Dr. Gerald Diaz @GeraldMD
49.9M 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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
#Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High ... #Cardiogenic #Obstructive ... #Shock
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Differential Diagnosis Algorithm ... ventricular outflow obstruction ... Dysautonomia Obstructive ... pneumothorax β€’ Constrictive ... Differential #Diagnosis #Algorithm
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
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... Patient is in shock ... POCUS RUSH exam ... shows the shock ... Echocardiogram #A4c
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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 #Low
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Ultrasound in SHock ... Evaluation RUSH Protocol ... jackcfchong #RUSH #Exam ... #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 ... Ultrasound in Shock ... circumstances #RUSH #Exam ... #POCUS #Protocol
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Arrhythmia β€’ Obstructive ... , Severe pHTN, Constrictive ... Dehydration Shock ... #criticalcare #algorithm
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... Exam showed BP 100 ... OKiamanesh #Constrictive ... Echocardiogram #a4c ... #pocus #clinical
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Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Binder) β€’ Use POCUS ... - Hemorrhagic shock ... a late sign of shock ... /pelvis, eFAST exam ... massive transfusion protocol