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
or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High ... #Cardiogenic #Obstructive
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
call it, β€œThink High ... or Think Low.” ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... CO / Low SVR: ... Arrhythmia β€’ Obstructive ... #criticalcare #algorithm ... #treatment #management
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
Hypothermia - Protocol ... fluid warmer β€’ Slow ... CPR β€’ Max 3 shocks ... #management #treatment ... #algorithm
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
outcomes Do: - Have high ... sepsis pathway or protocol ... prescribe) antibiotics now ... persistent septic shock ... Interventions #Management