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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LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
due to SAM on POCUS ... Diagnosis? ... Management? ... #Systolic #Anterior ... ultrasound #Cardiology #PLAX
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
Intraoperative Massive ... plan between surgical ... BloodLoss #Hemorrhage #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bronchospasm - Guidelines for Crises in Anaesthesia

❶ Call for help and inform theatre team of
Intraoperative Bronchospasm ... safe to do so. ⓮ Plan ... anaesthesia #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Intraoperative Sepsis ... plan with intensive ... anaesthesia #Sepsis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
appropriate local plan ... Electricity #Failure #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
tamponade recurs. ❿ Plan ... definitive management ... Cardiac #Tamponade #Anesthesiology ... #Anesthesia #Intraoperative ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
Intraoperative Anaphylaxis ... • Plan for repeat ... #Anaphylaxis #Anesthesiology ... #Checklist #Diagnosis ... #Management #Workup
High Central Neuraxial Block - Guidelines for Crises in Anaesthesia
• Can occur with deliberate or accidental
Plan to ensure ... Neuraxial #Block #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Malignant Hyperthermia Crisis - Guidelines for Crises in Anaesthesia
Unexplained increase in ETCO2 AND tachycardia AND increased
groin, axillae and anterior ... see Box D). ⓭ Plan ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
develop (Box B). ❾ Plan ... further management ... Cardiac #Arrest #Anesthesiology ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis