Routine Use of RUSH Protocol in the Intensive Care Unit
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: evaluation with RUSH protocol.
- Who it may be relevant to
- Registry conditions: RUSH Protocol. Basic parameters: 18 years — 99 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Israel
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Routine Use of RUSH Protocol in the Intensive Care Unit- Does it Influence Patient Management? Prospective Observational Study
Overview
The RUSH protocol has been used for several years for the rapid evaluation of a patient admitted to the emergency room with shock. Traditionally, its use was especially common in trauma victims, but later its use was extended to patients admitted to the emergency room with shock from any reason. The protocol includes rapid assessment with the guideness of ultrasound of heart contraction, assessment for pleural effusions, assessment of intra-abdominal blood (FAST), diagnosis of venous thrombosis (DVT), and rulling out hydronephrosis. It can also add a pupil size assessment and an evaluation of the gallbladder and bile ducts, as well as the size of the bladder. In intensive care, we use this protocol (or part of it) for the evaluation of a patient who is deteriorating in the ICU for an unknown reason . In some patients we use this protocol as a routine part of the physical examination as part of the daily patient evaluation. We would like to investigate whether the routine use of the RUSH protocol as part of the daily patient evaluation in the general intensive care unit will lead to any change in the patient's management.
Interventions
- Diagnostic test evaluation with RUSH protocol
Daily evaluation of the patient via ultrasound using the RUSH protocol
Primary outcome measures
- Change of patient medical therapy [Time frame: from day 0 to day 3 of performing the RUSH protocol]
- Performing unplanned laboratory tests [Time frame: from day 0 to day 3 of performing the RUSH protocol]
- Performing unplanned image tests [Time frame: from day 0 to day 3 of performing the RUSH protocol]
- Performing unplanned invasive procedure [Time frame: from day 0 to day 3 of performing the RUSH protocol]
Eligibility criteria
Inclusion criteria
- Patients who were admitted to the intensive care unit for any reason and were evaluated daily using the RUSH protocol.
Exclusion Criteria:Patients who were not evaluated using the RUSH protocol or for whom data were missing.
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Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Case-only
Study locations
Israel · 1 center
- Meir Medical Center — Kfar Saba
Identifiers
NCT: NCT06361225 · 0075-24-MMC