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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Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
We present an algorithm for pain management in the polytrauma patient that divides patients into three
We present an algorithm ... for pain management ... three groups: (Figure ... #Management #Pain ... #Algorithm
Shock Classification Types - Pathophysiology Comparison

Obstructive Shock:
 โ€ข Obstructive shock is characterized by a blockage in
Shock Classification ... Pathophysiology Comparison ... Obstructive Shock ... leading to organ failure ... #Comparison #criticalcare
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (โ†“ Intravascular volume):
 โ€ข Hemorrhage, dehydration due
Shock - Differential ... โ€ข Severe heart failure ... uw_IMresidency #Shock ... Diagnosis #table #comparison ... #criticalcare
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 ... #CriticalCare # ... Pediatrics #Sepsis #Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 โ€ข Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... MI, Acute Heart Failure ... inopressors #diagnosis #management ... #comparison #table
Vasopressors and Inotropes
 โ€ข Norepinephrine - Levophed - "Levo" - Generally thought of as the first
pressor added in shock ... in refractory shock ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison
Vasopressors Demystified

Shock comes in many flavors and so do vasopressors. Hereโ€™s a OnePager summarizing my approach
Demystified Shock ... Vasopressors #Basics #CriticalCare ... #Management #Pharmacology ... #Comparison #Inotropes
Algorithm for bradycardic peri-arrest 
 - Bradycardiac peri-arrest may be loosely defined as severe bradycardia with
Algorithm for bradycardic ... bradycardia with marked shock ... The algorithm below ... Bradycardia #Periarrest #Algorithm ... #Management #CriticalCare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... thyroid dz liver failure ... โ€ข MI, Heart Failure ... Classification #diagnosis #management ... #Overview #criticalcare