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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Checklist Approach to Undifferentiated Shock / Hypotension

#Checklist #Undifferentiated #Shock #Hypotension #Diagnosis #Workup #Management #Evaluation
Checklist Approach ... Undifferentiated Shock ... Hypotension #Checklist ... #Hypotension #Diagnosis ... #Workup #Management
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 #Diagnosis ... #Shock #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver Failure ... #Differential #Diagnosis ... #criticalcare #algorithm ... #treatment #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... pre-existing heart failure ... /management of shock ... #ICU #Pearls #Checklist ... #diagnosis #workup
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 ... is suggested (figure ... -If you work at ... #Management #Alcohol ... #Protocol #PulmCrit
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Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Mains Electricity Failure ... Unexpected total power failure ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... equipment. ❽ Discuss management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Beta-Agonists, ↑ work ... Drugs/Toxins: - Propofol ... Systemic liver Failure ... , Renal failure,
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Discuss ongoing management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup