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RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
1. ... Cardiac View 3. ... DVT depending on clinical ... POCUS #Protocol #diagnosis ... #ultrasound #shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... Treatment Goals: 1) ... Lactate < 2.0 3) ... #criticalcare #algorithm
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... SOFA and SIRS 1) ... Setup - Ultrasound ... Readily Reversibles 3) ... Tamponade - Pulmonary
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... (see below for diagnosis ... Pearls: #1 Confirm ... at the bedside #3 ... #POCUS #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
6) - Pulmonary ... event, follow ACC algorithm ... Change in clinical ... undergoing AAA or upper abdominal ... stratification #diagnosis
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
patients such as: 1. ... Hematologic malignancy 3. ... enzymes, diarrhea, abdominal ... Disease: Clinical ... Lung Disease: • Clinical
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... forms: 1) Rhinocerebral ... 3) Abdominal, pelvic ... Sinusitis • Brain abscess ... fever • Septic shock
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
typically fall into 1 ... importantly, bedside ultrasound ... with presence of pulmonary ... essentially Cardiogenic Shock ... #algorithm #management
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
over the left anterior ... /50 Rule (part 1) ... and second ribs.1 ... was placed on 3 ... consider intra-abdominal