Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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COVID-19 Daily Rounding Checklist 
Consider the following with each patient:
1. COVID status
2. Exam - as clinically
COVID status 2. ... Exam - as clinically ... not required) 3. ... daily and order as ... COVID19 #Daily #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... , 02, suction 3. ... - Propofol: 2-5 ... Ketamine: 0.5-3 ... #Algorithm #Management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... 02, suction 3. ... β€’ Induction: propofol ... Propofol: 2-5 mg ... Ketamine: 0.5-3
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Management of Convulsive ... Status Epilepticus ... Antiepileptic Drug (AED ... Early Status Epilepticus ... pediatrics #peds #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... 100mg/min) 3) ... mg/kg/hr 2) Propofol ... #Protocol #algorithm ... #neurology #management
Acute Pain Control In Patients On Medication Assisted Treatment (MAT)
Methadone - Β΅-opioid receptor agonist:
1) Continue maintenance
maintenance dose 2) ... Acute pain control can ... be challenging as ... #PainControl #management ... methadone #addiction #opiate
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
- Management of ... acute opiate withdrawal ... continuation of methadone as ... initial dose: Bup 2- ... peak 1 hr, steady state
Methadone Hospital Quick Start - Inpatient Initiation for Opioid Use Disorder and Withdrawal
Initial Dosing:
 - Patients
equivalent calculator as ... 3 - QTc ? ... Inpatient #Initiation #management ... #withdrawal #opiate ... #opioid #algorithm
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 β€’ PAWSS
 β€’ CIWA-Ar
 β€’
Withdrawal Syndrome (AWS ... Withdrawal Syndrome (AWS ... β€’ CIWA-Ar β€’ AWS ... epilepticus occurs ... Withdrawal #Syndrome #AWS
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
on their volume status ... /kg IV push q1-2 ... 0.05-0.1mg/kg. 3. ... when possible as ... #Management #Peds