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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workup anesthesiology intraoperative criticalcare differential cardiac summary shock tachycardia airway anaphylaxis angina arrest atrial biopsy bradycardia cardiacarrest cardiogenic cardiomyopathy causes
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
hypertension Management ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Checklist #Diagnosis
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 ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Pancreatitis management checklist Evaluation to guide etiology & management - RUQ ultrasound - Calcium
- RUQ ultrasound ... septic shock (e.g ... resuscitation (e.g ... choledolithiasis (e.g ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia This is the last resort when
optimal airway management ... airway expertise e.g ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
- EKG & echocardiography ... (no B-lines on ultrasound ... Nephrotoxins (e.g ... channel blocker (eg ... #HeartFailure #Cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Consider thrombolysis e.g ... over 2 h (>65 kg ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
• No Treatment ... Brady Management ... degrees #summary #Diagnosis ... #EKG #electrocardiogram ... #ecg #cardiology
Intraoperative Tachycardia - Guidelines for Crises in Anaesthesia Tachycardia in theatre is often due to inadequate depth
remember to tailor treatment ... obtain 12-lead ECG ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
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