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NCT Number: NCT06361225

Routine Use of RUSH Protocol in the Intensive Care Unit

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.

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Key information

Conditions

RUSH Protocol

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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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Treatment and study plan

evaluation with RUSH protocol

Diagnostic Test

Daily evaluation of the patient via ultrasound using the RUSH protocol

Primary outcomes

  1. Change of patient medical therapy

    Time frame: from day 0 to day 3 of performing the RUSH protocol

    Adding a new medical therapy= yes/no (1/0), changing the dose of an existing medical therapy (increase/decrease=1/0)

  2. Performing unplanned laboratory tests

    Time frame: from day 0 to day 3 of performing the RUSH protocol

    Performing unplanned laboratory tests as a result of the RUSH protocol- yes/no (=1/0)

  3. Performing unplanned image tests

    Time frame: from day 0 to day 3 of performing the RUSH protocol

    Performing unplanned image tests (CXR, CT etc.) as a result of the RUSH protocol- yes/no (=1/0)

  4. Performing unplanned invasive procedure

    Time frame: from day 0 to day 3 of performing the RUSH protocol

    Performing unplanned invasive procedure (surgery, minimally invasive procedure)- yes/no (1/0)

Sponsors and collaborators

Lead sponsor

Meir Medical Center

Other

Registry information

Official study title

Routine Use of RUSH Protocol in the Intensive Care Unit- Does it Influence Patient Management? Prospective Observational Study

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Apr 11, 2024
Registry last updated
May 11, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.