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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Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Excessive insulation, high ... #Differential #Causes ... #Checklist #Diagnosis ... #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... • If immediate evacuation ... • Consider evacuation ... Intraoperative #Checklist ... Diagnosis #Management #Workup
DKA Resuscitation Checklist
 - Diagnostic evaluation 
 - Crystalloid 
 - Electrolyte repletion 
 - High-flow
Resuscitation Checklist ... - Diagnostic evaluation ... repletion - High-flow ... patient has elevated work ... Ketoacidosis #DKA #Checklist
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
• Exclude high ... Pneumothorax and/or high ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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 #Chest #Cardiogenic
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Guidelines for Crises ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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
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 ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Guidelines for Crises ... major haemorrhage protocol ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
delegate task of evaluating ... CardiacArrest #Checklist ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup