Dr. Gerald Diaz @GeraldMD
49.8M 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
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
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... 100mg/min) 3) ... If no effect, can ... #Protocol #algorithm ... #neurology #management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... acute opiate withdrawal ... continuation of methadone as ... peak 1 hr, steady state
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
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
β€’ Check
Guide: Methadone Starts ... dose from day 1 as ... oriented/tranquil 3. ... #Treatment #Management ... #Addiction #Opiate
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
10-20 mL/kg IV as ... rapidly as possible ... massive transfusion protocol ... and transport STAT ... tranexamic acid (TXA) as
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... Algorithm 1. ... contraindicated 3. ... recent PCl or ACS ... #Management #Algorithm
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
The following can ... β€’ Melatonin 3 ... from previous day as ... #Treatment #Management ... #Addiction #Opiate