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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Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac ... Ischemia #Ischaemia #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup
COVID-19: ICU Guidelines for the Non-Intensivist
Infection Control
Risk Factors for Severe Disease
Initial Laboratory Workup
COVID-19 Specific Medications
Respiratory
Cardiac
Hematologic
Neuro/Sedation

#COVID19 #ICU
Initial Laboratory Workup ... Medications Respiratory Cardiac ... Hematologic Neuro ... NonIntensivist #diagnosis #management
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
thromboembolism β†’ Cardiac ... rhythm monitoring, Echocardiogram ... - No other workup ... Hypercoagulable #Workup ... #hematology #diagnosis
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
Intraoperative Circulatory ... unexplained loss of cardiac ... Embolism #VTE #Anesthesiology ... #Anesthesia #Intraoperative ... #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... Consider monitoring cardiac ... Discuss ongoing management ... anaesthesia #Sepsis #Anesthesiology ... #Workup
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
Intraoperative Massive ... equipment. ❽ Discuss management ... BloodLoss #Hemorrhage #Anesthesiology ... #Anesthesia #Intraoperative ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... trolley and then cardiac ... Intubation #Difficult #Anesthesiology ... #Anesthesia #Intraoperative ... #Workup
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 β€’ Sudden alteration in
problem. ❸ Call for cardiac ... Anaesthetic #Toxicity #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup
Intraoperative Patient Fire - Guidelines for Crises in Anaesthesia
Evidence of fire (smoke, heat, odour, flash, flame)
Intraoperative Patient ... #Airway #Fire #Anesthesiology ... #Anesthesia #Intraoperative ... Checklist #Diagnosis #Management ... #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... Plan definitive management ... #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative ... #Workup