RUSH Exam

• • Hypotension

• • 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

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/

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.

• • The Original Rush Article [Post on EmCrit]

• • Resuscitative Ultrasound by Molly Thiessen