Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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11 results
Algorithm for Acute ED Management of Excited Delirium 

Pearls for Appropriate Restraint:
- 1 person for each
Algorithm for Acute ... ED Management of ... Excited Delirium ... #Algorithm #Management ... #Emergency #Protocol
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... was consequently ... Any residual delirium ... #Management #Alcohol
Summary of meta-analysis of pharmacotherapy trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following outcomes:
symptoms, mental state ... Guideline for the Management ... with โ€˜treatment as ... summarised in Tables ... Effectiveness #Table
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
whose clinical status ... sufficiently tenuous as ... level of care such as ... #Management #BloodCultures ... EmergencyDepartment #Protocol
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... - Management of ... If patient is stable ... continuation of methadone as ... peak 1 hr, steady state
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 โ€ข Apply direct pressure/compression bandage
10-20 mL/kg IV as ... rapidly as possible ... massive transfusion protocol ... and transport STAT ... Survey #CABCDE #management
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 โ€ข PAWSS
 โ€ข CIWA-Ar
 โ€ข
โ€ข CIWA-Ar โ€ข AWS ... seizures - Status ... vital signs โ€ข Delirium ... Barbituates โ€ข Propofol ... diagnosis #treatment #management
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Treatment Protocol ... good choice if BP ... #algorithm #neurology ... #management
Summary of meta-analysis of psychological treatment trials in BPD
https://www.cochrane.org/CD005652/BEHAV_psychological-therapies-borderline-personality-disorder
Meta-analyses of RCTs were undertaken for the following
symptoms, mental state ... Guideline for the Management ... with โ€˜treatment as ... summarised in Tables ... #Management #Psychological
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... Statins: all patients ... recent PCl or ACS ... Optimal BP management ... optimize fluid status