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Rapid Ultrasound in Shock (RUSH) Velocity‐Time Integral
Author(s) -
Blanco Pablo,
Aguiar Francisco Miralles,
Blaivas Michael
Publication year - 2015
Publication title -
journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.574
H-Index - 91
eISSN - 1550-9613
pISSN - 0278-4297
DOI - 10.7863/ultra.15.14.08059
Subject(s) - medicine , protocol (science) , ultrasound , shock (circulatory) , stroke volume , stroke (engine) , volume (thermodynamics) , intensive care medicine , radiology , pathology , blood pressure , heart rate , mechanical engineering , physics , alternative medicine , quantum mechanics , engineering
Ultrasound assessment of patients in shock is becoming the standard of care in emergency and critical care settings worldwide. One of the most common protocols used for this assessment is the rapid ultrasound in shock (RUSH) examination. The RUSH protocol is a rapid evaluation of cardiac function, key vascular structures, and likely sources of hypotension. Stroke volume is an established important value to assess in the setting of shock, allowing the provider to predict the patient's response to treatment. However, the calculation of stroke volume or its surrogates is not part of any protocol, including RUSH. We propose the addition of ultrasound calculation of stroke volume or surrogates to the RUSH protocol and provide support for its utility and relative ease of calculation. The resulting product would be the RUSH velocity‐time integral protocol.