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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27 results
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
anaesthetic (remember infusion ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Complex Pleural Effusion caused by Esophageal Perforation
So much pathology for one lung. Esophageal perforation leading to
Complex Pleural ... Effusion caused ... effusion. ... Complex effusion ... Perforation #lung #pocus
β–Ί
How do you work up an ischemic CVA?
A) Initial Evaluation
 β€’ ABCs
 β€’ IV access, monitor
How do you work ... Physical exam (complete ... Evaluate underlying cause ... #CVA #stroke #workup ... #diagnosis #checklist
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Guidelines for Crises ... major haemorrhage protocol ... . ❼ Use rapid infusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
of blood, pus, effusion ... or iatrogenic causes ... of underlying cause ... Intraoperative #Checklist ... Diagnosis #Management #Workup
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
- SEE UPDATED ALGORITHM ... phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... -If you work at ... #Protocol #PulmCrit
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Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
hypovolaemia or combined causes ... pressure as a cause ... rate, rhythm, perfusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... documented to be a complete ... ear (unexplained effusions ... pain, pleural effusion ... Nephrocalcinosis causes
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
should identify any cause ... surgery related cause ... rate, rhythm, perfusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... an adrenaline infusion ... noradrenaline infusion ... Intraoperative #Checklist ... Diagnosis #Management #Workup