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The Rapid UltraSound in Shock (RUSH)

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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.

Keywords

  • Hypotension
  • RUSH exam; Tamponade
  • IVC
  • Aortic aneurysm
  • FAST exam; Pneumothorax

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  • DOI: 10.1007/978-3-030-74687-2_20
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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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    Google Scholar 

  • 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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Correspondence to Alexis Salerno .

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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)

189640_1_En_20_MOESM3_ESM.mp4

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)

Video 3

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