{"id":664,"date":"2017-07-29T01:06:08","date_gmt":"2017-07-29T01:06:08","guid":{"rendered":"http:\/\/emultrasound.sdsc.edu\/?page_id=664"},"modified":"2017-07-29T01:15:49","modified_gmt":"2017-07-29T01:15:49","slug":"the-rush-exam","status":"publish","type":"page","link":"https:\/\/emultrasound.ucsd.edu\/index.php\/curriculum-2\/the-rush-exam\/","title":{"rendered":"RUSH Exam"},"content":{"rendered":"<div class=\"mp-row-fluid motopress-row mpce-prvt-187-590ff36642ae4 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-clmn mp-span6  mpce-prvt-187-5916147b70370 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"mp-row-fluid motopress-row mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-clmn mp-span12 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-text-obj\">\n<\/div>\n<\/div>\n<\/div>\n<div class=\"mp-row-fluid motopress-row mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-clmn mp-span12 mpce-prvt-187-590ff4e442b25 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-modal-obj motopress-text-align-center\"><button data-action=\"motopress-modal\" data-mfp-src=\"#motopress-modal-content-6a68cf7f137898-34130411\" data-mfp-show-animation=\"\" data-mfp-hide-animation=\"\" data-modal-style=\"motopress-modal-dark\" class=\"motopress-button  motopress-btn motopress-btn-size-middle motopress-btn-rounded motopress-btn-icon-indent-small\" data-uniqid=\"6a68cf7f137898-34130411\"><i class=\"fa fa-film motopress-btn-icon-align-left\"><\/i>Watch Lecture<\/button><div  id=\"motopress-modal-content-6a68cf7f137898-34130411\" class=\"mfp-hide motopress-modal-content\">\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/6szTVsXBcdI?list=PL3Zty8IubWpe-UPxgs9HDNNOJrBknRbPU\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"motopress-clmn mp-span6  mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"mp-row-fluid motopress-row mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-clmn mp-span12 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-accordion-obj mpce-prvt-187-590fdb1d3af04 motopress-accordion\" data-atts=\"{&quot;active&quot;:&quot;false&quot;,&quot;collapsible&quot;:true,&quot;header&quot;:&quot;&gt; div &gt; h3&quot;,&quot;heightStyle&quot;:&quot;content&quot;}\">\n<div class=\"motopress-accordion-item\"><h3>Indications<\/h3><div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Hypotension<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n<div class=\"motopress-accordion-item\"><h3>Clinical Questions<\/h3><div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>Is there an identifiable cause of this patient's hypotension?\n<ul>\n<li>Cardiac\u00a0tamponade<\/li>\n<li>Cardiogenic shock<\/li>\n<li>Massive pulmonary embolism<\/li>\n<li>Sepsis<\/li>\n<li>Hypovolemia<\/li>\n<li>Hemorrhage<\/li>\n<li>Aortic aneurysm rupture<\/li>\n<li>Ectopic pregnancy rupture<\/li>\n<li>Tension pneumothorax<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n<div class=\"motopress-accordion-item\"><h3>Protocol<\/h3><div>\n<p style=\"text-align: center;\">The components of the RUSH exam are: <strong>H<\/strong>eart, <strong>I<\/strong>VC, <strong>M<\/strong>orrison's\/FAST, <strong>A<\/strong>orta and <strong>P<\/strong>neumothorax (<strong>HI-MAP<\/strong>). Evaluate for cardiac tamponade, cardiac function, RV size, intravascular volume status, intra-abdominal hemorrhage, aortic aneurysm and DVT<\/p>\n<p style=\"text-align: center;\"><div class=\"motopress-image-obj motopress-text-align-center\"><a href=\"https:\/\/i0.wp.com\/emultrasound.ucsd.edu\/wp-content\/uploads\/2017\/07\/RUSH-ED-sequencing-2017-01-30.jpg?fit=1500%2C1007&ssl=1\" data-action=\"motopressLightbox\" target=\"_self\"><img decoding=\"async\" src=\"https:\/\/i0.wp.com\/emultrasound.ucsd.edu\/wp-content\/uploads\/2017\/07\/RUSH-ED-sequencing-2017-01-30.jpg?fit=1500%2C1007&ssl=1\" title=\"RUSH-ED-sequencing-2017-01-30\" alt=\"Image courtesy of emcrit.org\/rush-exam\/\" class=\"motopress-image-obj-basic mpce-dsbl-margin-left mpce-dsbl-margin-right mpce-dsbl-margin-top mpce-dsbl-margin-bottom\" \/><\/a><p class=\"motopress-image-caption\">Image courtesy of emcrit.org\/rush-exam\/<\/p><\/div>\n<\/div><\/div>\n<div class=\"motopress-accordion-item\"><h3>Documentation<\/h3><div>\n<p><strong>Limited Transthoracic Echocardiogram performed by me:<\/strong><br \/>\nIndication: Hypotension<br \/>\nFindings\u2014<br \/>\nPericardium: No effusion<br \/>\nCardiac: Normal contraction, no RV dilation or dysfunction<br \/>\nIVC: Normal size with respiratory variation<br \/>\nImage archived in the medical record<\/p>\n<p><strong>Limited Abdominal Ultrasound performed by me:<\/strong><br \/>\nIndication:\u00a0Hypotension<br \/>\nFindings\u2014<br \/>\nHepatorenal: No free fluid<br \/>\nPerisplenic: No free fluid<br \/>\nPericystic: No free fluid<br \/>\nImage archived in the medical record.<\/p>\n<p><span class=\"s1\"><b>Limited Aorta Ultrasound performed by me:<\/b><\/span><br \/>\nIndication: \u00a0hypotension<br \/>\nFindings\u2014<br \/>\nInterpretation: no\u00a0evidence of AAA<br \/>\nImages archived in medical record<\/p>\n<p><strong>Limited Chest Ultrasound performed by me:<\/strong><br \/>\nIndication:\u00a0Hypotension<br \/>\nFindings\u2014<br \/>\nPneumothorax: No evidence of pneumothorax<br \/>\nImage archived in the medical record.<\/p>\n<\/div><\/div>\n<div class=\"motopress-accordion-item\"><h3>Recommended Reading<\/h3><div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/emcrit.org\/rush-exam\/original-rush-article\/\" target=\"_blank\" rel=\"noopener noreferrer\">The Original Rush Article<\/a> [Post on EmCrit]<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n<div class=\"motopress-accordion-item\"><h3>Other Online Resources<\/h3><div>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/vimeo.com\/216695713\" target=\"_blank\" rel=\"noopener noreferrer\">Resuscitative Ultrasound<\/a>\u00a0by Molly Thiessen<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"mp-row-fluid motopress-row mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-clmn mp-span12 mpce-prvt-187-5911e0e3735c2 mpce-dsbl-margin-left mpce-dsbl-margin-right\">\n<div class=\"motopress-modal-obj motopress-text-align-center\"><button data-action=\"motopress-modal\" data-mfp-src=\"#motopress-modal-content-6a68cf7f150ff8-40654265\" data-mfp-show-animation=\"\" data-mfp-hide-animation=\"\" data-modal-style=\"motopress-modal-dark\" class=\"motopress-button  motopress-btn motopress-btn-size-middle motopress-btn-rounded motopress-btn-icon-indent-small mpce-prvt-187-590fecc900cf6\" data-uniqid=\"6a68cf7f150ff8-40654265\"><i class=\"fa fa-file-text-o motopress-btn-icon-align-left\"><\/i>Key Articles<\/button><div  id=\"motopress-modal-content-6a68cf7f150ff8-40654265\" class=\"mfp-hide motopress-modal-content\">\n<figure id=\"attachment_209\" aria-describedby=\"caption-attachment-209\" style=\"width: 400px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/www.readbyqxmd.com\/shared-collection\/9525\" target=\"_blank\" rel=\"noopener noreferrer\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" class=\"wp-image-209\" src=\"https:\/\/i0.wp.com\/emultrasound.sdsc.edu\/wp-content\/uploads\/2017\/05\/ReadByQxmd-Logo-Rectangle.png?resize=400%2C315\" alt=\"\" width=\"400\" height=\"315\" \/><\/a><figcaption id=\"caption-attachment-209\" class=\"wp-caption-text\">Follow our cardiac-hemodynamics\u00a0literature collection using the read application. You can use your institution login to access articles.<\/figcaption><\/figure>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"Watch Lecture Indications Hypotension Clinical Questions Is there an identifiable cause of this patient's hypotension? Cardiac\u00a0tamponade 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, &hellip; <p class=\"link-more\"><a href=\"https:\/\/emultrasound.ucsd.edu\/index.php\/curriculum-2\/the-rush-exam\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \"RUSH Exam\"<\/span><\/a><\/p>","protected":false},"author":2,"featured_media":0,"parent":531,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","footnotes":""},"class_list":["post-664","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>RUSH Exam - UCSD Ultrasound<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/emultrasound.ucsd.edu\/index.php\/curriculum-2\/the-rush-exam\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RUSH Exam - UCSD Ultrasound\" \/>\n<meta property=\"og:description\" content=\"Watch Lecture Indications Hypotension Clinical Questions Is there an identifiable cause of this patient&#039;s hypotension? Cardiac\u00a0tamponade 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&#039;s\/FAST, Aorta and Pneumothorax (HI-MAP). 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