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 anesthesia anesthesiology intraoperative criticalcare differential treatment cardiacarrest acls adult aha2020 bradycardia lifesupport myocarditis summary admissions admitting anaphylaxis arrest biopsy
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... Cardiac surgery? ... #Diagnosis #Management
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #Cardiology
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Decompensated CHF ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg ... #criticalcare #algorithm ... #treatment #management
Bradycardia 1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... AMS, SOB from CHF ... Chest Pain • ECG ... Connect ECG Leads ... #cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Fulminant: - Acute HF ... , Cardiogenic shock ... Pericarditis, Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
arrhythmia: - EKG ... their validity (e.g ... clinical context & EKG ... patients (including cardiac ... NPO, or profound shock
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Diagnosis #Management ... #Workup
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... Pts: cardiogenic shock ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... failure, esp in work-up ... /management of shock ... will also get an EKG ... #ICU #Pearls #Checklist
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