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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Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... -If you work at ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Control any obvious bleeding ... major haemorrhage protocol ... equipment. ❽ Discuss management ... (Box C). β“« If bleeding ... #Workup
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... Diagnosis and Management ... Summary PRE-ENDOSCOPY ... unclear source (in case ... #Diagnosis #Management
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
Mechanical Ventilation Summary ... patients - The more work ... Confirm the height/ IBW ... target volume Casey ... #Ventilation #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager Summary ... mononeuritis multiplex WORKUP ... Goodpasture's cause ... pulmonary capillaritis leading ... differential #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... exclude other causes ... Management during ... Period β€’ Breast-feeding ... Avoid ARBs β€’ ICD
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
Emergencies - OnePager Summary ... inner diameter (ID ... This can cause life-threatening ... Surgical management ... #differential #management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... - Scoping Summary ... Infusion = 40mg IV BID ... #diagnosis #management ... #algorithm
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
ICU One Pager Summary ... pericarditis, bleeding ... Dialyzer is rigid case ... in the ICU: β€’ IHD ... #Therapy #RRT #managment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Summary of Oncologic ... full infectious work-up ... days β†’ add fungal work-up ... Simultaneous clotting and bleeding ... Treat underlying cause