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 ... call it, β€œThink High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #High #Chest #Cardiogenic
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 ... call it, β€œThink High ... Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm
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
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... urinary losses: β€’ High ... #diagnosis #Algorithm
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Lactate > 1.5 High ... Injury Low CO / High ... Treatment Goals ... #criticalcare #algorithm ... #treatment #management
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
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Insufficiency Diagnosis Algorithm ... - Hypotension, shock ... Hyperpigmented skin (due to high ... Hyponatremia, hyperkalemia ... findings (see algorithm
Hyperkalemia - Management Algorithm
 β€’ IV calcium
 β€’ IV insulin and glucose and/or salbutamolt
 β€’ Consider
Hyperkalemia - Management ... Algorithm β€’ IV ... , asystole #hyperkalemia ... #potassium #high ... #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... - Management Checklist ... Evaluation - ... Revascularization, treatment ... #Checklist #CHF
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Algorithm β€’ Treat ... β€’ Reconsider treatment ... #Management #Algorithm ... #treatment #potassium ... #high