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 ... #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
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
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Ultrasound in SHock ... Evaluation RUSH Protocol ... #RUSH #Exam #protocol ... diagnosis #Ultrasound #pocus ... #shock
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Hypovolemic β€’ Distributive ... Diagnosis and Workup ... #criticalcare #Shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... Differential #Diagnosis #Algorithm ... #shock #causes
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Protocol Rapid ... Ultrasound in Shock ... #RUSH #Exam #POCUS ... #ultrasound #shock
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... possible w/ early shock ... and Survey 4) Workup ... β€’ Distributive Shock ... criticalcare #treatment #workup
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
Diagnosis and Workup ... Algorithm β€’ ... Pre-Coronarv): Shock ... , Non-Vascular Distribution ... Differential #Diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... Dehydration Shock ... Sophia_Hayes_MD #Shock ... #criticalcare #algorithm