Bedside Ultrasound in Resuscitation and the Rapid Ultrasound in Shock Protocol

Table 1

RUSH protocol summary.

RUSH exam	Hypovolemic shock	Cardiogenic shock	Obstructive shock	Distributive shock
Pump	Hypercontractile heart; Small heart size	Hypocontractile heart; Dilated heart size	Pericardial effusion, RV strain; Hypercontractile heart	Hypercontractile heart (early sepsis); Hypocontractile heart (late sepsis)
Tank	Flat IVC; Flat IJV; Peritoneal fluid; Pleural fluid	Distended IVC; Distended IJV; Lung rockets; Pleural effusions, ascites	Distended IVC; Distended IJV; Absent lung sliding; (PTX)	Normal/small IVC; Normal/small IJV; Pleural fluid (empyema); Peritoneal fluid (peritonitis)
Pipes	AAA; Aortic dissection	Normal	DVT	Normal