Some dozen years ago, a couple of my buddies and I created the RUSH exam. Today, I give you an update:
To keep me from saying something stupid regarding ultrasound, I wanted to get a master of all things ED POCUS to act as chaperone. There is no better person to fill this role than…
Jacob Avila
Host of the 5minutesono podcast and cohost of the ultrasound podcast, Jacob is an incredible ultrasound educator. He is soon to be taking over as the director of ultrasound in the ED at the University of Kentucky. We also recorded a second episode that will air soon on EMCrit.
RUSH Updates
since we sent this exam into the wild, there have been many misconceptions and alterations of the vision of the exam. Some of these have led to beneficial evolution and some of them are messing s&*t up. Hopefully, this episode clears up some of the latter.
Additional New Information
More on EMCrit
- Rapid Ultrasound for Shock and Hypotension – the RUSH Exam(Opens in a new browser tab)
- Point of Care Ultrasound Handbook – RUSH Chapter(Opens in a new browser tab)
Additional Resources
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Why is it particularly concerning to not intubate someone with right heart failure versus left heart failure?
Someone with right heart failure similarly to someone with cardiac tamponade is heavily dependent on preload. When you breathe you create negative intrathoracic drawing blood back to the heart. If you intubate and to a lesser extent CPAP a patient they are now having positive pressure in the thoracic cavity acting as resistance to venous return. Thus preload dumps and with it cardiac output. If high flow O2 can’t hold them and you must use positive pressure make sure they have a plethoric IVC, if it’s flat in the setting of right heart failure they are way behind, and need… Read more »
Hey guys, how do you perform the exclusion of a pneumothorax with the rush exam during cardiac arrest and ongoing cpr? I vaguely remember scott saying (in a podcast I can’t remember) that he performs an lung US and if you see B-Lines you basically exclude the presence of a pneumo. Is there any evidence for that? kind regards and thanks