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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PRONE POSITIONING - Portsmouth ICU @icu_portsmouth

#Prone #Positioning #Procedure #Proning #Protocol #Checklist #Instructions #Protocol #Proned #Management #CriticalCare
POSITIONING - Portsmouth ICU ... #Positioning #Procedure ... Proning #Protocol #Checklist ... Protocol #Proned #Management ... #CriticalCare #
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... Delirium in the ICU ... recent events/procedures ... tox/infectious workup ... #MICU #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... - Checklist VITALS ... /management of shock ... #Pearls #Checklist ... #criticalcare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... Delirium in the ICU ... sleeping, administer pharmacologic ... #Management #Treatment ... #MICU #CriticalCare
Management of Jehovah's Witness patient in ICU 

Clarify which products may be used 
 - Discuss
Management of Jehovah's ... Witness patient in ICU ... aggressively - Early procedural ... twitter.com/PulmCrit #Checklist ... #CriticalCare #
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
theatres, recovery, ICU ... Electricity #Failure #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
moderate sedation for procedures ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare # ... diagnosis #management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... ENT, ICU). ❹ Call ... Intubation #Difficult #Anesthesiology ... Intraoperative #Checklist ... #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
placement for post-procedure ... anaesthesia #Anesthesiology ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
exacerbation (cardiogenic pulmonary ... status • Won't Work ... intrathoracic procedure ... #indications #criticalcare ... #management