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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17 results
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... Cardiac #Tamponade #Anesthesiology ... #Management #Workup
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Echocardiogram #ultrasound ... #Cardiology #PLAX ... #clinical
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
plan between surgical ... interventional radiology ... an appropriate clinical ... BloodLoss #Hemorrhage #Anesthesiology ... Intraoperative #Checklist #Diagnosis
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
39 C this is a clinical ... amphetamines) Toxic: • Radiologic ... #Anesthesiology ... Anesthesia #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Plan for repeat ... feasible (Box B). ⓭ Plan ... #Anaphylaxis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Plan to ensure ... hypnosis as soon as clinical ... Neuraxial #Block #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Other drugs at clinician ... X-ray as soon as clinically ... safe to do so. ⓮ Plan ... anaesthesia #Anesthesiology ... #Management #Workup
Cardiac Sarcoidosis on Echocardiogram

Spot diagnosis for the fellows. Thinned, dyskinetic basal septum in patient who presents
Echocardiogram Spot diagnosis ... sarcoidosis #cardiac #pocus ... #clinical #ultrasound ... echocardiogram #plax ... #cardiology
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... see Box D). ⓭ Plan ... Hyperthermia #Crisis #Anesthesiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Anterior Akinesia on POCUS ... Diagnosis? ... Hypokinesis #RWMA #PLAX ... #ultrasound #Cardiology ... #clinical