Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
Hypotension - Evaluation ... Algorithm OFTEN ... #Hypotension #Evaluation ... #Algorithm #CriticalCare ... OFTEN #Mnemonic #Checklist
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management ... Algorithm / Checklist ... coagulopathy, surgical evaluation ... #Checklist #ENT ... #Management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... syndrome (ACS) evaluation ... or management. ... ChestPain #Diagnosis #Management ... #Algorithm #Cardiology
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... Initial evaluation ... #Endocarditis #checklist ... #criticalcare # ... diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... checklist Evaluation ... guide etiology & management ... #Pancreatitis #Checklist ... #CriticalCare
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... - Management of ... rhythm or cardiac ischemia ... #CriticalCare # ... #Exacerbation #Algorithm
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... - Myocardial ischemia ... pomagnesemia Evaluation ... #Hypokalemia #Management ... #CriticalCare
Checklist for Return to Supine Position

#Proning #Proned #Algorithm #Supine #Supination #ARDS #Checklist #Management #CriticalCare
Checklist for Return ... Proning #Proned #Algorithm ... Supination #ARDS #Checklist ... #Management #CriticalCare