Dr. Gerald Diaz @GeraldMD
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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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Syncope - Findings, Signs and Symptoms by Classification
 - Reflex Syncope 
 - Cardiogenic Syncope
and Symptoms by Classification ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock - Findings, Signs and Symptoms by Classification
 - Hypovolemic (Intravascular volume depletion)
 - Distributive (Vasodilation)
and Symptoms by Classification ... Differential #Diagnosis #Classification ... #Table #CriticalCare
Shock Classification Types - Comparison Table
JVP, IVC on Ultrasound, Passive Leg Raise, Temperature of extremities, LV
Shock Classification ... Types - Comparison Table ... Types #Comparison #Table ... differentiating #criticalcare ... #Classification
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Differential Diagnosis by Classification ... Differential #Diagnosis #Classification ... #Table #CriticalCare
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... patients with Stable ... outpatient with a stable ... #Stable #Angina ... Diagnosis #Management #Algorithm
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
Arrythmias, Peripheral ischemia ... effects: Peripheral ischemia ... Arrhythmias, Peripheral ischemia ... Inotropes #comparison #table ... #pharmacology #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The ‘intubate early’ paradigm, where patients who “fail” low flow oxygen
Respiratory Support Algorithm ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
Severe Asthma Algorithm ... rhythm or cardiac ischemia ... Emergency #Management #CriticalCare ... #Exacerbation #Algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm