Trauma Monthly

Published by: Kowsar

Accuracy of Rapid Ultrasound in Shock (RUSH) Exam for Diagnosis of Shock in Critically Ill Patients

Mohammad Reza Ghane 1 , Mohammad Hadi Gharib 2 , * , Ali Ebrahimi 1 , Kaveh Samimi 2 , Maryam Rezaee 1 , Hamid Reza Rasouli 1 and Hossein Mohammad Kazemi 1
Authors Information
1 Trauma Research Center, Baqiyatallah University of Medical Science, Tehran, IR Iran
2 Radiology Department, Iran University of Medical Science, IR Iran
Article information
  • Trauma Monthly: February 28, 2015, 20 (1); e20095
  • Published Online: February 20, 2015
  • Article Type: Research Article
  • Received: May 11, 2014
  • Revised: June 4, 2014
  • Accepted: June 12, 2014
  • DOI: 10.5812/traumamon.20095

To Cite: Ghane M R, Gharib M H, Ebrahimi A, Samimi K, Rezaee M, et al. Accuracy of Rapid Ultrasound in Shock (RUSH) Exam for Diagnosis of Shock in Critically Ill Patients, Trauma Mon. 2015 ; 20(1):e20095. doi: 10.5812/traumamon.20095.

Copyright © 2015, Trauma Monthly. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Jones AE, Stiell IG, Nesbitt LP, Spaite DW, Hasan N, Watts BA, et al. Nontraumatic out-of-hospital hypotension predicts inhospital mortality. Ann Emerg Med. 2004; 43(1): 106-13[DOI][PubMed]
  • 2. Jones AE, Tayal VS, Sullivan DM, Kline JA. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med. 2004; 32(8): 1703-8[PubMed]
  • 3. Jones AE, Aborn LS, Kline JA. Severity of emergency department hypotension predicts adverse hospital outcome. Shock. 2004; 22(5): 410-4[PubMed]
  • 4. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam 2012: rapid ultrasound in shock in the evaluation of the critically ill patient. Ultrasound Clin. 2012; 7(2): 255-78
  • 5. Marik PE. Techniques for assessment of intravascular volume in critically ill patients. J Intensive Care Med. 2009; 24(5): 329-37[DOI][PubMed]
  • 6. Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010; 23(7): 685-713[DOI][PubMed]
  • 7. Liteplo AS, Marill KA, Villen T, Miller RM, Murray AF, Croft PE, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009; 16(3): 201-10[DOI][PubMed]
  • 8. Plummer D, Heegaard W, Dries D, Reardon R, Pippert G, Frascone RJ. Ultrasound in HEMS: its role in differentiating shock states. Air Med J. 2003; 22(2): 33-6[DOI][PubMed]
  • 9. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: Rapid Ultrasound in SHock in the evaluation of the critically lll. Emerg Med Clin North Am. 2010; 28(1): 29-56[DOI][PubMed]
  • 10. Hernandez C, Shuler K, Hannan H, Sonyika C, Likourezos A, Marshall J. C.A.U.S.E.: Cardiac arrest ultra-sound exam--a better approach to managing patients in primary non-arrhythmogenic cardiac arrest. Resuscitation. 2008; 76(2): 198-206[DOI][PubMed]
  • 11. Seif D, Perera P, Mailhot T, Riley D, Mandavia D. Bedside ultrasound in resuscitation and the rapid ultrasound in shock protocol. Crit Care Res Pract. 2012; 2012: 503254[DOI][PubMed]
  • 12. Volpicelli G, Lamorte A, Tullio M, Cardinale L, Giraudo M, Stefanone V, et al. Point-of-care multiorgan ultrasonography for the evaluation of undifferentiated hypotension in the emergency department. Intensive Care Med. 2013; 39(7): 1290-8[DOI][PubMed]
  • 13. Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive Care Med. 2011; 37(2): 224-32[DOI][PubMed]
  • 14. Volpicelli G, Mussa A, Frascisco MF. Sonographic diagnosis of pulmonary embolism with cardiac arrest without major dilation of the right ventricle or direct sign of lower limb venous thrombosis. J Clin Ultrasound. 2012; 40(8): 529-33[DOI][PubMed]
  • 15. King EG, Bauza GJ, Mella JR, Remick DG. Pathophysiologic mechanisms in septic shock. Lab Invest. 2014; 94(1): 4-12[DOI][PubMed]
  • 16. Matsevych OY. Blunt diaphragmatic rupture: four year's experience. Hernia. 2008; 12(1): 73-8[DOI][PubMed]
  • 17. Rose JS, Bair AE, Mandavia D, Kinser DJ. The UHP ultrasound protocol: a novel ultrasound approach to the empiric evaluation of the undifferentiated hypotensive patient. Am J Emerg Med. 2001; 19(4): 299-302[DOI][PubMed]
  • 18. Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2001; 345(19): 1368-77[DOI][PubMed]
  • 19. Napoli AM, Machan JT, Corl K, Forcada A. The use of impedance cardiography in predicting mortality in emergency department patients with severe sepsis and septic shock. Acad Emerg Med. 2010; 17(4): 452-5[DOI][PubMed]
  • 20. Haydar SA, Moore ET, Higgins G3, Irish CB, Owens WB, Strout TD. Effect of bedside ultrasonography on the certainty of physician clinical decisionmaking for septic patients in the emergency department. Ann Emerg Med. 2012; 60(3): 346-58 e4[DOI][PubMed]
  • 21. Atkinson PR, McAuley DJ, Kendall RJ, Abeyakoon O, Reid CG, Connolly J, et al. Abdominal and Cardiac Evaluation with Sonography in Shock (ACES): an approach by emergency physicians for the use of ultrasound in patients with undifferentiated hypotension. Emerg Med J. 2009; 26(2): 87-91[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments