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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 ... #Protocol #Rapid ... #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 ... Ultrasound in Shock ... and Hypotension ... #Exam #POCUS #Protocol
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... Evaluation RUSH ... Protocol: • PUMP ... diagnosis #Ultrasound #pocus ... #shock
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... Integrating POCUS ... scanning CP (+/- hypotension ... #CriticalCare #Shock ... Crashing #Diagnosis #Protocol
SHoC-ED - Does Point-of-Care Ultrasonography Improve Clinical Outcomes in Emergency Department Patients With Undifferentiated Hypotension? 

Ann
SHoC-ED - Does Point-of-Care ... Undifferentiated Hypotension ... ultrasonography protocol ... Wilkinsonjonny #SHoCED #POCUS ... #Hypotension #CriticalCare
Manifestations of Anaphylaxis by Body System

Dermatologic/mucosal

 - Eyes: periorbital swelling/erythema, injected conjunctiva, tears

 - Oral mucosa:
Skin: urticarial rash ... , morbilliform rash ... capillary refill, hypotension ... : bradycardia, shock ... doom, metallic taste
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Decreased O2 Delivery: Hypotension ... Cardiogenic & Septic Shock ... Microcirculatory dysfunction ... Drugs/Toxins: - Propofol ... Mitochondrial dysfunction
Ruptured AAA on POCUS

Nice pick up with a POCUS RUSH exam in a patient with undifferentiated
Ruptured AAA on POCUS ... RUSH exam in a ... undifferentiated hypotension ... Excellent find on RUSH ... protocol!
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 ... active bleeding/hypotension ... massive transfusion protocol