RUSH protocol

The RUSH (Rapid Ultrasound for Shock and Hypotension) protocol is a critical point-of-care ultrasound examination used in emergency and critical care settings to rapidly identify the cause of undifferentiated shock. This systematic approach assesses the heart, IVC, peritoneal cavity, aorta, and lungs to detect fluid overload, hypovolemia, obstructive shock, or cardiac dysfunction. Its real-time diagnostic power quickly guides resuscitation efforts and critical interventions.

Implementing the RUSH protocol in medical ultrasound enhances patient management by providing immediate, non-invasive insights into circulatory collapse. By rapidly pinpointing the etiology of shock, clinicians can initiate targeted treatments, significantly improving outcomes for critically ill patients. This efficient diagnostic tool is indispensable for optimizing care in dynamic critical care environments.

Clinical Author

Bruno Vargas is originally from Mexico City. He first trained as an Emergency Medical Technician at la Universidad Panamericana (UP) before starting medical school at la Universidad Nacional Autónoma de México (UNAM) in Mexico City. Later he did his social service year in the Sierra Madre of Chiapas with Partners in Health Mexico/Compañeros en Salud (CES) in 2019, where he was trained in Global Health, social medicine, and introduced to Point of Care Ultrasound (POCUS). At that moment while working in a resource-limited setting he became passionate about POCUS. He graduated as a general practitioner, and afterward stayed with CES during the pandemic as part of the COVID-19 task force, training community healthcare workers and “pasantes” (first-year doctors doing their year of social service). He finished the Ultrasound Leadership Academy (ULA) fellowship and has started a POCUS training program at his site with midwives, nurses, doctors, and trainees from these areas. He is currently doing a Global Health Fellowship with HEAL as a site fellow in Chiapas with CES. He has committed to a lifelong career in global health providing healthcare access to the most marginalized communities. He has a profound respect and admiration for nature and loves any kind of outdoor activities, especially bicycling, high mountain, and scuba-diving.

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