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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 ... Diagnosis #Trauma #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 Rapid Ultrasound ... in Shock and Hypotension ... Bladder View 7. ... #shock
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
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 ... #Diagnosis #POCUS ... #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 ... #Diagnosis #POCUS ... #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
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 ... Echocardiogram #A4c #Ultrasound
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 ... • Hypovolemic Shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... SBP <90, drop in ... Severe auto-PEEP, Abdominal ... Dehydration Shock ... Sophia_Hayes_MD #Shock
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Rapid Ultrasound ... in SHock Evaluation ... protocol #diagnosis #Ultrasound ... #pocus #shock