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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Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... alteration in mental status ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ If immediate evacuation ... β€’ Consider evacuation ... Guidelines for crises ... Intraoperative #Checklist
Checklist for the Echocardiographic Evaluation of Pulmonary Hypertension
 β€’ Record estimated PASP
 β€’ Evaluate RV size
Checklist for the ... Echocardiographic Evaluation ... Estimate volume status ... β€’ Evaluate for causes ... Hypertension #PH #Checklist
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... Right-handed operator stands ... Left-handed operator stands ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
The probable cause ... and treat the cause ... delegate task of evaluating ... CardiacArrest #Checklist ... Intraoperative #Checklist
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic Evaluation ... Algorithm Step ... Assess volume status ... considered likely, the cause ... #Algorithm
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Guidelines for Crises ... major haemorrhage protocol ... Guidelines for crises ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for reversible cause ... epilepticus: - Propofol ... Consider consulting anesthesia ... Epilepticus #Treatment #Algorithm
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... β€’ Induction: propofol ... EPILEPTICUS β€’ Propofol ... Consider consulting anesthesia
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2