Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
/management of shock ... get an EKG and CXR ... #Admitting #Admissions ... #diagnosis #workup ... #criticalcare
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
indicated, start CPR ... Plan definitive management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
arrest where other causes ... arrest, start CPR ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
equipment. ❽ Discuss management ... interventional radiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Guidelines for Crises ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
Guidelines for Crises ... Start continuous CPR ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
other, more common causes ... Box D). β“­ Plan admission ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
β€’ Can occur with deliberate or accidental
β€’ CPR may be ... Consider other causes ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
Guidelines for Crises ... Consider known drug causes ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
and discuss with cardiology ... ❾ Plan further management ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup