Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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
call it, “Think High ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low ... #Hypovolemic #Distributive
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 ... #Chest #Cardiogenic
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... CO / Low SVR: ... • Distributive: ... #criticalcare #algorithm ... #treatment #management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... - Hemorrhagic shock ... massive transfusion protocol ... pupil, Cushing's triad ... Survey #CABCDE #management
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... ECG • ABG • Chest ... CPR • 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 ... persistent septic shock ... in a clinical trial ... Interventions #Management