypothermia #Protocol ... #management #treatment ... #algorithm