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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Initial Evaluation and Management of Septic Shock - Algorithm

Landsberg Manual @LandsbergManual - https://amzn.to/3rEtbK8

#Septic #Shock #Sepsis #management
Evaluation and Management ... of Septic Shock ... - Algorithm Landsberg ... #Shock #Sepsis ... #Algorithm
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 ... #Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
Care for Early Septic ... Shock N Engl ... patients in whom septic ... shock was diagnosed ... Threshold #EBM #Management
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... : β€’ Sepsis β€’ ... Differential #Diagnosis #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... : Sepsis, Anaphylaxis ... #criticalcare #algorithm ... #treatment #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... β€’ Distributive ... : Sepsis, Anaphylaxis ... inopressors #diagnosis #management
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Angiotensin - "Ang II" - Sepsis ... /distributive (refractory ... Vasopressors #Inotropes #management
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... goal-directed stepwise management ... #Shock #Algorithm ... Peds #Pediatrics #Sepsis ... #Management #StepWise