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 acls adult aha2020 differential lifesupport treatment arrest biopsy cardiogenic circular cooling criticalcare heartfailure ischaemia ischemia neuroprotection
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... death Management ... #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 ... #diagnosis #management ... #cardiology #summary
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Decompensated CHF ... Valve Disease, Myocarditis ... Pneumothorax, Cardiac ... #criticalcare #algorithm ... #treatment #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- Management Checklist ... Evaluation - EKG ... Nephrotoxins (e.g ... channel blocker (eg ... #Checklist #CHF
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
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020 CPR Quality: • Push hard (at least 2
Arrest Algorithm ... Shock Energy for ... recommendation (eg ... #lifesupport #cardiacarrest ... #management #adult
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020 CPR Quality: • Push hard (at least
Adult Cardiac Arrest ... Shock Energy for ... recommendation (eg ... #lifesupport #cardiacarrest ... #management #adult
Cardiac Arrest - Guidelines for Crises in Anaesthesia The probable cause is one or more of: something
• Check ECG rhythm ... anaesthesia #CardiacArrest ... #Checklist #Differential ... #Diagnosis #Management ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
cause) or septic shock ... Consider monitoring cardiac ... cultures if possible (eg ... Intraoperative #Checklist ... #Workup
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