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 #Low ... #Hypovolemic #Distributive ... #Shock
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
- A Randomized Trial ... Shock N Engl ... a multicenter trial ... shock was diagnosed ... Threshold #EBM #Management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... : Sepsis, Anaphylaxis ... #criticalcare #algorithm ... #treatment #management
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
Sepsis - Interventions ... pathway or protocol ... shock - Understand ... in a clinical trial ... Interventions #Management
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Binder) β€’ Use POCUS ... - Hemorrhagic shock ... massive transfusion protocol ... pupil, Cushing's triad ... Survey #CABCDE #management