ULTRASOUND IN SHOCK

Anu Mascarenhas

OBJECTIVES

• Review the definition of shock and its forms• Highlight the

usefulness of Ultrasound in shock

PLAN

• Lecture

• Practical session

SHOCK

• Def: Absolute or relative circulatory failure resulting inadequate tissue perfusion.

SHOCK

• Hypovolemic

• Distributive

• Cardiogenic

• Obstructive

RUSH

• Rapid Ultrasound for SHock

3 PARTS

• The Pump• The Tank• The Pipes

• Heart• Blood Volume• Blood Vessels

THE PUMP

• Tamponade• LV function• Right Ventricular

Enlargement

• Parasternal Long• 4 Chamber view

THE TANK

• Fullness

• Leakiness

• IVC

• Morrisons Pouch

THE PIPES

• Rupture• Clogging

• Aorta• Pneumothorax• DVT

SUMMARY

• US offers quick evaluation

QUESTIONS

?

REFERENCE

• Rush protocol:• The RUSH Exam: Rapid Ultrasoundin SHock in

the Evaluation of the Critically l l l. Phillips Perera, RDMS, Thomas Mailhot, David Riley, Diku Mandavia,

• http://emcrit.org/rush-exam/• http://lifeinthefastlane.com/own-the-echo/

• Other:• http://lifeinthefastlane.com/smacc-the-dark-art

-of-ivc-ultrasound/• http://www.ultrasoundvillage.com/

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