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
along the peri-shock ... to full shock spectrum ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #High #Chest #Cardiogenic
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 ... #Distributive #Shock
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach ... to Hypokalemia ... pomagnesemia Evaluation ... NPO, or profound shock ... Critical Care #Checklist
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - ... Revascularization, treatment ... #Checklist #CHF
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... presenting with chest ... deficit β€’ Shock ... Treatment - ED
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) β€’ Propofol ... Hypomagnesemia β€’ Hypokalemia ... Hypocalcemia (rarely) Treatment ... TDP #Management #Algorithm
Cardiac Arrest - Guidelines for Crises in Anaesthesia

The probable cause is one or more of: something
priority is to start chest ... delegate task of evaluating ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Intraoperative #Checklist
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Evaluation begins ... warranting urgent treatment ... Identification and treatment ... #Evaluation #Algorithm
β–Ί
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
remember to tailor treatment ... Breathing β€’ Check chest ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist