Dr. Gerald Diaz @GeraldMD
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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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Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... #Management #Alcohol ... #Monotherapy #Algorithm ... #Protocol #PulmCrit
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
Phenobarbital monotherapy algorithm ... - SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... #Management #Alcohol ... #Protocol #PulmCrit
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Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
β€’ If immediate evacuation ... β€’ Consider evacuation ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
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
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
using standard protocols ... thiopental or propofol ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... equipment. ❽ Discuss management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Endocarditis checklist
Initial evaluation
 β€’ Peripheral blood cultures (three sets at three different sites)
 β€’ Additional culture
Endocarditis checklist ... Initial evaluation ... β€’ Aggressive management ... Josh Farkas @PulmCrit ... #Endocarditis #checklist
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm ... #PulmCrit
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Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... pomagnesemia Evaluation ... Josh Farkas @pulmcrit ... Critical Care #Checklist ... #Hypokalemia #Management
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management