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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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... The FALLS-protocol ... acute circulatory failure ... classification ... #Shock #Algorithm
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
cardiovascular failure ... cardiopulmonary failure ... institutional protocol ... #Basics #management ... #pulmonary #criticalcare
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... #Classification ... #diagnosis #management ... #Overview #criticalcare ... differential #causes #classification
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Types - Classification ... multisystem organ failure ... #Classification ... types #diagnosis #management ... #criticalcare #
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver Failure ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
-> multiorgan failure ... #Classification ... #diagnosis #management ... #Overview #criticalcare ... differential #causes #classification
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
discussion With ECMO ... support #COVID19 #management ... #schema #criticalcare ... #hypoxia #failure ... #algorithm
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Troubleshooting ... OnePager Summary ECMO ... Emergency Protocol ... #differential #management ... #criticalcare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
pre-existing heart failure ... esp in work-up/management ... of shock MICRO ... initial bedside echo ... diagnosis #workup #criticalcare
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
Hypothermia - Protocol ... circulatory support: ECMO ... CPR β€’ Max 3 shocks ... #management #treatment ... #algorithm