Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low ... #Hypovolemic #Distributive
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... an ultrasound evaluation ... #Shock #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic Evaluation ... Algorithm Step ... Assess volume status ... Hyponatremia #Diagnosis #Workup ... #Evaluation #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for Convulsive Status ... medications in status ... epilepticus: - Propofol ... Epilepticus #Treatment #Algorithm
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
w/ early shock state ... Altered Mental Status ... Consider IL NS/LR infusion ... and Survey 4) Workup ... β€’ Distributive Shock
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for Convulsive Status ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol ... Epilepticus #Treatment #Algorithm
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
alteration in mental status ... anaesthetic (remember infusion ... using standard protocols ... thiopental or propofol ... Diagnosis #Management #Workup
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... ascites, pleural effusion ... , pericardial effusion ... bleeding: based on evaluation ... impaired mental state
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... mins) REFRACTORY STATUS ... 48hrs) #MGH #Status ... #algorithm #neurology