RUSH Exam

Indications

    • Hypotension

Clinical Questions

    • Is there an identifiable cause of this patient's hypotension?
      • Cardiac tamponade
      • Cardiogenic shock
      • Massive pulmonary embolism
      • Sepsis
      • Hypovolemia
      • Hemorrhage
      • Aortic aneurysm rupture
      • Ectopic pregnancy rupture
      • Tension pneumothorax

Protocol

The components of the RUSH exam are: Heart, IVC, Morrison's/FAST, Aorta and Pneumothorax (HI-MAP). Evaluate for cardiac tamponade, cardiac function, RV size, intravascular volume status, intra-abdominal hemorrhage, aortic aneurysm and DVT

Image courtesy of emcrit.org/rush-exam/

Image courtesy of emcrit.org/rush-exam/

Documentation

Limited Transthoracic Echocardiogram performed by me:
Indication: Hypotension
Findings—
Pericardium: No effusion
Cardiac: Normal contraction, no RV dilation or dysfunction
IVC: Normal size with respiratory variation
Image archived in the medical record

Limited Abdominal Ultrasound performed by me:
Indication: Hypotension
Findings—
Hepatorenal: No free fluid
Perisplenic: No free fluid
Pericystic: No free fluid
Image archived in the medical record.

Limited Aorta Ultrasound performed by me:
Indication:  hypotension
Findings—
Interpretation: no evidence of AAA
Images archived in medical record

Limited Chest Ultrasound performed by me:
Indication: Hypotension
Findings—
Pneumothorax: No evidence of pneumothorax
Image archived in the medical record.

Recommended Reading

Other Online Resources

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