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
Hospital Quick Start ... equivalent calculator as ... 3 - QTc ? ... #withdrawal #opiate ... #opioid #algorithm
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start ... Algorithm - Management ... of acute opiate ... continuation of methadone as ... peak 1 hr, steady state
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
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
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
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... contraindicated 3. ... recent PCl or ACS ... pacemaker then start ... #Management #Algorithm
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
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