Dr. Gerald Diaz @GeraldMD
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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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diagnosis management anesthesiology intraoperative differential hyperthermia associated bloodloss bradycardia cardiac cardiacarrest cardiology crisis cyanosis emergencies endocrinology hemeonc hemorrhage hypercalcemia hypoxia
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... maintained fever CAUSES ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... with dantrolene Hyperkalaemia ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... for malignancy-associated ... Dialysis with low ... Calcitonin Refractory Cases ... #Treatment #algorithm
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia Expected or unexpected major haemorrhage ❶ Call for
Guidelines for Crises ... major haemorrhage protocol ... • Communicate how ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
thoracotomy is a better treatment ... • Low tidal ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
Increase fresh gas flow ... Hypovolaemia Hypo/hyperkalaemia ... CardiacArrest #Checklist ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Consider known drug causes ... myocardial infarction, hyperkalaemia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... anaphylaxis (→ 3-1); malignant ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... Diagnosis #Management #Workup
Intraoperative Hypoxia / Desaturation / Cyanosis - Guidelines for Crises in Anaesthesia Using these steps from start
• If SpO2 low ... Sepsis → 3-14 o Malignant ... Intraoperative #Checklist ... #Diagnosis #Workup ... #Management #Workup
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... acid, high LDH, low ... Treat underlying cause ... plasmapheresis Hypercalcemia ... of malignancy:
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