Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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The SALT Mass Casualty Triage Approach
 - SALT stands for “Sort, Assess, Lifesaving interventions, and Treatment
Mass Casualty Triage ... Approach - SALT stands ... #Management #Disaster ... MassCasualty #Incident #Algorithm ... #Protocol
START is a rapid triage system for prioritizing disaster victims
Briefly, it is based around:
- Is the
START is a rapid triage ... walking wounded’ -> triage ... radial pulse or normal ... #Diagnosis #Management ... #Algorithm #Protocol
Iron Deficiency Anemia vs Anemia of Chronic Disease - Laboratory Testing

SUMMARY:
 - RDW, FEP, serum iron,
Anemia of Chronic Disease ... deficiency if above normal ... - Trial of oral ... underlying inflammatory states ... Testing #Comparison #Table
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Treatment of Abnormal ... Medroxyprogesterone acetate PO Stat ... Hemodynamically stable ... thromboembolic disease ... Uterine #Bleeding #Management
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
CA-Bridge Buprenorphine ... Hospital Quick Start Algorithm ... - Management of ... If patient is stable ... peak 1 hr, steady state
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
• Classic triad ... tachycardia (don't trust triads ... hypertension; some normal ... >40C), mental status ... Treatment • Operable disease
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Valvular heart disease ... Congenital heart disease ... sx overlap with normal ... Delivery • Stable ... defibrillator as a "bridge
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
massive transfusion protocol ... and transport STAT ... pupil, Cushing's triad ... shock - ↓HR, ↓BP, Abnormal ... Survey #CABCDE #management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... INVESTIGATIONS • Stat ... #Hypothermia #Protocol ... #management #treatment ... #algorithm