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You are here: Home / Rapid Ultrasound for Shock and Hypotension – the RUSH Exam

Rapid Ultrasound for Shock and Hypotension – the RUSH Exam

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

http://traffic.libsyn.com/emcrit/RUSH_Exam_3-17-11.mp3

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)

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Emily ManloveIngo GraeffDenver RootemcritAris Recent comment authors
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Embolia polmonare: qual è l'importanza del segno di McConnell? - EM Pills

[…] 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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5 years ago
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Mount Sinai Ultrasound CME conference | Mount Sinai Emergency Medicine Ultrasound

[…] Scott Weingart, MD: Rapid Ultrasound in Shock/Hypotension (RUSH) […]

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7 years ago
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Management of Intra-Arrest

[…] I recommend the RUSH exam created by my colleagues and me. […]

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7 years ago
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2011 – Scott Weingart – Mount Sinai – Why is the BP in the toilet? - All NYC Emergency Medicine Conference

[…] For this lecture, please visit the EMCrit Site. […]

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7 years ago
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It ain’t tox but . . . it’s must-viewing | The Poison Review

[…] interested in emergency echo evaluation of the heart. This is a valuable technique to add to your RuSH exam. Posted in Medical by Leon « Previous […]

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7 years ago
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RUSH – Excelling at the Bedside « The EMBER Project

[…] with the detailed evolution of the RUSH exam in its current form, but Scott Weingart MD over at EMCrit.org has been a leader in this area for nearly a decade now and his site has a great overview as well as […]

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6 years ago
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ultrasound in shock | Mount Sinai Emergency Medicine Ultrasound

[…] et al, emcrit.org 2008, EMedHome […]

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6 years ago
Mike Welsh
Guest
Mike Welsh

Thank you

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6 years ago
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EM Ultrasound App for iPhone is a comprehensive reference for bedside scans

[…] clinical situations. This version highlights FAST (Focused Assessment with Sonography in Trauma), RUSH (Rapid Ultrasound for Shock & Hypotension), and Respiratory […]

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6 years ago
ATHURA
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ATHURA

THANK YOU

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6 years ago
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Pericardial Tamponade – The #FOAM Gods address the “full sack” | Little Medic

[…] Scott Weingart on Diagnosis and Treatment: The RUSH Exam Traumatic […]

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6 years ago
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Pericardial Tamponade - The #FOAM Gods address the "full sack" | Little Medic

[…] Scott Weingart on Diagnosis and Treatment: The RUSH Exam Traumatic […]

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5 years ago
Kamo
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Kamo

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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5 years ago
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Die Schnelligkeit der Notfallmedizin ist immens: nach FAST kommt RUSH! | Blog des DGINA e.V.

[…] EMcrit Rush-Exam: https://emcrit.org/rush-exam/ […]

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5 years ago
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Chest Wounds Suck

[…] 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 […]

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5 years ago
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Il paziente è in shock? Fai il RUSH exam! - EM Pills

[…] e intanto mi viene in mente di un post che avevo letto un po’ di tempo prima su EMCrit sul RUSH exam e lo […]

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5 years ago
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ALiEM – Academic Life in Emergency Medicine – RUSH protocol: Rapid Ultrasound for Shock and Hypotension

[…] RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to […]

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5 years ago
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SonoCase: 78 yr old, hypotensive, altered…Welcome to “RUSH” week! | SonoSpot: Topics in Bedside Ultrasound

[…] – 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 […]

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5 years ago
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Tutta colpa dei babà! - EM Pills

[…] 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 […]

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5 years ago
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Caso clinico: questo paziente ha una TEP massiva. Cosa vuoi che abbia! - EM Pills

[…] volta deciso di fare l’ecografia non ho fatto l’utilissimo RUSH exam che mi avrebbe consentito di arrivare rapidamente […]

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5 years ago
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Ultraljud vid kritisk sjukdom | Akutsjukvård

[…] RUSH: från ultrasoundpodcast del 1 och 2 samt emcrit […]

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5 years ago
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Fluid Management | Welcome to Jeremy Jaramillo's Blog

[…] Emcrit – Rapid Ultrasound for Shock and Hypotension – the RUSH Exam […]

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5 years ago
Aris
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Aris

Oh oh, is it just me or is the lecture recording not working?

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5 years ago
Scott Weingart
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Scott Weingart

Just you I think, try a different browser. All is working.

s

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5 years ago
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Whistler's Update in Emergency Medicine | Emergency Medicine Cases : Emergency Medicine Cases

[…] For Scott Weingart’s post on RUSH exam go here. […]

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4 years ago
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FALLS protocol... - thebluntdissection

[…] Rapid Ultrasound for Shock and Hypotension – the RUSH Exam […]

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4 years ago
Denver Root
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Denver Root

Do you have a video of this talk, or a copy of the slides used?

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4 years ago
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CME 4/9/14 - Ultrasound in Shock - Charlie's ED

[…] EMCrit – The Rush Exam […]

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4 years ago
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Sepsis Guidelines: EGDT without the "G"?

[…] 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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3 years ago
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Interesting Case #1 | EMUGS – Emergency Medicine Ultrasound Group Sydney

[…] consider the possible diagnoses and decide to perform a RUSH exam but focus on the abdomen first, given her […]

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3 years ago
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CODE BROWN: COMBATIVE AND BLEEDING |

[…] Rapid Ultrasound for Shock and Hypotension – the RUSH Exam, from EMCRIT […]

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3 years ago
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RUSH Protocol | Vinnie's ICU

[…] The Podcast […]

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3 years ago
Ingo Graeff
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Ingo Graeff

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

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2 years ago
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Highlights from the Pre-SoA 2015 CUSIC Course | Oxford Critical Care

[…] RUSH protocol and discussion – https://emcrit.org/rush-exam/ […]

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2 years ago
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CME 01/09/16 - Use of bedside ultrasound in shock: RUSH protocol - Charlie's ED

[…] EMCrit – The Rush Exam […]

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2 years ago
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Grand Rounds: don’t RUSH Ortho – QEmerg Live

[…] power of the ultrasound to evaluate the “Pump, Tank and Pipes” or the HI-MAP. See the EMCrit post from the original […]

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2 years ago
Emily Manlove
Guest
Emily Manlove

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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2 years ago
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CME 02/02/17 - Ultrasound in Undifferentiated Shock - Charlie's ED

[…] EMCrit – The Rush Exam […]

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2 years ago
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AAA – Always Scary! – RESUS NURSE

[…] For more info on RUSH, click here Rapid Ultrasound for Shock and Hypotension (RUSH) […]

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1 year ago
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Occult Causes of Non-Response to Vasopressors - R.E.B.E.L. EM - Emergency Medicine Blog

[…] Rapid Ultrasound for Shock and Hypotension (RUSH) protocol extremely useful when considering multiple causes of shock […]

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1 year ago
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RUSH-protokoll – Mind palace of an ER doc

[…] https://emcrit.org/rush-exam/original-rush-article/ […]

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10 months ago
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SHoC-ED – The Bottom Line

[…] [further reading] Emcrit. The Rapid Ultrasound in Shock and Hypotension examination. […]

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7 months ago
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emDOCs.net – Emergency Medicine EducationR.E.B.E.L. EM - Occult Causes of Non-Response to Vasopressors - emDOCs.net - Emergency Medicine Education

[…] Rapid Ultrasound for Shock and Hypotension (RUSH) protocol extremely useful when considering multiple causes of shock […]

Vote Up0Vote Down  Reply
6 months ago
trackback
Update Schock: by Nerdfallmedizin.de – News Papers

[…] Rapid Ultrasound for Shock and Hypotension – the RUSH Exam […]

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6 months ago

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