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RUSH Protocol: Rapid Ultrasound for Shock and Hypotension

Infographic by Dr. Jonny Wilkinson @Wilkinsonjonny 

#RUSH #Protocol #Rapid
Ultrasound for Shock ... Rapid #Ultrasound #Shock ... Diagnosis #Trauma #POCUS
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Obstructive #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Distributive #Shock
Shock - Pathophysiology 
Inadequate tissue perfusion to meet O2, nutrient requirements
1. Distributive Shock
2. Hypovolemic Shock
3. Cardiogenic
Shock - Pathophysiology ... Distributive Shock ... Hypovolemic Shock ... Cardiogenic Shock ... Obstructive Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - POCUS ... evaluation in shock ... categorize circulatory shock ... according to Weil's shock ... FALLS #Protocol #Shock
Cardiogenic Shock - Diagnosis and Management Summary
Identifying Hypoperfusion from Cardiac Dysfunction
 • Exam: Congestion vs Hypoperfusion
Cardiogenic Shock ... Diagnostic Studies • POCUS ... #Cardiogenic #Shock
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... Patient is in shock ... POCUS RUSH exam ... shows the shock ... Syndrome #Clinical #POCUS
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
: Distributive shock ... line for septic shock ... ), Cardiogenic shock ... : Distributive shock ... , Shock where ↑
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
assessment of Shock ... then distributive shock ... , i.e. septic shock ... #CriticalCare #Shock ... #Fluids #POCUS
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... - Obstructive Shock ... - Hypovolemic Shock