Table 2: Using the RUSH protocol to diagnose the type of shock.

Step no. 1Step no. 2Step no. 3

PumpPericardial effusion:
 (a) Effusion present?
 (b) Signs of tamponade?
  Diastolic collapse of R Vent +/− R Atrium?
Left ventricular contractility:
  (a) Hyperdynamic?
  (b) Normal?
  (c) Decreased?
Right ventricular strain:
 (a) Increased size of RV?
 (b) Septal displacement
   from right to left?

TankTank volume:
 (1) Inferior vena cava:
  (a) Large size/small Insp collapse?
   —CVP high—
  (b) Small size/large Insp collapse?
   —CVP Low—
 (2) Internal jugular veins:
  (a) Small or large?
Tank leakiness:
 (1) E-FAST exam:
  (a) Free fluid Abd/Pelvis?
  (b) Free fluid thoracic cavity?
 (2) Pulm edema:
   Lung rockets?
Tank compromise:
 Tension pneumothorax?
  (a) Absent lung sliding?
  (b) Absent comet tails?

PipesAbdominal aorta aneurysm:
 Abd aorta > 3 cm?
Thoracic aorta aneurysm/dissection:
 (a) Aortic root > 3.8 cm?
 (b) Intimal flap?
 (c) Thor aorta > 5 cm?
(1) Femoral vein DVT?
 Noncompressible vessel?
(2) Popliteal vein DVT?
 Noncompressible vessel?