The RUSH Exam: Rapid Ultrasound for Shock and Hypotension
Scott D. Weingart, MD RDMS, Daniel Duque MD RDMS, Bret Nelson MD RDMS
Hear the Lecture
This concept was first conceived by the authors above in 2006 and discussed in national lectures in 2007 and on. It has been available on emcrit.org since March 2008 and was the first hit on a google search of ‘RUSH Exam' from this date on. It was published on Emedhome in May 2009.
Expanded RUSH Exam
HI MAP ED
Two additions based on the results of the initial HI MAP:
Ectopic-look for the actual extra-uterine pregnancy
DVT-Multi-site search for DVT. If found in the setting of SOB or right heart enlargement, PE should be considered diagnosed.
Original RUSH Article
- This article on the RUSH Exam was published in May 2009
Additional Resources for the RUSH Exam
- Newest RUSH Review (Critical Care Research and Practice 2012;doi:10.1155/2012/503254)
- An article on the benefits of multiorgan ultrasound in shock patients (Inten Care Med PMID: 23584471)
- Goal-directed echocardiography from Mayo and Koenig (CHEST 2012; 142 ( 4 ): 1042 – 1048)
- Prospective Cohort Trial in the ED with extensive POCUS protocol (Intens Care Med 2013;39:1290)
- Bedside Ultrasound Reduces Diagnostic Uncertainty and Guides Resuscitation in Patients with Undifferentiated Hypotension (CCM 2015;43(12):2562)
Hi, my name is Scott Weingart.
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40 Comments on "Rapid Ultrasound for Shock and Hypotension – the RUSH Exam"
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Thank you
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Thank you so much Scott. Your breakdown of the Rush exam (amongst other work you have published) is helping me:
1) better understand and use US in the ED
2) compile my research protocol on US of IVC in the positively ventilated- is it still reliable as a preload surrogate?
Ta
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[…] your occlusive dressing (petroleum gauze, HALO chest seal.etc) and Dont Rush! (well, perform a RUSH Exam, but don’t actually rush!!) Below are some videos of sucking chest wounds Note the harsh […]
[…] e intanto mi viene in mente di un post che avevo letto un po’ di tempo prima su EMCrit sul RUSH exam e lo […]
[…] RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to […]
[…] – with inspiration from an original RUSH protocol by another great friend of mine, Scott Weingart (aka emcrit) who coined the acronym HIMAP. Here, we will discuss the 3 sections to […]
[…] avremmo potuto fare l’unico che ci avrebbe aiutati, a mio modo di vedere, sarebbe stato il R.U.S.H. exam permettendoci di identificare la dilatazione delle cavità destre del cuore e la dilatazione […]
[…] che non fosse presente. Sappiamo bene che raramente le cose sono così. Il FOCUS o ancora meglio il RUSH sono fondamentali per avere un idea delle cause di uno shock anche se talora il loro risultato può […]
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Oh oh, is it just me or is the lecture recording not working?
Just you I think, try a different browser. All is working.
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Do you have a video of this talk, or a copy of the slides used?
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[…] examination or choose to insert a central venous catheter to measure ScvO2 or CVP, or perform an ultrasound, or perform a fluid challenge or any combination of these tests! Phew. That was hard work to […]
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Do you teach this concept in your ED? Can you give any details about the course format? Thank you. Ingo Gräff, MD, head ED, University Bonn, Germany
[…] RUSH protocol and discussion – http://emcrit.org/rush-exam/ […]
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[…] power of the ultrasound to evaluate the “Pump, Tank and Pipes” or the HI-MAP. See the EMCrit post from the original […]
Does anyone have a good suggestion for a beginner-intermediate ultrasound course? I am faculty with a family medicine residency and also work as a hospitalist and do rural ED moonlighting. So, I have somewhat broad needs.
Thanks!
Emily
Instructor, KUSM-Wichita
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