R.U.S.H. Hour: learning Point of Care Ultrasound for Rapid Ultrasound Assessment for Shock & Hypotension Workshop

Sunday, April 27, 2025

10:45am – 12:15pm HST

Location: Convention Center: 305

CE: 1.5

Leader(s)

AA

Adeeb Adam, MD,FAAP

Director Of Ultrasound, Division Of Pediatric Emergency Medicine
childrens nebraska
Omaha, Nebraska, United States
Andrea Matho, MD (she/her/hers)

Assistant Professor of Pediatrics & Internal Medicine
Children's Hospital Los Angeles
Los Angeles, California, United States

Co-Leader(s)

MS

Monti Sharma, MD

Assistant Professor
Children’s Nebraska, United States
Karena Lawrence, MD, MS (she/her/hers)

Associate Professor
University of Colorado
Severance, Colorado, United States
AC

Aaron Chen, MD

Professor of Clinical Pediatrics and Emergency Medicine
Childrens Hospital of Philadelphia
Bala Cynwyd, Pennsylvania, United States

Disclosure(s):

Adeeb Adam, MD,FAAP: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Andrea Matho, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Monti Sharma, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Karena G. Lawrence, MD, MS: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Aaron E. Chen, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop Description: Ultrasound has become a critical component of modern pediatric evaluation and treatment. Point-of-Care Ultrasound (POCUS), performed with real-time bedside interpretation, is now widely accepted across multiple subspecialties as an essential tool for clinical decision-making. Its integration into patient care can mean the difference between life and death.

Identifying the cause of hypotension and shock in undifferentiated patients in emergency settings is challenging. Early recognition and treatment are vital to improving outcomes. While traditional tests can be time-consuming, POCUS offers a rapid and effective way to identify the cause of shock, guide treatment, and assess response to interventions. Studies show POCUS significantly improves diagnostic accuracy and influences management decisions in up to 50% of cases.

The Rapid Ultrasound for Shock and Hypotension (RUSH) exam is a protocolized assessment that can quickly narrow down the differential diagnosis of shock. By applying the RUSH protocol, clinicians can promptly identify potential causes of shock, leading to timely interventions.

In this workshop, we will explore the role of POCUS in diagnosing shock and walk participants through the RUSH protocol. Following an interactive didactic session, participants will engage in hands-on breakout stations to practice obtaining key ultrasound views (cardiac, thoracic, and abdominal) and troubleshoot common challenges.

By the end, participants will have gained practical experience and confidence to integrate POCUS into their clinical approach to shock, improving both diagnostic accuracy and patient outcomes.

Learning Objectives:

Discuss the role of Point-of-Care Ultrasound (POCUS) in identifying the pathophysiology and etiology of undifferentiated shock.
Learn to obtain and optimize the necessary ultrasound views used in the RUSH protocol.
Integrate ultrasound findings with clinical data to determine the etiology of shock through case-based discussions.