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The Rapid UltraSound in Shock (RUSH)

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Atlas of Critical Care Echocardiography

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Abstract

The rapid ultrasound in shock (RUSH) is designed to rapidly diagnose the cause of undifferentiated hypotension. It was developed in the emergency department to systematically evaluate a patient with ultrasound to identify life-threatening pathologies. The RUSH includes heart, inferior vena cava (IVC), and aortic assessments for diagnosing the etiology of acute hypotension in the emergency department. The RUSH can detect pathologies causing hypotension that may not be evident on physical examination including acute MI, ruptured aortic aneurism, and tension pneumothorax.

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Suggested Reading

  • Lichtenstein DA, Mezière G, Lascols N, Biderman P, Courret JP, Gepner A, et al. Ultrasound diagnosis of occult pneumothorax. Crit Care Med. 2005;33(6):1231–8.

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  • Ma OJ, Mateer J, Blaivas B. Critical care in emergency ultrasound. New York: McGraw-Hill Professional; 2007. p. 191–223.

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  • Weingart S, Duque D, Nelson B. The RUSH exam—rapid ultrasound for shock and hypotension. EM Crit Project. 2009. https://emcrit.org/rush-exam.

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Author information

Authors and Affiliations

  1. Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Kevin Flanagan & Alexis Salerno

Authors
  1. Kevin Flanagan
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  2. Alexis Salerno
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Corresponding author

Correspondence to Alexis Salerno .

Editor information

Editors and Affiliations

  1. Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA

    Alexis Salerno

  2. Department of Surgery, Program in Trauma and Critical Care, University of Maryland School of Medicine, Baltimore, MD, USA

    Daniel J. Haase

  3. Department of Surgery, Program in Trauma and Critical Care, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA

    Sarah B. Murthi

1 Electronic Supplementary Material

This video shows an example of pericardial fluid (MP4 3059 kb)

This video shows a collapsible IVC versus a non-collapsible IVC (MP4 2003 kb)

Video 3

This video shows scanning the aorta from proximal to distal to the iliac bifurcation (MP4 407 kb)

This video shows a lung point (MP4 6041 kb)

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Flanagan, K., Salerno, A. (2021). The Rapid UltraSound in Shock (RUSH). In: Salerno, A., Haase, D.J., Murthi, S.B. (eds) Atlas of Critical Care Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-74687-2_20

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  • DOI: https://doi.org/10.1007/978-3-030-74687-2_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-74685-8

  • Online ISBN: 978-3-030-74687-2

  • eBook Packages: MedicineMedicine (R0)

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