Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High ... #Chest #Cardiogenic
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... classification ... #Shock #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... Evaluation RUSH ... Protocol: • PUMP ... diagnosis #Ultrasound #pocus ... #shock
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... presenting with chest ... Assess for high ... deficit • Shock
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... - Hemorrhagic shock ... a late sign of shock ... massive transfusion protocol ... signs Neurogenic shock
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... and no apparent focus ... Shock or respiratory ... Shock evidenced ... bleeding: based on evaluation
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... ECG • ABG • Chest ... CPR • Max 3 shocks ... #Hypothermia #Protocol ... management #treatment #algorithm