What is the rush protocol?

The RUSH Protocol was first introduced in 2006 by Weingart SD et al, and later published in 2009. It was designed to be a rapid and easy to perform US protocol (<2 minutes) by most emergency physicians. How do you perform the RUSH protocol? What US probes do you need for the RUSH protocol? What are the components of the RUSH protocol?

What is the agreement between Rush protocol and final diagnosis?

The overall agreement for type of shock estimated by the RUSH protocol and final diagnosis of the patient was perfect (kappa=0.84, p value= 0.0001 with 88 % sensitivity and 96 % specificity).The RUSH exam was performed blindly on the patient by an emergency medicine staff who was not part of the patient’s care giving team.

What is the rush protocol for hypovolemic shock detection?

The RUSH protocol is based on the hyper contractile and small chamber size for hypovolemic shock detection. Pooled sensitivity for the RUSH, 1.00 (0.91-1.00), was the stronger across the hypovolemic etiology of shock compared to other causes of shock. The pooled specificity 0.94 (0.87-0.98), actually was strong and quite homogeneous among studies.

What is the sensitivity and specificity of Rush protocol?

The pooled estimate of all data showed that the RUSH protocol exhibited high sensitivity (0.87, 95% Confidence Interval (CI): 0.80-0.92, I2 = 46.7%) and specificity (0.98, 95% C. I.: 0.96-0.99, I2 = 30.8%). The AUC for SROC, a global measure of the RUSH protocol performance, was 0.98 ± 0.01, indicates the high accuracy of the test.