ultrasound in shock

1. ULTRASOUND IN SHOCK
Anu Mascarenhas

2. OBJECTIVES
• Review the
definition of shock
and its forms
• Highlight the
usefulness of
Ultrasound in shock

3. PLAN
• Lecture
• Practical session

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

5. SHOCK
• Hypovolemic
• Distributive
• Cardiogenic
• Obstructive

6. RUSH
• Rapid Ultrasound for SHock

7. 3 PARTS
• The Pump
• The Tank
• The Pipes
• Heart
• Blood Volume
• Blood Vessels

8. THE PUMP
• Tamponade
• LV function
• Right Ventricular
Enlargement
• Parasternal Long
• 4 Chamber view

11. THE TANK
• Fullness
• Leakiness
• IVC
• Morrisons Pouch

15. THE PIPES
• Rupture
• Clogging
• Aorta
• Pneumothorax
• DVT

19. SUMMARY
• US offers quick evaluation

20. QUESTIONS
?

21. 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/educationresour
ces/modules/?module=8