Dr. Gerald Diaz @GeraldMD
51.4M 14.5K 7.6K
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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
ICU Hypotension - Evaluation Algorithm

OFTEN Mnemonic:

OWN THE PULSE PRESSURE 

FEEL YOUR PATIENT'S LEGS 

TEST FOR FLUID
Hypotension - Evaluation ... Algorithm OFTEN ... RESPONSIVENESS ECHO/POCUS ... #Hypotension #Evaluation ... OFTEN #Mnemonic #Checklist
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... shock The FALLS-protocol ... an ultrasound evaluation ... #Shock #Algorithm
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Excessive insulation, high ... #Differential #Causes ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... • If immediate evacuation ... • Consider evacuation ... Guidelines for crises ... Intraoperative #Checklist
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Exclude high ... Pneumothorax and/or high ... o Endocrine cause ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Guidelines for Crises ... using standard protocols ... thiopental or propofol ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... delegate task of evaluating ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... device or nasal high ... Guidelines for crises ... Anesthesiology #Anesthesia ... Intraoperative #Checklist