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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 ... and Hypotension ... Diagnosis #Trauma #POCUS ... #Exam
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... pleura, lungs, and ... #Shock #Algorithm
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
tree of FALLS-protocol ... assessment of Shock ... classification, cardiac and ... #algorithm #Lung ... #Fluids #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 ... Ultrasound in Shock ... circumstances #RUSH #Exam ... #POCUS #Protocol
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... • A - Aorta and ... jackcfchong #RUSH #Exam ... #Ultrasound #pocus ... #shock
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... heart collapses and ... physical exam - ... This is why Echo ... EM_RESUS #Clinical #POCUS
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
good history & exam ... Some exam findings ... essentially Cardiogenic Shock ... #differential #algorithm ... #table #foamed
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... heart disease • Echo ... since last echo ... Stable patients ... with no echo in
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
undifferentiated shock ... / hypoxemia -> focus ... ->treatments include ... before beginning treatment ... - Cyanide - Propofol
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... - Hemorrhagic shock ... a late sign of shock ... /pelvis, eFAST exam ... massive transfusion protocol