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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low ... #Hypovolemic #Distributive ... #Shock
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... Diagnosis #FALLS #Protocol ... #Shock #Algorithm
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
along the peri-shock ... to full shock spectrum ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 • PUMP: LV contractility, RV strain, tamponade
 • TANK: IVC
Ultrasound in SHock ... Evaluation RUSH Protocol ... #RUSH #Exam #protocol ... diagnosis #Ultrasound #pocus ... #shock
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
RUSH(ed) Exam - POCUS ... Protocol Rapid ... Ultrasound in Shock ... #RUSH #Exam #POCUS ... #ultrasound #shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Hypotension / Shock ... Differential Diagnosis Algorithm ... hypertension Distributive ... Differential #Diagnosis #Algorithm ... #shock #causes
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: • Distributive ... Dehydration Shock ... Sophia_Hayes_MD #Shock ... #criticalcare #algorithm
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
Care Medicine algorithm ... to next step if shock ... Subsequent ICU goals—if shock ... #Shock #Algorithm ... CriticalCare #Peds #Pediatrics
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
, Cardiorenal, Distributive ... Shock, HRS, Hypercalcemia ... nephrology #causes #algorithm
Pediatric SVT - Management Algorithm
Identify SVT:
 • HR not variable
 • Abrupt rate changes
 • Infants:
Pediatric SVT - ... Management Algorithm ... Signs of shock or ... tachycardia #Management #Algorithm ... #peds #Pediatric