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RUSH Protocol: Rapid Ultrasound for Shock and Hypotension

Infographic by Dr. Jonny Wilkinson @Wilkinsonjonny 

#RUSH #Protocol #Rapid
Protocol: Rapid Ultrasound ... for Shock and Hypotension ... Protocol #Rapid #Ultrasound ... #Shock #Hypotension
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... - Cardiogenic Shock ... - Obstructive Shock ... Sounds • Pulmonary
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
Lung Ultrasound ... assessment of Shock ... then distributive shock ... , i.e. septic shock ... #CriticalCare #Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
evaluation in shock ... FALLS-protocol is an ultrasound ... categorize circulatory shock ... according to Weil's shock ... FALLS #Protocol #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
intuitive way to use ultrasound ... along the peri-shock ... to full shock spectrum ... #Distributive #Shock
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
intuitive way to use ultrasound ... along the peri-shock ... to full shock spectrum ... #Obstructive #Shock
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Pulmonary View ... Pulmonary View ... #shock
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... Setup - Ultrasound ... • Obstructive Shock ... Tamponade - Pulmonary
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... • Neurogenic shock ... Diagnosis #Algorithm #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