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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START is a rapid triage system for prioritizing disaster victims
Briefly, it is based around:
- Is the
around: - Is the patient ... minor - Is the patient ... - Patients need ... #Diagnosis #Management ... #Algorithm #Protocol
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... for patients with ... making clear to patient ... #Algorithm #Cardiology ... #EBM #Trial
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
- A Randomized Trial ... a multicenter trial ... resuscitation of patients ... VisualAbstract #Threshold #EBM ... #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Intraoperative Massive ... major haemorrhage protocol ... ❻ Begin active patient ... #Checklist #Diagnosis ... #Management #Workup
Mass Casualty Incident Triage Algorithm

Black Tag - No further treatment
Red Tag - Treat these patients first
Yellow
Casualty Incident Triage ... Algorithm Black ... - Treat these patients ... are treated #Management ... #Algorithm #Protocol
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... re-administration of possible trigger ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
sepsis pathway or protocol ... now if you think patient ... in a clinical trial ... Interventions #Management ... Factors #Matter #EBM
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
Anaesthetised or sedated patient ... ❢ Consider if patient ... Intermittent bolus propofol ... Anesthesiology #Anesthesia #Intraoperative ... #Checklist #Management