| RUSH assessment | Hypovolemic shock | Cardiogenic shock | Obstructive shock | Distributive shock |
| Pump | - Hyperdynamic ventricles
- Empty/small ventricles (in diastole)
| - Hypokinetic ventricle(s)
- Dilated heart
| - Hyperdynamic ventricle(s)
- Pericardial effusion
- RV strain
- Intracardiac embolus in transit
| - Hyperdynamic ventricles (early sepsis)
- Hypokinetic ventricles (late sepsis)
|
| Tank | - Flat IVC
- Flat IJ
- Peritoneal or pleural fluid ("where's the blood?")
| - Plethoric IVC
- Distended IJ
- B-lines (increased lung density)
- Pleural effusion
- Ascites
| - Plethoric IVC
- Distended IJ
- Absence of lung sliding
| - Normal or small IVC (early sepsis)
- Peritoneal or pleural fluid (source of infection)
|
| Pipes | - Abdominal aortic aneurysm
- Aortic dissection
| | | |
