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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American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... to next step if shock ... #Shock #Algorithm ... #CriticalCare # ... Peds #Pediatrics
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
anaphylaxis, toxins/meds ... β€’ Hemorrhagic: bleeding ... , post-partum) bleeding ... management #Overview #criticalcare ... #differential #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
anaphylaxis, toxins/meds ... β€’ Hemorrhagic: bleeding ... , post-partum) bleeding ... management #Overview #criticalcare ... #differential #
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... Impaired Diffusion: ILD ... Pressure Vent, pHTN, Shock ... β€’ Airway Disease ... Hypoxemia #hypoxia #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Dehydration Shock ... #Differential # ... Diagnosis #criticalcare ... #algorithm #treatment
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... Hemorrhagic β†’ leading ... gastrointestinal bleeding ... diagnosis #management #criticalcare ... #differential
Cough - Diagnostic Schema

Infectious: URTI, LRTI, Bacterial, Viral
Irritant/Exposure: Allergic, Post-infectious, Pneumonitis, ACEi, PTX, Foreign Body
Airway Disease:
Foreign Body Airway ... Autoimmune Vasculitis, ILD ... Acute #Chronic #Differential ... #Algorithm
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... long lasting pain meds ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm ... #Extubation #CriticalCare
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
inner diameter (ID ... The ID and OD sizes ... OBSTRUCTION, and BLEEDING ... Emergencies #diagnosis #differential ... management #pulmonary #criticalcare
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest/abd ... Marfans, EDS ... Pulse deficit/differential ... deficit β€’ Shock