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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FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... FALLS-protocol is ... an ultrasound evaluation ... #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 #Low
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
POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior
POCUS Pearls for ... - Pericardial Effusion ... #Diagnosis #Evaluation ... #Cardiology #Effusion ... #Echocardiogram
β–Ί
Rapid Ultrasound in SHock Evaluation
RUSH Protocol:
 β€’ PUMP: LV contractility, RV strain, tamponade
 β€’ TANK: IVC
Ultrasound in SHock ... Evaluation RUSH ... Protocol: β€’ PUMP ... diagnosis #Ultrasound #pocus ... #shock
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... Echocardiogram ... in vitals and shock ... #Echocardiogram ... clinical #cardiology #effusion
β–Ί
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Tamponade in a Shock ... EM_RESUS #Clinical #POCUS ... #Echocardiogram ... #Pericardial #Effusion
β–Ί
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≀6 months old on day β‰₯7
Evaluation of suspected ... before performing echocardiogram ... purposes of this algorithm ... regurgitation, pericardial effusion ... Disease #Incomplete #Algorithm
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... , pericardial effusion ... Shock or respiratory ... Shock evidenced ... bleeding: based on evaluation
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 ... massive transfusion protocol ... signs Neurogenic shock