caa a22 4500 606172025 CHVBK 20210128100726.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s10140-015-1311-z doi (NATIONALLICENCE)springer-10.1007/s10140-015-1311-z The impact of using RUSH protocol for diagnosing the type of unknown shock in the emergency department [Elektronische Daten] [Shahram Bagheri-Hariri, Meysam Yekesadat, Shervin Farahmand, Mona Arbab, Mojtaba Sedaghat, Neda Shahlafar, Alireza Takzare, Seyedhossein Seyedhossieni-Davarani, Amir Nejati] Clinical assessment and classification of shock is extremely difficult to conduct on critically ill patients especially upon arrival at the emergency department. Resuscitative point-of-care ultrasound could be used for rapid initial diagnosis and better management. In this study, the results of using the RUSH (Rapid Ultrasound in Shock) exam to determine the type of shock in the emergency department are compared to the final diagnosis of patients. This was a single-center prospective study in which all patients with an unknown type of shock and no prior treatment were included. Parallel to the standard resuscitative management and diagnosis of the emergency team, the RUSH exam was performed blindly on the patient by an emergency medicine staff who was not part of the patient's caregiving team. The results of the RUSH exam were then compared to the final diagnosis of the patients and the 48-h outcome. Twenty-five patients were enrolled in this study. The overall kappa correlation of the RUSH exam compared with the final diagnosis was 0.84 which is an almost perfect agreement. The overall sensitivity of the RUSH exam was 88% and the specificity was 96%. Although the mortality rate was 64%, there was not a significant relationship between mortality and the protocol used for diagnosis. The RUSH exam could be used in emergency wards to detect types of shock. American Society of Emergency Radiology, 2015 Emergency department nationallicence RUSH exam nationallicence Shock state nationallicence Resuscitative ultrasound nationallicence Bagheri-Hariri Shahram Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Yekesadat Meysam Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Farahmand Shervin Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Arbab Mona Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA aut Sedaghat Mojtaba Community Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Shahlafar Neda Medical Radiology Department, Tehran University of Medical Sciences, Tehran, Iran aut Takzare Alireza Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran aut Seyedhossieni-Davarani Seyedhossein Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Nejati Amir Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut Emergency Radiology Springer Berlin Heidelberg 22/5(2015-10-01), 517-520 1070-3004 22:5<517 2015 22 10140 https://doi.org/10.1007/s10140-015-1311-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10140-015-1311-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bagheri-Hariri Shahram Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Yekesadat Meysam Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Farahmand Shervin Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Arbab Mona Massachusetts General Hospital/Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Sedaghat Mojtaba Community Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Shahlafar Neda Medical Radiology Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Takzare Alireza Anesthesiology Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Seyedhossieni-Davarani Seyedhossein Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 700 1- Nejati Amir Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran aut NATIONALLICENCE 773 0- Emergency Radiology Springer Berlin Heidelberg 22/5(2015-10-01), 517-520 1070-3004 22:5<517 2015 22 10140