Dr. Gerald Diaz @GeraldMD
23.2M 13.8K 7.2K
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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management anesthesia intraoperative clinical echocardiogram differential crisis criticalcare embolism fibrillation hyperthermia ventricular vfib akinesia anaphylaxis anterior aortic arrest bradycardia cardiacarrest
Pulmonary Embolism on POCUS Echocardiogram Mid 30's female with chest pain/dyspnea. Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology
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 Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... trolley and 12-lead ECG ... CM5 continuous ECG ... Obtain a 12-lead ECG ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
iatrogenic causes, e.g ... pericardiocentesis kit (eg ... examination and vital signs ... Intraoperative #Checklist ... #Workup
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI on EKG ... - VCU Ultrasound ... Echocardiogram #cardiology ... #clinical #plax
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 Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Surgical devices, e.g ... Sepsis (→ 3-14) e.g ... malignant syndrome (e.g ... #Anesthesia #Checklist ... #Workup
Anterior Akinesia on POCUS Echocardiogram Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
getting 12 lead ECG ... Diagnosis? ... ECG obtained. ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology
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 Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... Cardiac surgery?
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia Causes: thrombus, fat, amniotic fluid, air/gas. Signs: hypotension, tachycardia,
Signs: hypotension ... unexplained loss of cardiac ... Consider thrombolysis e.g ... #Diagnosis #Management ... #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... develop (Box B). ❾ Plan ... #Arrest #Anesthesiology ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
of more of the signs ... alternate vasopressor (e.g ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
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