Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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 ... was consequently ... #Management #Alcohol ... #EtOH #Withdrawal
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
symptoms, mental state ... Guideline for the Management ... with โ€˜treatment as ... summarised in Tables ... Effectiveness #Table
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
whose clinical status ... sufficiently tenuous as ... level of care such as ... #Management #BloodCultures ... EmergencyDepartment #Protocol
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... If patient is stable ... continuation of methadone as ... peak 1 hr, steady state
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 โ€ข Apply direct pressure/compression bandage
10-20 mL/kg IV as ... rapidly as possible ... massive transfusion protocol ... and transport STAT ... Survey #CABCDE #management
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 โ€ข PAWSS
 โ€ข CIWA-Ar
 โ€ข
โ€ข CIWA-Ar โ€ข AWS ... seizures - Status ... Barbituates โ€ข Propofol ... diagnosis #treatment #management ... #etoh #timeline
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... good choice if BP ... #algorithm #neurology ... #management
Summary of meta-analysis of psychological treatment trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following
symptoms, mental state ... Guideline for the Management ... with โ€˜treatment as ... summarised in Tables ... #Management #Psychological
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... Statins: all patients ... recent PCl or ACS ... Optimal BP management ... optimize fluid status
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
soon as safe. ... Transfer patient to bed ... Transfer on operating table ... Intermittent bolus propofol ... Intraoperative #Checklist #Management