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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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 ... suggests that the patient ... -If you work at ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
circulatory arrest: β€’ Start ... using standard protocols ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... ❻ Begin active patient ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
β€’ Start glyceryl ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
serial lactates. ❾ Start ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... + new (you can start ... /management of shock ... PMH; consider withdrawal ... good place to start
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
Stop or do not start ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Start glycaemic ... β€’ Start cooling ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
If indicated, start ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
these steps from start ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup